Abstract:
UNLABELLED:Panic attacks occurring outside of Panic Disorder are not well-understood despite their inclusion as a diagnostic specifier in the Diagnostic and Statistical Manual for Mental Disorders (DSM-5). This study compares panic attacks in the context of Panic Disorder compared to social anxiety in terms of their symptom frequency, severity, and clinical correlates. METHOD:Participants (n=404) were interviewed using the Anxiety Disorders Interview Schedule (ADIS-IV-L; Brown et al., 1994), from which we analyzed interviewer ratings of panic attacks and panic attack symptoms, as well as other demographic and clinical characteristics. RESULTS:Panic attacks in the context of Panic Disorder were characterized by a greater number and severity of symptoms compared to panic attacks in the context of Social Anxiety Disorder, and were associated with a history of traumatization, inpatient psychiatric treatment, and benzodiazepine use. Social anxiety panic attacks were associated with reduced physical health concerns. Cognitive panic attack symptoms were more prevalent in Panic Disorder and were associated with a variety of poor clinical correlates. CONCLUSIONS:Panic attacks in the context of Panic Disorder are more severe than those in social anxiety, and this may be driven by cognitive disturbances during those attacks.
journal_name
Psychiatry Resjournal_title
Psychiatry researchauthors
Brown LA,LeBeau R,Liao B,Niles AN,Glenn D,Craske MGdoi
10.1016/j.psychres.2015.11.048subject
Has Abstractpub_date
2016-01-30 00:00:00pages
69-76eissn
0165-1781issn
1872-7123pii
S0165-1781(15)30756-3journal_volume
235pub_type
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