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Related Experiment Videos

Relationship between substance abuse and panic attacks.

D A Katerndahl1, J P Realini

  • 1Department of Family Practice, University of Texas Health Science Center, San Antonio 78284-7795, USA.

Addictive Behaviors
|November 26, 1999
PubMed
Summary
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Substance abuse is linked to panic states, even mild ones. In most cases, substance abuse began before panic symptoms emerged, and few used substances to self-medicate panic attacks.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Neuroscience

Background:

  • Panic states and substance abuse are prevalent mental health concerns.
  • Understanding the relationship between panic and substance abuse is crucial for effective treatment.
  • The temporal relationship and self-medication hypothesis require further investigation.

Purpose of the Study:

  • To determine the association between substance abuse and panic states, including subsyndromal panic.
  • To investigate the temporal relationship between the onset of panic and substance abuse.
  • To examine the role of self-medication in the co-occurrence of panic and substance abuse.

Main Methods:

  • Community-based sample screened for panic using DSM-III-R criteria.
  • Structured interviews conducted with panic and matched control groups.

Related Experiment Videos

  • Assessment of substance abuse history, self-medication practices, and age-of-onset for both conditions.

    • Main Results:

    • 39% of individuals with panic (n=97) reported a history of substance abuse.
    • No significant differences were found between panic disorder and subsyndromal panic groups regarding substance abuse.
    • In the majority of cases, substance abuse began prior to the onset of panic symptoms.

    Conclusions:

    • A significant association exists between substance abuse and panic states, even in subsyndromal presentations.
    • Substance abuse typically precedes the onset of panic.
    • Self-medication of panic symptoms with substances is infrequent in this population.