scholarly journals Impact of alcohol intoxication and withdrawal syndrome on social phobia and panic disorder in alcoholic inpatients

2004 ◽  
Vol 59 (4) ◽  
pp. 187-192 ◽  
Author(s):  
Mauro Barbosa Terra ◽  
Ivan Figueira ◽  
Helena Maria Tannhauser Barros
Keyword(s):  
Panic Disorder ◽  
Social Phobia ◽  
Withdrawal Syndrome ◽  
Psychiatric Symptoms ◽  
Alcohol Intoxication ◽  
Panic Attacks ◽  
The Social ◽  
Dsm Iv ◽  
The Impact ◽  
Withdrawal Phase

PURPOSE: To investigate the impact of alcohol intoxication and withdrawal on the course of social phobia and panic disorder. METHOD: A group of 41 alcoholic inpatients undergoing detoxification therapy were interviewed using the SCID-I (DSM-IV) and questions to detect fluctuations in the course of social phobia and panic disorder as a function of the different phases in alcohol dependence (intoxication, withdrawal, and lucid interval). RESULTS: Only 1 (2.4%) patient presented panic disorder throughout life, and 9 (21.9%) had panic attacks during alcohol intoxication or during the withdrawal syndrome. Sixteen (39%) alcoholic patients showed social phobia with onset prior to drug use. However, drinking eventually became unable to alleviate social phobia symptoms or worsened such symptoms in 31.2% of social-phobic patients. While patients with social phobia reported a significant improvement in psychiatric symptoms during alcohol intoxication, patients experiencing panic attacks worsened significantly during intoxication. In the withdrawal phase, patients with social phobia tended to have more and more intense phobic symptoms. CONCLUSION: Our findings indicate that the impact of alcohol intoxication is different for social phobia as compared to panic disorder, at first decreasing the social-phobic symptoms but later aggravating them. In panic disorder, the impact of intoxication by alcohol is more harmful, at least in the short term.

Panic Disorder With Nocturnal Panic Attacks: Symptoms and Comorbidities

2007 ◽  
Vol 23 (3) ◽  
pp. 195-200 ◽  
Author(s):  
Gökhan Sarísoy ◽  
Ömer Böke ◽  
Ali C. Arík ◽  
Ahmet R. Şahin
Keyword(s):  
Panic Disorder ◽  
Beck Depression Inventory ◽  
Panic Attack ◽  
Respiratory Symptoms ◽  
Psychiatric Symptoms ◽  
Panic Attacks ◽  
Symptom Checklist ◽  
Scale Scores ◽  
Dsm Iv ◽  
The Relationship

AbstractThe aim of this study was to determine the relationship between nocturnal panic attacks and comorbidities, clinical variables and panic attack symptoms. One hundred and six consecutive patients with DSM-IV panic disorder were enrolled in the study. The patients were divided into two groups depending on the presence of nocturnal panic attacks. Comorbidities were diagnosed with the help of SCID-I and SCID-II. The groups were compared using the Beck Depression Inventory, State-Trait Anxiety Inventory and Symptom Checklist. Nocturnal panic attacks were not related to comorbidities or age at the onset of the disease. The scores from the Beck Depression Inventory, general scores from the Symptom Checklist, somatization, obsession-compulsion, interpersonal sensitivity and anger-hostility sub-scale scores were higher in the nocturnal panic attack group. Patients with nocturnal panic attacks experience more frequent respiratory symptoms, suggesting that nocturnal panic attacks may be related to respiratory symptoms. Our findings demonstrate that patients with nocturnal panic attacks have more respiratory symptoms of panic, depressive and other psychiatric symptoms than the no nocturnal panic group.

Comparison of social phobia in athletes with doping history in comparison with general population

2021 ◽  
Vol 15 (7) ◽  
pp. 2144-2146
Author(s):  
Sareh Alavirad ◽  
Ali Amiri
Keyword(s):  
General Population ◽  
Social Phobia ◽  
Case Control Study ◽  
Normal Population ◽  
Population Group ◽  
Contributing Factors ◽  
The Social ◽  
Significant Difference ◽  
Dsm Iv ◽  
Control Study

Background: Regarding increasing and concerning worldwide trends of doping and lack of definite information about contributing factors in this era, this study was performed to determine the frequency of social phobia in athletes with doping history in comparison with general population. Methods and materials: In this case-control study 30 subjects were enrolled including two groups of professional athletes with doping history and general population. In each group 15 subjects were present. All subjects were interviewed according to DSM-IV criteria. The social phobia was assessed by social phobia inventory (SPIN). Results: Ten subjects (including 7 men and 3 women) in athletes group and 6 subjects (including 4 men and 2 women) in normal population group had social phobia showing no significant difference between groups (P=0.143). The gender had no effect on having social phobia in none of the groups (P=1.000). Conclusions: Totally, according to the obtained results in this study, it may be concluded that there is no significant difference between presence of social phobia in athletes with doping history and general population. Keywords: Athletes, Doping, Social phobia

scholarly journals Double-blind clonazepam vs placebo in panic disorder treatment

2000 ◽  
Vol 58 (4) ◽  
pp. 1025-1029 ◽  
Author(s):  
ALEXANDRE MARTINS VALENÇA ◽  
ANTONIO EGIDIO NARDI ◽  
ISABELLA NASCIMENTO ◽  
MARCO A. MEZZASALMA ◽  
FABIANA L. LOPES ◽  
...  
Keyword(s):  
Panic Disorder ◽  
Rating Scale ◽  
Panic Attacks ◽  
Fixed Dose ◽  
Fisher Exact Test ◽  
Double Blind ◽  
Exact Test ◽  
Dsm Iv ◽  
Disorder Treatment ◽  
Hamilton Rating Scale

OBJECTIVE: To assess the effectiveness of clonazepam, in a fixed dose (2 mg/day), compared with placebo in the treatment of panic disorder patients. METHOD: 24 panic disorder patients with agoraphobia were randomly selected. The diagnosis was obtained using the structured clinical interview for DSM-IV . All twenty-four subjects were randomly assigned to either treatment with clonazepam (2 mg/day) or placebo, during 6 weeks. Efficacy assessments included: change from baseline in the number of panic attacks; CGI scores for panic disorder; Hamilton rating scale for anxiety; and panic associated symptoms scale. RESULTS: At the therapeutic endpoint, only one of 9 placebo patients (11.1%) were free of panic attacks, compared with 8 of 13 (61.5%) clonazepam patients (Fisher exact test; p=0,031). CONCLUSION: the results provide evidence for the efficacy of clonazepam in panic disorder patients.

Fear of Autonomic Arousal and Use of Coping Strategies as Predictors of Agoraphobic Avoidance in Panic Disorder

1998 ◽  
Vol 15 (4) ◽  
pp. 228-236 ◽  
Author(s):  
Patricia Rayment ◽  
Jeff Richards
Keyword(s):  
Panic Disorder ◽  
Coping Strategies ◽  
Significant Proportion ◽  
Panic Attacks ◽  
Autonomic Arousal ◽  
Negative Cognitions ◽  
Considerable Controversy ◽  
Dsm Iv ◽  
Panic Symptoms ◽  
Behavioural Strategies

Despite the very significant proportion of people with panic disorder who have accompanying agoraphobia, there is considerable controversy about the variables that influence the development of this avoidance behaviour. This study investigated whether degree of avoidance is a function of extent of fear and prevalence of negative cognitions about autonomic arousal symptoms and whether the use of, and confidence in, behavioural strategies to cope with panic sensations also influences agoraphobic avoidance. Thirty-nine people who met DSM-IV criteria for panic disorder completed questionnaires measuring fear and negative cognitions about autonomic arousal and panic sensations, and a questionnaire measuring their use of largely behavioural strategies to cope with panic attacks. Fear of autonomic arousal and negative cognitions in response to the occurrence of these arousal symptoms were jointly related to situational avoidance. There was little relationship between the use of, and confidence in, panic coping strategies and less agoraphobic avoidance, although simply allowing panic symptoms to develop and pass predicted less avoidance. The results were interpreted as providing an empirical basis for treatment that reduces fear of panic sensations and allows their experience to be tolerated while preventing escape and avoidance of situations in which panic occurs. There was little evidence that additional teaching of behavioural coping strategies would be useful in reducing agoraphobic avoidance.

Delineating Social Phobia

1986 ◽  
Vol 149 (4) ◽  
pp. 464-470 ◽  
Author(s):  
L. Solyom ◽  
B. Ledwidge ◽  
C. Solyom
Keyword(s):  
Natural History ◽  
Social Phobia ◽  
Psychiatric Symptoms ◽  
Occupational Status ◽  
Personality Characteristics ◽  
Precipitating Factors ◽  
Course Of Illness ◽  
The Social ◽  
Higher Educational

The natural history-including psychiatric symptoms, precipitating factors, onset and course of illness, and personality characteristics-of 47 social phobics, 80 agoraphobics, and 72 simple phobics was examined. The social phobia group differed from the agoraphobia group by having a lower mean age, fewer females and married members, and a higher educational and occupational status. They were less fearful generally, less obsessive, and less likely to follow a fluctuating or phasic course. There was overlap between the two groups with regard to main phobias, and they were similar with regard to adjacent symptomatology. Both the social and agoraphobia groups differed in similar and significant ways from simple phobics.

Definitions of panic attacks and panic disorder in the DSM-IV: Implications for research.

1994 ◽  
Vol 103 (3) ◽  
pp. 553-564 ◽  
Author(s):  
David H. Barlow ◽  
Timothy A. Brown ◽  
Michelle G. Craske
Keyword(s):  
Panic Disorder ◽  
Panic Attacks ◽  
Dsm Iv

Personality traits in social phobia

2001 ◽  
Vol 16 (3) ◽  
pp. 143-150 ◽  
Author(s):  
I. Marteinsdottir ◽  
T. Furmark ◽  
M. Tillfors ◽  
M. Fredrikson ◽  
L. Ekselius
Keyword(s):  
Personality Disorder ◽  
Social Phobia ◽  
Personality Traits ◽  
Indirect Aggression ◽  
Normative Sample ◽  
Avoidant Personality Disorder ◽  
Co Morbidity ◽  
The Social ◽  
Axis I ◽  
Dsm Iv

SummaryThe purpose was to assess personality traits in subjects with a DSM-IV diagnosis of social phobia. Thirty-two subjects were administered the Structured Clinical Interview for DSM-IV for Axes I and II disorders (SCID I and II). Personality traits were assessed by means of the Karolinska Scales of Personality (KSP). Current and lifetime axis I co-morbidity was diagnosed in 28% and 53% of the subjects, respectively. In total, 59% had at least one personality disorder and 47% were diagnosed with an avoidant personality disorder.The social phobics scored significantly higher than a Swedish normative sample on the KSP measuring anxiety proneness, irritability, detachment, and indirect aggression but lower on the scales for socialisation and social desirability. The presence as compared to absence of avoidant personality disorder in the social phobics was associated with significantly higher psychic anxiety and inhibition of aggression. In addition, symptom severity was higher in social phobics with an avoidant personality disorder. Generally, the results support the view that social phobia and avoidant personality disorder reflect different aspects of a social anxiety spectrum.

‘I Feel I Am Not Human’: Investigating the Relationship between Discourse and Subjectivity in the Lives of Persons Experiencing Panic Attacks

2002 ◽  
Vol 32 (3) ◽  
pp. 29-38
Author(s):  
Kenneth G. Wilson ◽  
Kerry McLuckie
Keyword(s):  
Panic Disorder ◽  
Social Constructionist ◽  
Panic Attacks ◽  
Discursive Practices ◽  
Socially Constructed ◽  
Internal Problem ◽  
The Social ◽  
The Relationship ◽  
Treatable Condition ◽  
Forms Of Knowledge

The study described in this paper investigated the ways in which panic and panic disorder are socially constructed, and how these constructions are involved in the formation of the subjectivities of those persons experiencing panic. In adopting a social constructionist perspective, it is proposed that all understandings of panic are informed by the social and historical contexts from which they emerge. The study investigates how linguistic practices, organised into different discourses, construct accounts of panic which go on to constitute particular forms of knowledge about panic. Discourse analysis was used to analyse media articles, radio interviews, and other examples of “panic talk”. The analysis yielded discourses that are involved in the construction and understanding of panic as a phenomenon. It was noted that panic was constructed in terms of abnormality, as a treatable condition, as an internal problem, and as an agent that has the potential to change people. The construction of panic according to these discourses had significant effects on the formation of subjectivity, in that it contributed to the formation of a “compromised” self that was “always-already” different, and abnormal. Lastly it was noted that the construction of subjectivity in these terms was related to discursive practices, involving the regulation of self.

Social phobia in the community: relationship between diagnostic threshold and prevalence

2000 ◽  
Vol 15 (1) ◽  
pp. 25-28 ◽  
Author(s):  
A. Pélissolo ◽  
C. André ◽  
F. Moutard-Martin ◽  
H.U. Wittchen ◽  
J.P. Lépine
Keyword(s):  
Social Phobia ◽  
Diagnostic Criteria ◽  
Response Rate ◽  
Composite International Diagnostic Interview ◽  
Diagnostic Interview ◽  
Prevalence Rates ◽  
Diagnostic Threshold ◽  
The Social ◽  
Dsm Iv ◽  
Community Relationship

SummaryThis paper investigates the prevalence of symptoms and various diagnostic criteria of DSM-IV social phobia in a French national representative population of 12,873 subjects, aged 15 or more. Respondents filled out a mailed questionnaire based on the social phobia section of the Munich-Composite International Diagnostic Interview (M-CIDI) in the year 1996. Response rate was 80.5%.Sixty-seven point one percent of the sample acknowledge having at least once in their lifetime a strong fear of one or more of the six prototypical social fear situations that are used as the CIDI social phobia stem items. However, only a few fulfilled all DSM-IV diagnostic criteria for social phobia. Depending on the type of diagnostic algorithms used and the stringency in which these criteria are applied, the resulting prevalence varied between 1.9 and 7.3%. These findings provide some further evidence about the considerable effects of varying diagnostic criteria and thresholds on prevalence rates for social phobia, explaining why most recent surveys have reported considerably higher rates of social phobia than those in the early 1980s.

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