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Nocturnal panic and trauma.

S Freed1, M G Craske, M R Greher

  • 1Department of Psychology, UCLA 90095-1563, USA.

Depression and Anxiety
|June 5, 1999
PubMed
Summary
This summary is machine-generated.

Patients with panic disorder and nocturnal panic attacks are significantly more likely to recall past traumas. This suggests a link between sleep disturbances, fear of vigilance loss, and trauma memory in panic disorder.

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Area of Science:

  • Psychiatry
  • Sleep Medicine
  • Trauma Studies

Background:

  • Panic disorder is a common anxiety condition.
  • Nocturnal panic attacks (NPAs) are abrupt awakenings with intense fear.
  • The relationship between NPAs and trauma history requires further investigation.

Purpose of the Study:

  • To investigate the association between nocturnal panic attacks and the recollection of traumatic events in panic disorder patients.
  • To explore potential mediating factors in this relationship.

Main Methods:

  • A cohort of 154 patients diagnosed with panic disorder was assessed.
  • Patients were categorized based on the presence or absence of a history of nocturnal panic attacks.
  • Data on the recollection of traumatic events were collected and compared between groups.

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Main Results:

  • A significantly higher proportion of patients with nocturnal panic attacks (almost 85%) reported a history of traumatic events compared to those without nocturnal panic (28%).
  • Fear of loss of vigilance emerged as a potential mediator linking nocturnal panic and trauma recall.

Conclusions:

  • Nocturnal panic attacks are strongly associated with a history of trauma in panic disorder.
  • Fear of losing vigilance may play a crucial role in the interplay between nocturnal panic and trauma memory.
  • These findings highlight the importance of assessing trauma history in patients experiencing nocturnal panic attacks.