Clinical features of panic attacks in schizophrenia

Baylé, F.; Krebs, Marie‐Odile; Epelbaum, C.; Levy, Deborah M.; Hardy, Patrick

doi:10.1016/s0924-9338(01)00590-9

Cited by 36 publications

(35 citation statements)

References 10 publications

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“…Panic may be experienced as related to psychotic symptoms or as spontaneous [31]. Conversely, panic attacks may rarely be followed by psychosis, as reported in a case series (n=4) [32].…”

Section: Panic Disorder and Schizophreniamentioning

confidence: 99%

Anxiety disorders and schizophrenia

Muller

Koen²,

Seedat³

et al. 2004

Curr Psychiatry Rep

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Anxiety symptoms and disorders have long been described in schizophrenia. This article reviews the epidemiology, phenomenology, and neurobiologic underpinnings of comorbid anxiety symptoms and disorders in schizophrenia. Recent literature was obtained by Medline searches using key words relating to schizophrenia and anxiety symptoms or disorders. There is some evidence that anxiety may be a core symptom dimension in schizophrenia, although further work is required. There is evidence that comorbid obsessive-compulsive disorder, panic disorder, post-traumatic stress disorder, and social anxiety disorder are all more common than expected by chance in schizophrenia, although additional work is needed to determine the mechanisms that underlie these associations and their clinical implications. In the interim, however, the data emphasize the importance of assessing and treating comorbid anxiety symptoms and disorders in schizophrenia.

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“…Panic may be experienced as related to psychotic symptoms or as spontaneous [31]. Conversely, panic attacks may rarely be followed by psychosis, as reported in a case series (n=4) [32].…”

Section: Panic Disorder and Schizophreniamentioning

confidence: 99%

Anxiety disorders and schizophrenia

Muller

Koen²,

Seedat³

et al. 2004

Curr Psychiatry Rep

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“…The only relevant study evaluated 19 patients with schizophrenia who reported a history of PAs; [78] seven reported uncued PAs, whereas the remaining patients tied their PAs to delusional fears or paranoid ideas. They averaged 7.9 (SD 5 3.2) PA symptoms, with all endorsing dyspnea, and none reporting fears of dying or going crazy.…”

Section: Presentation Of Pas Across Disordersmentioning

confidence: 99%

Panic disorder: a review of DSM-IV panic disorder and proposals for DSM-V

et al. 2010

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This review covers the literature since the publication of DSM-IV on the diagnostic criteria for panic attacks (PAs) and panic disorder (PD). Specific recommendations are made based on the evidence available. In particular, slight changes are proposed for the wording of the diagnostic criteria for PAs to ease the differentiation between panic and surrounding anxiety; simplification and clarification of the operationalization of types of PAs (expected vs. unexpected) is proposed; and consideration is given to the value of PAs as a specifier for all DSM diagnoses and to the cultural validity of certain symptom profiles. In addition, slight changes are proposed for the wording of the diagnostic criteria to increase clarity and parsimony of the criteria. Finally, based on the available evidence, no changes are proposed with regard to the developmental expression of PAs or PD. This review presents a number of options and preliminary recommendations to be considered for DSM-V.

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“…Social anxiety comorbid with Sz is associated with higher risk for suicide attempts, greater lethality of suicide attempts, more substance abuse, lower social adjustment, and lower overall quality of life (Bayle et al, 2001;Blanchard et al, 1998;Pallanti et al, 2004;Taiminen et al, 2001). The rate of social anxiety ranges from 13% to 39% in patients with Sz (Bermanzohn et al, 2000;Cassano et al, 1999;Cosoff & Hafner, 1998;Kendler et al, 1995a).…”

Section: Social Anxiety In Schizophrenia Patientsmentioning

confidence: 99%

Avoidant personality disorder is a separable schizophrenia-spectrum personality disorder even when controlling for the presence of paranoid and schizotypal personality disorders

Fogelson¹,

Nuechterlein²,

Asarnow³

et al. 2007

Schizophrenia Research

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It is unresolved whether avoidant personality disorder (APD) is an independent schizophrenia (Sz)-spectrum personality disorder (PD). Some studies find APD and social anxiety symptoms (Sxs) to be a separable dimension of psychopathology in relatives (Rels) of schizophrenics while other studies find avoidant Sxs to be correlated with schizotypal and paranoid Sxs.Rates of APD among first degree Rels of Sz probands, attention-deficit/hyperactivity disorder (ADHD) probands, and community control (CC) probands were examined. Further analyses examined rates when controlling for the presence of schizotypal (SPD) and paranoid (PPD) personality disorders, differences in APD Sxs between relative groups, and whether APD in Rels of Szs reflects a near miss for another Sz-spectrum PD.362 first degree Rels of Sz probands, 201 relatives of ADHD probands, and 245 Rels of CC probands were interviewed for the presence of DSM-III-R Axis I and II disorders. Diagnoses, integrating family history, interview information, and medical records, were determined.APD occurred more frequently in Rels of Sz probands compared to CC probands (p<.001) and also when controlling for SPD and PPD (p<.005). Two Sxs of APD were most characteristic of the Rels of Sz probands: "avoids social or occupational activities…" and "exaggerates the potential difficulties…" 65% of the Rels of Sz probands who had diagnoses of APD were more than one criterion short of a DSM-III-R diagnosis of either SPD or PPD. This indicates that APD is a separate Sz-spectrum disorder, and not merely a sub-clinical form of SPD or PPD.

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Clinical features of panic attacks in schizophrenia

Cited by 36 publications

References 10 publications

Anxiety disorders and schizophrenia

Anxiety disorders and schizophrenia

Panic disorder: a review of DSM-IV panic disorder and proposals for DSM-V

Avoidant personality disorder is a separable schizophrenia-spectrum personality disorder even when controlling for the presence of paranoid and schizotypal personality disorders

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