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Panic attack as a marker of core psychopathological processes.

R D Goodwin1, S P Hamilton

  • 1Department of Psychiatry, College of Physicians and Surgeons, New York State Psychiatric Institute and The Mailman School of Public Health, Columbia University, New York, NY, USA. rdg66@columbia.edu

Psychopathology
|February 16, 2002
PubMed
Summary

Panic attacks may signal underlying mental health issues, with distinct subtypes identified by age and fear at onset. These panic subtypes correlate with specific sociodemographic factors and comorbidities.

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Area of Science:

  • Psychiatry
  • Epidemiology
  • Mental Health Research

Background:

  • Panic attacks are recognized clinical phenomena.
  • Their role as a marker for core psychopathology requires further investigation.
  • Understanding panic attack subtypes may elucidate underlying mental health processes.

Purpose of the Study:

  • To test if panic attacks indicate core psychopathological processes.
  • To identify distinct psychopathological patterns associated with panic attack subtypes.
  • To differentiate panic subtypes based on age and fear at onset.

Main Methods:

  • Utilized data from the National Comorbidity Survey (n=8,098).
  • Identified four panic subtypes based on clinical findings and hypothesis.
  • Employed multivariate logistic regression to analyze correlates of panic subtypes.

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Main Results:

  • Distinct sociodemographic characteristics, panic symptoms, and psychiatric comorbidities were identified for each subtype.
  • Early-onset versus late-onset panic attacks showed differing correlates.
  • Panic attacks with and without fear/anticipatory anxiety at onset had unique associations.

Conclusions:

  • Findings support panic attacks as markers of core psychopathological processes.
  • Preliminary evidence suggests the existence of distinct panic subtypes in the general population.
  • Age and fear at onset of panic attacks may predict specific comorbidities.