Olfactory-triggered panic attacks among Khmer refugees: a contextual approach.

Olfactory-triggered panic attacks among Khmer refugees: a contextual approach.
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DOI:
10.1177/1363461504043564
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发表时间:
2004-06-01
影响因子:
2.5
通讯作者:
Pollack, Mark
Pollack, Mark
中科院分区:
医学3区
文献类型:
--
作者:
Hinton, Devon;Pich, Vuth;Pollack, Mark

文献摘要

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对100名在精神病院就诊的高棉难民进行了调查,以确定嗅觉引发的恐慌症的发生率以及事件的某些特征,包括触发(即气味类型)、频率、长度、躯体症状以及相关的闪回和灾难性认知的比率。100名患者中有45名在上个月经历了嗅觉引发的恐慌症发作。在嗅觉恐慌事件中,创伤联想和灾难性的认知(例如,对‘风袭’、‘虚弱’和‘虚弱的心脏’的恐惧)是常见的。文中给出了几个实例。提出了产生嗅觉恐慌的多因素模型。本文还讨论了该模型对嗅觉障碍治疗的意义。
One hundred Khmer refugees attending a psychiatric clinic were surveyed to determine the prevalence of olfactory-triggered panic attacks as well as certain characteristics of the episodes, including trigger (i.e. type of odor), frequency, length, somatic symptoms, and the rate of associated flashbacks and catastrophic cognitions. Forty-five of the 100 patients had experienced an olfactory-triggered panic attack in the last month. Trauma associations and catastrophic cognitions (e.g. fears of a 'wind attack', 'weakness', and 'weak heart') were common during events of olfactory panic. Several case examples are presented. A multifactorial model of the generation of olfactory panic is adduced. The therapeutic implications of this model for the treatment of olfactory panic are discussed.