scholarly journals Fear of body symptoms and sensations in patients with panic disorders and patients with somatic diseases

2009 ◽  
Vol 137 (11-12) ◽  
pp. 659-663 ◽  
Author(s):  
Milan Latas ◽  
Danilo Obradovic ◽  
Marina Pantic
Keyword(s):  
Myocardial Infarction ◽  
General Population ◽  
Panic Disorder ◽  
Somatic Symptoms ◽  
The Body ◽  
Panic Attacks ◽  
Somatic Illness ◽  
History Of ◽  
Body Sensations ◽  
High Level

Introduction. A cognitive model of aetiology of panic disorder assumes that people who experience frequent panic attacks have tendencies to catastrophically interpret normal and benign somatic sensations - as signs of serious illness. This arise the question: is this cognition specific for patients with panic disorder and in what intensity it is present in patients with serious somatic illness and in healthy subjects. Objective. The aim of the study was to ascertain the differences in the frequency and intensity of 'catastrophic' cognitions related to body sensations, and to ascertain the differences in the frequency and intensity of anxiety caused by different body sensations all related to three groups of subjects: a sample of patients with panic disorder, a sample of patients with history of myocardial infarction and a sample of healthy control subjects from general population. Methods. Three samples are observed in the study: A) 53 patients with the diagnosis of panic disorder; B) 25 patients with history of myocardial infarction; and C) 47 healthy controls from general population. The catastrophic cognitions were assessed by the Agoraphobic Cognitions Questionnaire (ACQ) and the Body Sensations Questionnaire (BSQ). These questionnaires assess the catastrophic thoughts associated with panic and agoraphobia (ACQ) and the fear of body sensations (BSQ). All study subjects answered questionnaires items, and the scores of the answers were compared among the groups. Results. The results of the study suggest that: 1) There is no statistical difference in the tendency to catastrophically interpret body sensations and therefore to induce anxiety in the samples of healthy general population and patients with history of myocardial infarction; 2) The patients with panic disorder have a statistically significantly more intensive tendency to catastrophically interpret benign somatic symptoms and therefore to induce a high level of anxiety in comparison to the sample of patients with the history of serious somatic illness (myocardial infarction) and the sample of healthy general population. Conclusion. The tendency to catastrophically interpret benign somatic symptoms and therefore to induce a high level of anxiety in patients with panic disorder, confirms the cognitive aetiology model of panic disorder and suggests that it should be the focus of prophylactic and therapeutic management of patients with panic disorder.

scholarly journals Panic attacks simulate presence of somatic illnesses

2009 ◽  
Vol 62 (3-4) ◽  
pp. 165-170 ◽  
Author(s):  
Milan Latas ◽  
Ivan Soldatovic ◽  
Marko Stamenovic ◽  
Vladan Starcevic
Keyword(s):  
Panic Disorder ◽  
Respiratory Symptoms ◽  
Somatic Symptoms ◽  
Primary Diagnosis ◽  
Panic Attacks ◽  
Study Results ◽  
Somatic Illness ◽  
Specific Association ◽  
Cardio Vascular ◽  
Relationship Of

Introduction. Panic attacks are characterized with sudden attacks of anxiety with numerous somatic symptoms, such as palpitations, tachycardia, tachypnea, nausea, vertigo. The objective of this study was to analyze symptoms of panic attacks in patients with panic disorder, especially, to determine the specific relationship of somatic and neurological symptoms of panic attacks in boundaries of somatic systems. Material and methods. The study sample consisted of 97 patients with primary diagnosis of panic disorder, without any acute, severe and unstable somatic illness. The presence and frequency of symptoms of panic attacks were estimated by the Panic Disorder Questionnaire. Results. The study results indicate that the most frequent symptoms of panic attacks were cardiological signs (heart pounding or racing) and trembling, followed by unsteady and fainting feeling symptoms, sweating, respiratory symptoms and gastroenterological symptoms. The results of correlation analyses indicate that symptoms of panic attacks classified into cardio-vascular, gastro-enterological, respiratory and neuro-otological systems show statistically significant correlations. Conclusion. The results of analyses of symptoms of panic attacks point to their intercorrelation. This specific association of the symptoms, if they are examined on their own in the patients, could lead to false clinical manifestation of some somatic illness. Therefore, it is necessary to analyze adequately and make the proper differential diagnosis of patients with panic disorder.

Abstract WP226: The Association of Green Tea and Coffee Consumption With Mortality From Cardiovascular Disease and All Causes Among Persons With and Without History of Stroke or Myocardial Infarction: The JACC Study

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Masayuki Teramoto ◽  
Isao Muraki ◽  
Kokoro Shirai ◽  
Akiko Tamakoshi ◽  
Hiroyasu Iso
Keyword(s):  
Myocardial Infarction ◽  
Cardiovascular Disease ◽  
General Population ◽  
Green Tea ◽  
Coffee Consumption ◽  
Tea Consumption ◽  
Food Frequency ◽  
All Cause Mortality ◽  
History Of

Background: Both green tea and coffee consumption have been associated with lower risks of mortality from cardiovascular disease (CVD) and all causes in general population, but little is known about those impact on persons with history of CVD. We examined the association of those consumption with these mortalities among persons with and without history of stroke or myocardial infarction in general population. Methods: The study subjects were 60,664 participants (896 stroke and 1751 myocardial infarction survivors and 58,017 persons with no history of stroke or myocardial infarction), aged 40-79 years at the baseline (1988-1990), who completed a lifestyle and medical history questionnaire including self-administered food frequency under the Japan Collaborative Cohort Study for Evaluation of Cancer Risk (JACC Study). Results: During the median follow-up of 18.5 years, a total of 12,745 (7,458 men and 5,287 women) deaths including 3,737 CVD deaths were documented. Green tea and coffee consumption were inversely associated with CVD and all-cause mortality among myocardial infarction survivors as well as persons without history of stroke or myocardial infarction. After adjustment for known cardiovascular risk factors, the lower risks of mortality from CVD and all-causes associated with frequent green tea consumption (5-6 and ≥7 cups/day) or coffee consumption (≥2 cups/day) remained statistical. Conclusions: Both green tea and coffee consumption were inversely associated with risks of CVD and all-cause mortality among myocardial infarction survivors and persons without history of stroke or myocardial infarction.

Suicide in prisons and remand centres

2021 ◽  
pp. 227-232
Author(s):  
Marco Sarchiapone ◽  
Miriam Iosue
Keyword(s):  
General Population ◽  
Suicide Risk ◽  
Suicide Attempts ◽  
Individual Vulnerability ◽  
High Prevalence ◽  
Common Causes ◽  
Prevention Programmes ◽  
History Of ◽  
Self Harm ◽  
High Level

Suicide is one of the most common causes of death in custodial settings worldwide, accounting for around 10% of prisoners’ deaths. Suicide attempts and suicidal ideation are also more common among prisoners compared to the general population. The high prevalence of suicidal behaviours among prisoners is likely the result of a complex interaction between individual vulnerability and the high level of stress and deprivation caused by the condition of confinement. Among prisoners and inmates, the prevalence of well-established suicide risk factors, such as a history of self-harm, psychopathological conditions, aggressive personality traits, and childhood trauma, is higher than in the general population. Moreover, the loss of freedom and autonomy, social isolation, lack of purposeful activity, and victimization are prison-specific stressors that showed to increase the suicide risk among inmates. Given this complexity, comprehensive multifactored prevention programmes involving the administrative, custodial, and clinical staff are the most effective in preventing suicide.

Characteristics and Prognosis for Women with Hypertension in a Community: Results of a Longitudinal Study in Göteborg, Sweden

1976 ◽  
Vol 51 (s3) ◽  
pp. 649s-651s
Author(s):  
C. Bengtsson ◽  
O. Lindquist
Keyword(s):  
Myocardial Infarction ◽  
Longitudinal Study ◽  
General Population ◽  
Population Study ◽  
Death Rate ◽  
Population Sample ◽  
Left Ventricular ◽  
Ecg Changes ◽  
Left Ventricular Strain ◽  
History Of

1. During the years 1968–69 a population study of 1462 women aged 38–60 years was carried out in Göteborg, Sweden. A total of 126 women were classified as hypertensive. 2. Hypertensive women reported a history of albuminuria and hypertension during pregnancy more often than women in the general population. Albuminuria, alterations of the eye-ground vessels and ECG changes indicating left ventricular strain were more often found in hypertensive women. Hypertensive women were on average heavier. 3. The same population sample was re-studied 6 years later. Two of the 126 women classified as hypertensive had died during the 6 years interval since the first examination, both from myocardial infarction. The death rate was similar to the population sample as a whole.

Thyroid Hormone Levels in Panic Disorder*

1987 ◽  
Vol 32 (6) ◽  
pp. 467-469 ◽  
Author(s):  
Vikram K. Yeragani ◽  
John M. Rainey ◽  
Robert Pohl ◽  
Aurelio Ortiz ◽  
Paula Weinberg ◽  
...  
Keyword(s):  
Panic Disorder ◽  
Thyroid Dysfunction ◽  
Clinical History ◽  
Panic Attacks ◽  
P Value ◽  
Mean Values ◽  
Trh Stimulation ◽  
History Of ◽  
The Mean ◽  
Normal Controls

A history of thyroid dysfunction has been reported in patients with phobic disorders. There is also evidence of a blunted TSH response to TRH stimulation in patients with panic disorder. In this study, values of T3, T4 and T7 were compared between 26 patients with panic attacks and 20 normal controls. Patients were diagnosed according to DSM-III criteria and those with a clinical history of thyroid dysfunction were excluded. Patients were not on any medication when the blood samples were drawn. The mean values of T3, T4 and T7 did not significantly differ between the two groups, suggesting no evidence of hypo or hyperthyroidism; however, the variance of distribution of T3, T4 and T7 values was significantly different between the two groups (Fmax values for T3: 2.55, p value < 0.05; T4: 3.15, p value < 0.01; T7: 2.55, p value < 0.05).

Diurnal Rhythms and Symptom Severity in Panic Disorder

1992 ◽  
Vol 161 (4) ◽  
pp. 512-516 ◽  
Author(s):  
Marilla F. Geraci ◽  
Thomas W. Uhde
Keyword(s):  
Panic Disorder ◽  
Panic Attacks ◽  
Diurnal Rhythms ◽  
Diurnal Changes ◽  
Phobic Anxiety ◽  
Early Afternoon ◽  
History Of ◽  
History Of Depression ◽  
Normal Controls ◽  
Or History

Diurnal changes in the frequency of panic attacks and symptoms of generalised anxiety, phobic anxiety and phobic avoidance in 34 panic-disorder patients and 40 normal controls were evaluated. The panic-disorder patients had significant diurnal changes in generalised and phobic anxiety, but not phobic avoidance. Increased severity of symptoms and prominent diurnal changes were most evident in the panic-disorder patients with a history of depression. Although panic attacks were distributed throughout the 24–hour period, patients with a current episode or history of depression tended to have more frequent panic attacks in the morning or early afternoon. These observations challenge the traditional belief that ‘anxious neurotic’ patients are relatively asymptomatic upon awakening in the morning and then develop more severe symptoms of anxiety later in the day.

The Effects of Childhood Parental Death and Divorce on Six-Month History of Anxiety Disorders

1989 ◽  
Vol 154 (6) ◽  
pp. 823-828 ◽  
Author(s):  
J. Lindsey Tweed ◽  
Victor J. Schoenbach ◽  
Linda K. George ◽  
Dan G. Blazer
Keyword(s):  
Panic Disorder ◽  
Maternal Death ◽  
Parental Death ◽  
Panic Attacks ◽  
Parental Separation ◽  
Generalised Anxiety Disorder ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
History Of ◽  
Socio Demographic Factors

Duke Epidemiologic Catchment Area (ECA) data were used to examine the relationships between: (a) early childhood maternal death, paternal death, and parental separation/divorce, and (b) six-month DIS/DSM-III diagnoses of agoraphobia with and without panic attacks, simple phobia, social phobia, panic disorder, generalised anxiety disorder, and obsessive-compulsive disorder. Associations were found between: (a) maternal death and agoraphobia with panic attacks, and (b) parental separation/divorce and agoraphobia with panic attacks and panic disorder. The associations could not be explained by the effects of potentially confounding socio-demographic factors.

scholarly journals Vagal control of the heart decreases during increasing imminence of interoceptive threat in patients with panic disorder and agoraphobia

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Jan Richter ◽  
Anne Pietzner ◽  
Julian Koenig ◽  
Julian F. Thayer ◽  
Christiane A. Pané-Farré ◽  
...  
Keyword(s):  
Heart Rate ◽  
Panic Disorder ◽  
The Body ◽  
Panic Attacks ◽  
Strong Increase ◽  
Diagnostic Model ◽  
Vagal Control ◽  
Defensive Responses ◽  
Threat Cues ◽  
Imminent Threat

AbstractTheoretically, panic disorder and agoraphobia pathology can be conceptualized as a cascade of dynamically changing defensive responses to threat cues from inside the body. Guided by this trans-diagnostic model we tested the interaction between defensive activation and vagal control as a marker of prefrontal inhibition of subcortical defensive activation. We investigated ultra-short-term changes of vagally controlled high frequency heart rate variability (HRV) during a standardized threat challenge (entrapment) in n = 232 patients with panic disorder and agoraphobia, and its interaction with various indices of defensive activation. We found a strong inverse relationship between HRV and heart rate during threat, which was stronger at the beginning of exposure. Patients with a strong increase in heart rate showed a deactivation of prefrontal vagal control while patients showing less heart rate acceleration showed an increase in vagal control. Moreover, vagal control collapsed in case of imminent threat, i.e., when body symptoms increase and seem to get out of control. In these cases of defensive action patients either fled from the situation or experienced a panic attack. Active avoidance, panic attacks, and increased sympathetic arousal are associated with an inability to maintain vagal control over the heart suggesting that teaching such regulation strategies during exposure treatment might be helpful to keep prefrontal control, particularly during the transition zone from post-encounter to circa strike defense.Trial Registration Number: ISRCTN80046034.

Chest Pain in Generalized Anxiety Disorder

1992 ◽  
Vol 22 (3) ◽  
pp. 291-298 ◽  
Author(s):  
Cameron S. Carter ◽  
Richard J. Maddock
Keyword(s):  
Chest Pain ◽  
Anxiety Disorder ◽  
Panic Disorder ◽  
Generalized Anxiety Disorder ◽  
Panic Attacks ◽  
Medical Utilization ◽  
Generalized Anxiety ◽  
Common Diagnosis ◽  
History Of ◽  
Pain Patients

Objectives: The objectives of the current study were to evaluate the prevalence of chest pain and related medical utilization in patients with generalized anxiety disorder and to investigate the possible relationship between the occurrence of chest pain in these patients and the episodes of excessive worry which characterize this disorder. Method: The presence of a history of chest pain in patients with generalized anxiety disorder was investigated in an outpatient psychiatric sample using a structured interview which also assessed related medical utilization and the relationship of chest pain to panic attacks and episodes of excessive worry. Results: Of fifty sequentially evaluated patients meeting DSM-IIIR criteria for G.A.D., twenty-four (48%) reported a history of chest pain. Seven of these patients also had a history of panic attacks, however, four of the seven reported that their pain occurred independently of their panic attacks. Sixteen patients with G.A.D. reported that their chest pain episodes were associated with episodes of excess worry. Eleven had sought medical evaluation for their pain. Patients with chest pain and normal coronary arteries are frequently found to have panic disorder. The pattern of utilization of medical care was comparable in this sample of patients with G.A.D. and a group of patients with panic disorder recruited in a similar manner. Conclusions: These results suggest that in addition to panic disorder, G.A.D. may also be a common diagnosis in chest pain patients with no demonstrable coronary disease. Future studies of coronary artery disease negative patients with chest pain should include assessments for the presence of G.A.D. Our results also suggest that chest pain may be a common symptom in G.A.D. The possibility that chest pain should be included in the diagnostic criteria for this disorder should be the subject of further investigation.

scholarly journals Natalya Nikolaevna Kholodkovskaya: at the origins of bibliographic work at the Military Medical Academy

2021 ◽  
Vol 40 (2) ◽  
pp. 83-94
Author(s):  
Svetlana A. Mamaуeva ◽  
Alina A. Kormilitsyna ◽  
Lada L. Kravtsova
Keyword(s):  
Military Medicine ◽  
The Body ◽  
Current Profile ◽  
Military Medical Academy ◽  
Medical Academy ◽  
History Of ◽  
The Creation ◽  
Medical Order ◽  
High Level ◽  
The Military

The purpose of this publication is to comprehensively and fully disclose the contribution of the scientist bibliographer Natalya Nikolaevna Kholodkovskaya to the work of the bibliographic department of the fundamental library of the Military Medical Academy. The preparation of the materials for this article is timed to coincide with two significant dates: in 2021, the bibliography department of the library of the Military Medical Academy will celebrate 90 years and the 130th anniversary of the birth of N.N. Kholodkovskaya. The article is devoted to the pages of the biography of N.N. Kholodkovskaya, her professional development and major achievements in the field of bibliographic activity. In the choice of the profession of Natalya Nikolaevna, the influence of her father, the famous professor, the outstanding zoologist and the original lyric poet Nikolai Aleksandrovich Kholodkovsky, can be traced. For 45 years from 1921 to 1966 N.N. Kholodkovskaya worked in the fundamental library of the academy, in different years she held the positions of a scientific bibliographer, head of the department, and from December 2, 1938 to September 1939, she headed the library. With the name of N.N. Kholodkovskaya connected the creation of the bibliography department, the first head of which she became. During the Great Patriotic War N.N. Kholodkovskaya was in besieged Leningrad and helped preserve the richest library fund. The main directions of the work of the bibliography department under the leadership of N.N. Kholodkovskaya were: preparation of bibliographic lists of literature, execution of written or oral address, clarifying, factual information on various topics; deep bibliographic development of large planning topics; development of the reference and bibliographic apparatus, replenishment of the auxiliary reference fund; preparation of written and oral translations, preparation of abstracts of articles on military medicine from foreign journals and books. The translations were regularly published in the Military Medical Journal. N.N. Kholodkovskaya compiled a number of valuable indexes that have not lost their significance. Among them: Bibliographic index of Russian literature on military medicine, Materials for the history of the Military Medical Order of Lenin of the Academy S.M. Kirov, The effect of penetrating radiation on the body, Sleep therapy and others. The current profile bibliographic information of the structural divisions of the Academy and individual specialists was at a high level in accordance with their scientific and educational needs and requests. The scientific novelty of the article lies in the fact that this is the first attempt at scientific understanding of the work of the bibliography department of the library of the Military Medical Academy, in attracting previously unpublished documents, memoirs of contemporaries. As a result of the preparation of the publication, materials were found and analyzed that give a more complete picture of the personality and professional merits of N.N. Kholodkovskaya; about its role in the creation and development of the bibliography department, in the confirmation of the principles and methods of bibliographic work, which are adhered to in the department to this day (17 figs, bibliography: 26 refs).

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