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The sequence of panic symptoms.

Y Mizobe1, K Yamada, I Fujii

  • 1Tsurumidai Hospital, Oita, Japan.

The Japanese Journal of Psychiatry and Neurology
|September 1, 1992
PubMed
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Panic attacks involve distinct early, intermediate, and late symptoms. Most panic symptoms resolve naturally, and a minority of patients experience nocturnal panic attacks, suggesting biological triggers for fear.

Area of Science:

  • Psychiatry
  • Neurology
  • Clinical Psychology

Background:

  • Panic attacks are a significant clinical concern.
  • Understanding the phenomenology of panic attacks is crucial for effective treatment.

Purpose of the Study:

  • To elucidate the phenomenological characteristics of panic attacks.
  • To categorize panic symptoms based on their order of occurrence and abatement patterns.
  • To investigate the prevalence of nocturnal panic attacks.

Main Methods:

  • Phenomenological study involving 26 patients diagnosed with panic attacks.
  • Patients were asked to report the sequence and abatement of their panic symptoms.
  • Interviews were conducted with 21 patients regarding nocturnal panic attack experiences.

Related Experiment Videos

Main Results:

  • Panic symptoms were classified into early (dizziness, palpitations, sweating), intermediate (dyspnea, nausea, chest pain, etc.), and late (paresthesias, fear of dying/going crazy) categories.
  • Panic symptoms resolved in 61.6% of patients, regardless of symptom sequence.
  • Nocturnal panic attacks were experienced by 23.8% of the interviewed patients.

Conclusions:

  • Fear in panic attacks may stem from sudden physical abnormalities triggered by biological factors.
  • The sequential categorization of symptoms provides a framework for understanding panic attack progression.
  • The occurrence of nocturnal panic attacks warrants further investigation into their specific triggers and mechanisms.