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Child panic revisited.

D F Klein1, S Mannuzza, T Chapman

  • 1Department of Therapeutics, New York State Psychiatric Institute.

Journal of the American Academy of Child and Adolescent Psychiatry
|January 1, 1992
PubMed
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Prepubertal spontaneous panic attacks are rare, occurring in only 1% of subjects. Retrospective assessment of childhood panic attacks is challenging, even for mental health professionals.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Developmental Psychology

Background:

  • Panic attacks and panic disorder are significant clinical concerns.
  • Understanding the developmental trajectory of panic symptoms is crucial for early intervention.

Purpose of the Study:

  • To assess the prevalence of spontaneous panic attacks in childhood.
  • To evaluate the reliability of retrospective assessment of early-onset panic phenomena.

Main Methods:

  • Retrospective assessment of childhood panic attacks and panic disorder.
  • Inclusion of adult anxiety clinic patients and their relatives.
  • Clinical interviews conducted by trained professionals.

Main Results:

Related Experiment Videos

  • Only nine (1%) of 903 subjects reported spontaneous panic attacks before age 13.
  • Only three of these nine cases provided convincing descriptions of childhood panic attacks.
  • Prepubertal spontaneous panic attacks were found to be rare.

    • Conclusions:

    • Spontaneous panic attacks in the prepubertal period are infrequent.
    • Retrospective assessment of panic phenomena in childhood presents significant challenges.
    • Accurate diagnosis of early-onset panic requires careful evaluation, even by experts.