Prevalence and correlates of respiratory and non-respiratory panic attacks in the general population

Fullana, Miquel À.; Vilagut, Gemma; Ortega, N.; Bruffærts, Ronny; Girolamo, Giovanni de; Graaf, Ron de; Haro, Josep María; Kovess, Viviane; Matschinger, Herbert; Bulbena, Antonio; Alonso, Jordi

doi:10.1016/j.jad.2010.11.031

Cited by 9 publications

(7 citation statements)

References 63 publications

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“…One month after the 9/11 terrorist attacks, Galea, Resnick, et al () found that 12.6% of New York citizens presented PPAs; using the same instrument and time frame, we found that 10.9% of Madrid citizens met the same diagnostic criteria. As we hypothesized, the prevalence of PPAs in Madrid was 3.3 times higher than the 12‐month prevalence before the attacks in European population (including Spain; Fullana et al, ). The prevalence of PD at Surveys 2 and 3 was also higher (8.8% and 5.7%, respectively) than that found in previous general population surveys carried out in Spain (0.8%; Haro et al, ).…”

Section: Discussionmentioning

confidence: 80%

“…Lifetime and 12-month prevalence of clinical panic attacks in Europe, according to the European Study of the Epidemiology of Mental Disorders (ESEMeD), a cross-sectional survey of the adult general population in six European countries, including Spain, are estimated to be 10.0% and 3.3%, respectively (Fullana et al, 2011). Lifetime and 12-month prevalence of PD in these European countries are 2.1% and 0.8%, respectively; in the United States, lifetime and 12-month PD prevalence are estimated to be 4.5% (Kessler, Berglund, et al, 2005) and 2.7% (Kessler, Chiu, Demler, Merikangas, & Walters, 2005), respectively.…”

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confidence: 99%

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Perievent Panic Attacks and Panic Disorder After Mass Trauma: A 12‐Month Longitudinal Study

Wood

Salguero

Vindel

et al. 2013

Journal of Traumatic Stress

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Panic attacks frequently lead to psychopathological disorders, including panic disorder. Even though panic disorder is a highly comorbid and disabling mental health problem associated with stressful life or traumatic events, perievent panic attacks and their association with panic disorder have hardly been investigated as a central topic after mass trauma. Using data from a longitudinal population-based assessment of Madrid residents after the March 11, 2004 train bombings (N = 1,589), with assessments conducted 1, 6, and 12 months after the attacks, the rate of perievent panic attacks was 10.9%. Level of exposure, previous life stressors, and negative emotionality were associated with perievent panic attacks (β = .12, .15, and .10, respectively), which in turn mediated the relationship between exposure to the terrorist event and panic disorder in the following year. Previous life stressors (β = .15) and low social support (β = -.14) were directly associated with panic disorder during the subsequent year. The most vulnerable individuals who experienced perievent panic attacks were 3.7 times, 95% confidence interval [CI] = [2.1, 6.4], more likely to suffer from panic disorder in the following year. Results suggest that early identification of perievent panic attacks following mass trauma may be helpful for reducing panic disorder.

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Section: Discussionmentioning

confidence: 80%

mentioning

confidence: 99%

Perievent Panic Attacks and Panic Disorder After Mass Trauma: A 12‐Month Longitudinal Study

Wood

Salguero

Vindel

et al. 2013

Journal of Traumatic Stress

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“…Previous research on PD has proposed that subtypes of panic attacks based on predominant symptoms may have clinical, etiological, and/or prognostic significance (Fullana et al, 2011;Kircanski et al, 2009). It seems to be possible that alexithymia and dissociation could have a stronger functional link to PD symptoms such as feeling of unreality, fear of going crazy, and fear of losing control than to other PD symptoms.…”

Section: Discussionmentioning

confidence: 99%

Alexithymia and Its Relationship to Dissociation in Patients With Panic Disorder

Majohr¹,

Leenen²,

Grabe³

et al. 2011

Journal of Nervous &Amp; Mental Disease

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Conditions that impede the regulation of emotional arousal, such as alexithymia and dissociation, may underlie panic attacks. This study aimed to evaluate the relationship between alexithymia and dissociation in patients with panic disorder (PD). We assessed 95 PD outpatients with regard to alexithymia (20-item Toronto Alexithymia Scale), dissociation (Dissociation Experience Scale), and overall psychological distress (Symptom Checklist 90-Revised, Global Severity Index). Regression analyses revealed a positive correlation between alexithymia and dissociation, even when the Global Severity Index was controlled for. A specific link was observed between "difficulty in identifying feelings" and "depersonalization/derealization." Patients who showed the pathological form of dissociation had higher levels of alexithymia, with particular regard to "difficulty in identifying feelings" and, to a smaller extent, "difficulty in describing feelings." These results support a strong relationship between alexithymia and dissociation in patients with PD. Assessing alexithymia and dissociation at the outset of therapy may be helpful for individualized therapy planning.

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“…The lifetime prevalence of respiratory PAs was 6.77% (3.14% in the nonrespiratory group), while the 12-month prevalence was 2.26% (1% in the nonrespiratory group). 37 Roberson-Nay & Kendler 6 described two distinct classes of PD: class 1, represented by subjects with respiratorydominant symptoms, and class 2, comprising individuals with more somatic symptoms and few respiratory signs. Using a different exploratory analysis approach and distinct datasets, approximately 56% of subjects (n= 2,390) were found to belong to class 1.…”

Section: Epidemiologymentioning

confidence: 99%

Panic disorder respiratory subtype: psychopathology and challenge tests – an update

Okuro

Freire

Zin

et al. 2020

Braz. J. Psychiatry

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Panic disorder (PD) pathophysiology is very heterogeneous, and the discrimination of distinct subtypes could be very useful. A subtype based on respiratory symptoms is known to constitute a specific subgroup. However, evidence to support the respiratory subtype (RS) as a distinct subgroup of PD with a well-defined phenotype remains controversial. Studies have focused on characterization of the RS based on symptoms and response to CO 2 . In this line, we described clinical and biological aspects focused on symptomatology and CO 2 challenge tests in PD RS. The main symptoms that characterize RS are dyspnea (shortness of breath) and a choking sensation. Moreover, patients with the RS tended to be more responsive to CO 2 challenge tests, which triggered more panic attacks in this subgroup. Future studies should focus on discriminating respiratory-related clusters and exploring psychophysiological and neuroimaging outcomes in order to provide robust evidence to confirm RS as a distinct subtype of PD.How to cite this article: Okuro RT, Freire RC, Zin WA, Quagliato LA, Nardi AE. Panic disorder respiratory subtype: psychopathology and challenge tests -an update. Braz J Psychiatry. 2020;00:000-000. http://dx.

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Prevalence and correlates of respiratory and non-respiratory panic attacks in the general population

Cited by 9 publications

References 63 publications

Perievent Panic Attacks and Panic Disorder After Mass Trauma: A 12‐Month Longitudinal Study

Perievent Panic Attacks and Panic Disorder After Mass Trauma: A 12‐Month Longitudinal Study

Alexithymia and Its Relationship to Dissociation in Patients With Panic Disorder

Panic disorder respiratory subtype: psychopathology and challenge tests – an update

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