Epidemiology of panic disorder in African-Americans.
Epidemiology of panic disorder in African-Americans.
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非裔美国人恐慌症的流行病学。
DOI：
10.1176/ajp.150.3.465
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发表时间：
1993
期刊：
影响因子：
--
通讯作者：
Hornig,CD
中科院分区：
文献类型：
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作者：
Horwath,E;Johnson,J;Hornig,CD
目的在一项社区研究中，探讨非裔美国人和白人惊恐障碍的患病率和临床特征。方法：作为流行病学流域研究的一部分，在五个地点共采访了4,287名非裔美国人和12,142名白人受试者。惊恐障碍和其他诊断使用国家精神卫生研究所诊断访谈表和DSM-III标准进行。结果非裔美国人的惊恐障碍终生患病率为1.2%，白人为1.4%，差异无统计学意义。非裔美国人和白人在发病年龄、患恐慌症的年数和自杀企图方面的比较没有发现显著差异。非裔美国人和白人惊恐障碍患者的个体惊恐症状率相似，尽管非裔美国人在最严重的发作期间报告的平均症状数量更高。在合并惊恐障碍的研究对象中，非裔美国人和白人患重度抑郁症、酗酒、滥用药物、强迫症、广场恐怖症、躯体化障碍和精神分裂症的比例相似。非裔美国人和白人恐慌患者寻求治疗的模式相似，除了非裔美国人在私人诊所向心理健康专业人士寻求帮助的可能性要小得多。在这些发现的基础上，作者得出结论：在社区中，非裔美国人和白人的恐慌症在终生患病率、发病年龄、发病年数、症状分布、自杀企图以及与其他精神疾病的合并症方面是相似的。不同种族对恐慌症的诊断和治疗的差异不是由于该疾病的流行程度或性质的差异。
ObjectiveThe authors investigated the prevalence and clinical characteristics of panic disorder among African-Americans and whites in a community study.MethodA total of 4,287 African-American and 12,142 white subjects were interviewed at five sites as part of the Epidemiologic Catchment Area study. Panic disorder and other diagnoses were made using the National Institute of Mental Health Diagnostic Interview Schedule and DSM-III criteria.ResultsThe lifetime prevalence of panic disorder was 1.2% among African-Americans and 1.4% among whites, a nonsignificant difference. Comparisons between African-Americans and whites on age at onset, years with panic disorder, and suicide attempts revealed no significant differences. Rates of individual panic symptoms in African-American and white subjects with panic disorder were similar, although African-Americans reported a higher mean number of symptoms during their worst episode. Among subjects with comorbid panic disorder, African-Americans and whites had similar rates of major depression, alcohol abuse, drug abuse, obsessive-compulsive disorder, agoraphobia, somatization disorder, and schizophrenia. Patterns of treatment seeking among African-American and white panic subjects were similar, with the exception that African-Americans were significantly less likely to seek help from a mental health professional in private practice.ConclusionsOn the basis of these findings, the authors conclude that panic disorder in the community is similar among African-Americans and whites with respect to lifetime prevalence, age at onset, years of disorder, symptom distribution, suicide attempts, and comorbidity with other psychiatric disorders. Differences in the diagnosis and treatment of panic disorder by race are not due to differences in the prevalence or nature of the disorder.