The development of agoraphobia is associated with the symptoms and location of a patient's first panic attack
<p>Abstract</p> <p>Background</p> <p>The place where a patient experiences his/her first panic attack (FPA) may be related to their agoraphobia later in life. However, no investigations have been done into the clinical features according to the place where the FPA was e...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2012-04-01
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| Series: | BioPsychoSocial Medicine |
| Subjects: | |
| Online Access: | http://www.bpsmedicine.com/content/6/1/12 |
| _version_ | 1811284715879006208 |
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| author | Hara Naomi Nishimura Yukika Yokoyama Chika Inoue Ken Nishida Atsushi Tanii Hisashi Okada Motohiro Kaiya Hisanobu Okazaki Yuji |
| author_facet | Hara Naomi Nishimura Yukika Yokoyama Chika Inoue Ken Nishida Atsushi Tanii Hisashi Okada Motohiro Kaiya Hisanobu Okazaki Yuji |
| author_sort | Hara Naomi |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>The place where a patient experiences his/her first panic attack (FPA) may be related to their agoraphobia later in life. However, no investigations have been done into the clinical features according to the place where the FPA was experienced. In particular, there is an absence of detailed research examining patients who experienced their FPA at home. In this study, patients were classified by the location of their FPA and the differences in their clinical features were explored (e.g., symptoms of FPA, frequency of agoraphobia, and severity of FPA).</p> <p>Methods</p> <p>The subjects comprised 830 panic disorder patients who were classified into 5 groups based on the place of their FPA (home, school/office, driving a car, in a public transportation vehicle, outside of home), The clinical features of these patients were investigated. Additionally, for panic disorder patients with agoraphobia at their initial clinic visit, the clinical features of patients who experienced their FPA at home were compared to those who experienced their attack elsewhere.</p> <p>Results</p> <p>In comparison of the FPAs of the 5 groups, significant differences were seen among the 7 descriptors (sex ratio, drinking status, smoking status, severity of the panic attack, depression score, ratio of agoraphobia, and degree of avoidance behavior) and 4 symptoms (sweating, chest pain, feeling dizzy, and fear of dying). The driving and public transportation group patients showed a higher incidence of co-morbid agoraphobia than did the other groups. Additionally, for panic disorder patients with co-morbid agoraphobia, the at-home group had a higher frequency of fear of dying compared to the patients in the outside-of-home group and felt more severe distress elicited by their FPA.</p> <p>Conclusion</p> <p>The results of this study suggest that the clinical features of panic disorder patients vary according to the place of their FPA. The at-home group patients experienced "fear of dying" more frequently and felt more distress during their FPA than did the subjects in the other groups. These results indicate that patients experiencing their FPA at home should be treated with a focus on the fear and distress elicited by the attack.</p> |
| first_indexed | 2024-04-13T02:33:47Z |
| format | Article |
| id | doaj.art-3221b7c34f5d4ee89635065af32f55b7 |
| institution | Directory Open Access Journal |
| issn | 1751-0759 |
| language | English |
| last_indexed | 2024-04-13T02:33:47Z |
| publishDate | 2012-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BioPsychoSocial Medicine |
| spelling | doaj.art-3221b7c34f5d4ee89635065af32f55b72022-12-22T03:06:27ZengBMCBioPsychoSocial Medicine1751-07592012-04-01611210.1186/1751-0759-6-12The development of agoraphobia is associated with the symptoms and location of a patient's first panic attackHara NaomiNishimura YukikaYokoyama ChikaInoue KenNishida AtsushiTanii HisashiOkada MotohiroKaiya HisanobuOkazaki Yuji<p>Abstract</p> <p>Background</p> <p>The place where a patient experiences his/her first panic attack (FPA) may be related to their agoraphobia later in life. However, no investigations have been done into the clinical features according to the place where the FPA was experienced. In particular, there is an absence of detailed research examining patients who experienced their FPA at home. In this study, patients were classified by the location of their FPA and the differences in their clinical features were explored (e.g., symptoms of FPA, frequency of agoraphobia, and severity of FPA).</p> <p>Methods</p> <p>The subjects comprised 830 panic disorder patients who were classified into 5 groups based on the place of their FPA (home, school/office, driving a car, in a public transportation vehicle, outside of home), The clinical features of these patients were investigated. Additionally, for panic disorder patients with agoraphobia at their initial clinic visit, the clinical features of patients who experienced their FPA at home were compared to those who experienced their attack elsewhere.</p> <p>Results</p> <p>In comparison of the FPAs of the 5 groups, significant differences were seen among the 7 descriptors (sex ratio, drinking status, smoking status, severity of the panic attack, depression score, ratio of agoraphobia, and degree of avoidance behavior) and 4 symptoms (sweating, chest pain, feeling dizzy, and fear of dying). The driving and public transportation group patients showed a higher incidence of co-morbid agoraphobia than did the other groups. Additionally, for panic disorder patients with co-morbid agoraphobia, the at-home group had a higher frequency of fear of dying compared to the patients in the outside-of-home group and felt more severe distress elicited by their FPA.</p> <p>Conclusion</p> <p>The results of this study suggest that the clinical features of panic disorder patients vary according to the place of their FPA. The at-home group patients experienced "fear of dying" more frequently and felt more distress during their FPA than did the subjects in the other groups. These results indicate that patients experiencing their FPA at home should be treated with a focus on the fear and distress elicited by the attack.</p>http://www.bpsmedicine.com/content/6/1/12Place of first panic attackPanic attack symptomsSubtype of panic disorderAgoraphobia |
| spellingShingle | Hara Naomi Nishimura Yukika Yokoyama Chika Inoue Ken Nishida Atsushi Tanii Hisashi Okada Motohiro Kaiya Hisanobu Okazaki Yuji The development of agoraphobia is associated with the symptoms and location of a patient's first panic attack BioPsychoSocial Medicine Place of first panic attack Panic attack symptoms Subtype of panic disorder Agoraphobia |
| title | The development of agoraphobia is associated with the symptoms and location of a patient's first panic attack |
| title_full | The development of agoraphobia is associated with the symptoms and location of a patient's first panic attack |
| title_fullStr | The development of agoraphobia is associated with the symptoms and location of a patient's first panic attack |
| title_full_unstemmed | The development of agoraphobia is associated with the symptoms and location of a patient's first panic attack |
| title_short | The development of agoraphobia is associated with the symptoms and location of a patient's first panic attack |
| title_sort | development of agoraphobia is associated with the symptoms and location of a patient s first panic attack |
| topic | Place of first panic attack Panic attack symptoms Subtype of panic disorder Agoraphobia |
| url | http://www.bpsmedicine.com/content/6/1/12 |
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