TY - JOUR
T1 - Types of panic attacks and their association with psychiatric disorder and physical illness
AU - Bovasso, Gregory
AU - Eaton, William
N1 - Funding Information:
From the Department of Mental Hygiene, School of Public Health, Johns Hopkins University, Baltimore, MD. Supported by National Institute of Mental Health Grants No. MH49449 and T-32 MH14592. Address reprint requests to Gregory Bovasso, Ph.D., USPS Commission, CY 65, 1280 Maryland Ave SW, Washington, DC 20024-2142. Copyright © 1999 by WB. Saunders Company 0010-440X/99/4006-0001 $10. 00/0
PY - 1999
Y1 - 1999
N2 - The differentiation of three types of panic attacks is proposed to be significant for understanding the course and etiology of panic and other psychiatric disorders and physical illnesses. The present investigation is based on longitudinal data from the Epidemiologic Catchment Area (ECA) Study of 1980 to 1981 and its 1994 to 1996 follow-up. Multidimensional scaling (MDS) of panic symptoms identified three types of panic which were consistent over time and for which reliable scales were constructed to measure derealization, cardiac panic, and respiratory panic. Unlike panic disorder, none of the three types of panic attacks predicted the incidence of depression. Derealization was associated with a broader variety of psychiatric disorders than the other two types of panic, including simple phobias, but was not associated with physical diseases. Cardiac panic attacks were associated with a history of heart disease and predicted the incidence of agoraphobia but were not comorbid with depression, unlike the other two forms of panic. Respiratory panic attacks were consistently symptomatic of dysthymia and predicted a higher risk of hospitalization for breast cancer and myocardial infarction (MI).
AB - The differentiation of three types of panic attacks is proposed to be significant for understanding the course and etiology of panic and other psychiatric disorders and physical illnesses. The present investigation is based on longitudinal data from the Epidemiologic Catchment Area (ECA) Study of 1980 to 1981 and its 1994 to 1996 follow-up. Multidimensional scaling (MDS) of panic symptoms identified three types of panic which were consistent over time and for which reliable scales were constructed to measure derealization, cardiac panic, and respiratory panic. Unlike panic disorder, none of the three types of panic attacks predicted the incidence of depression. Derealization was associated with a broader variety of psychiatric disorders than the other two types of panic, including simple phobias, but was not associated with physical diseases. Cardiac panic attacks were associated with a history of heart disease and predicted the incidence of agoraphobia but were not comorbid with depression, unlike the other two forms of panic. Respiratory panic attacks were consistently symptomatic of dysthymia and predicted a higher risk of hospitalization for breast cancer and myocardial infarction (MI).
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U2 - 10.1016/S0010-440X(99)90092-5
DO - 10.1016/S0010-440X(99)90092-5
M3 - Article
C2 - 10579380
AN - SCOPUS:0032747817
VL - 40
SP - 469
EP - 477
JO - Comprehensive Psychiatry
JF - Comprehensive Psychiatry
SN - 0010-440X
IS - 6
ER -