Characteristics of individuals meeting criteria for new onset panic attacks following exposure to a typhoon.
Characteristics of individuals meeting criteria for new onset panic attacks following exposure to a typhoon.
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符合台风后新发恐慌发作标准的个人特征。
DOI：
10.1016/j.psychres.2013.04.012
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发表时间：
2013
影响因子：
11.3
通讯作者：
Amstadter,AnandaB
中科院分区：
文献类型：
--
作者：
Roberson-Nay,Roxann;Berenz,ErinC;Acierno,Ron;Tran,TrinhLuong;Trung,LamTu;Tam,NguyenThanh;Tuan,Tran;Buoi,LaThi;Ha,TranThu;Thach,TranDuc;Amstadter,AnandaB
在过去的十年中，创伤暴露和惊恐发作之间的联系受到了越来越多的关注，越来越多的证据表明存在重叠的病因学途径。这项研究调查了775名越南人在台风Xangsane后2-3个月内新发恐慌发作的发病率。进行了台风前（第1波）和台风后（第2波）评估，除了考虑台风相关应对措施外，还考虑了台风前发生的因素。在775名参与者中，11.6%（n=90）符合台风前终身惊恐发作的标准，2.8%（n=22）符合台风后惊恐发作的标准。台风前恐慌的个人显着年龄较大，并报告较少的教育相比，没有恐慌组。与没有惊恐发作史的人相比，两个惊恐组的人更有可能在第一波精神病筛查措施中筛查出阳性，支持更大的台风暴露和先前的创伤事件暴露，并且更有可能在台风后达到DSM-IV创伤后应激障碍（PTSD）和重度抑郁症（MDD）的标准。台风前和台风后的恐慌表现出类似的模式，跨变量和恐慌的条件与创伤后应激障碍和抑郁症的发展，这表明经历恐慌发作的人可能是一个脆弱的人群需要早期干预服务。
The association between trauma exposure and panic attacks has received increased attention over the past decade, with mounting evidence suggesting an overlapping etiologic pathway. This study examined the incidence of new onset panic attacks in 775 Vietnamese individuals in the 2–3 months following Typhoon Xangsane. Pre-typhoon (Wave 1) and post-typhoon (Wave 2) assessments were conducted, allowing for consideration of factors occurring prior to the typhoon in addition to typhoon-relevant responding. Of the 775 participants, 11.6% (n=90) met criteria for lifetime panic attack pre-typhoon and 2.8% (n=22) met post-typhoon panic attack criteria. Individuals with pre-typhoon panic were significantly older and reported less education compared to the no-panic group. Individuals in both panic groups were more likely to screen positive on a Wave1 psychiatric screening measure, endorse greater typhoon exposure and prior traumatic event exposure and were significantly more likely to meetDSM-IVcriteria for posttraumatic stress disorder (PTSD) and major depression (MDD) post-typhoon compared with persons reporting no history of panic attacks. Pre and post-typhoon panic exhibited similar patterns across variables and both panic conditions were associated with the development of PTSD and MDD, suggesting that persons experiencing panic attacks may represent a vulnerable population in need of early intervention services.