Neck-focused panic attacks among Cambodian refugees; a logistic and linear regression analysis
Neck-focused panic attacks among Cambodian refugees; a logistic and linear regression analysis
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DOI：
10.1016/j.janxdis.2005.02.001
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发表时间：
2006-01-01
影响因子：
10.3
通讯作者：
Pollack, MH
中科院分区：
文献类型：
--
作者：
Hinton, DE;Chhean, D;Pollack, MH
连续前往精神病诊所的柬埔寨难民接受了当前（即上个月至少发生过一次）颈部恐慌的存在和严重程度的评估。在整个样本 (N = 130) 中，在逻辑回归分析中，焦虑敏感性指数 (ASI；优势比 = 3.70) 和临床医生管理的 PTSD 量表 (CAPS；优势比 = 2.61) 显着预测当前颈部恐慌 (NP) 的存在。在颈部恐慌患者 (N = 60) 中，在线性回归分析中，NP 严重程度可通过 NP 相关闪回 (beta = .42)、NP 相关灾难性认知 (beta = .22) 和 CAPS 评分 (beta = .28) 显着预测。进一步的分析显示，CAPS 分数的影响受到 NP 相关闪回和灾难性认知的显着介导（Sobel 检验 [Baron, R. M., & Kenny, D. A. (1986)。社会心理学研究中的调节-介导变量区别：概念、策略和统计考虑因素。人格与社会心理学杂志, 51, 1173-1182]）。在护理遭受创伤的柬埔寨难民时，应专门评估和治疗 NP 严重程度以及与 NP 相关的闪回和灾难性认知。 (c) 2005 Elsevier Inc. 保留所有权利。
Consecutive Cambodian refugees attending a psychiatric clinic were assessed for the presence and severity of current-i.e., at least one episode in the last month-neck-focused panic. Among the whole sample (N = 130), in a logistic regression analysis, the Anxiety Sensitivity Index (ASI; odds ratio = 3.70) and the Clinician-Administered PTSD Scale (CAPS; odds ratio = 2.61) significantly predicted the presence of current neck panic (NP). Among the neck panic patients (N = 60), in the linear regression analysis, NP severity was significantly predicted by NP-associated flashbacks (beta = .42), NP-associated catastrophic cognitions (beta = .22), and CAPS score (beta = .28). Further analysis revealed the effect of the CAPS score to be significantly mediated (Sobel test [Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173-1182]) by both NP-associated flashbacks and catastrophic cognitions. In the care of traumatized Cambodian refugees, NP severity, as well as NP-associated flashbacks and catastrophic cognitions, should be specifically assessed and treated. (c) 2005 Elsevier Inc. All rights reserved.