The experience of panic symptoms across racial groups in a student sample.

The experience of panic symptoms across racial groups in a student sample.
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DOI:
10.1016/j.janxdis.2010.06.010
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发表时间:
2010-12
影响因子:
10.3
通讯作者:
Norton, Peter J.
Norton, Peter J.
中科院分区:
医学2区
文献类型:
--
作者:
Barrera, Terri L.;Wilson, Kathryn P.;Norton, Peter J.

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虽然人们普遍认为,在不同的文化中,恐慌症的特征似乎是突然发作的身体感觉,如头晕和心悸,随后是对这些症状的灾难性误解,但仍有必要对恐慌症发作经历的种族/文化差异进行研究。除了调查恐慌经历的种族差异外,评估恐慌症状的增加是否转化为功能障碍的增加也很重要。本研究调查了一大批多种族/民族学生惊恐发作经历的差异,并检验了症状认可与总体痛苦和损害之间的关系。初步分析表明,尽管对恐慌症状的总体认可在各组之间是相似的,但在特定症状上确实出现了差异。被认为是亚洲人的参与者比被认为是白种人的参与者更倾向于认同头晕、不稳定、窒息和感到恐惧等症状,被认为是非洲裔美国人的参与者比被认为是白种人的参与者更少感到紧张。西班牙裔/拉丁裔(a)血统的参与者在症状认可方面与其他任何组没有差异。恐慌症状的严重程度在种族/民族群体中没有差异;然而,与非裔美国人相比,亚裔和白种人参与者的恐慌症状和恐慌严重程度之间的相关性更强。这些结果表明,不同种族/民族的恐慌症状可能有不同的经历,并强调临床医生和研究人员需要在文化背景下评估恐慌症状。
While there is general agreement that, across cultures, panic disorder appears to be characterized by sudden onset of bodily sensations, such as dizziness and heart palpitations, followed by catastrophic misinterpretations of these symptoms, there remains a need for research investigating ethnic/cultural differences in the experience of panic attacks. In addition to investigating ethnic differences in the experience of panic, it is important to assess whether increased endorsement of panic symptoms translates into increased dysfunction. The present study investigated differences in the experience of panic attacks and examined the relation between symptom endorsement and overall distress and impairment in a large multiracial/ethnic student population. Preliminary analyses indicated that although overall endorsement of panic symptoms was similar across groups, differences did emerge on specific symptoms. Participants identifying as Asian tended to endorse symptoms such as dizziness, unsteadiness, choking, and feeling terrified more frequently than those identifying as Caucasian, and individuals identifying as African American reported feeling less nervous than those identifying as Caucasian. Participants of Hispanic/Latino(a) descent showed no differences from any other group on symptom endorsement. Panic symptom severity was not found to differ across racial/ethnic groups; however, the correlation between panic symptoms and panic severity was stronger for Asian and Caucasian participants than for African Americans. These results suggest that symptoms of panic may be experienced differently across racial/ethnic groups, and highlight the need for clinicians and researchers to assess panic symptoms within the context of culture.
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