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Panic attacks without fear: an overview.

M G Kushner1, B D Beitman

  • 1Medical College of Pennsylvania at EPPI, Philadelphia 19129.

Behaviour Research and Therapy
|January 1, 1990
PubMed
Summary
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Non-fearful panic disorder (NFPD) is a subtype of panic disorder lacking subjective fear, accounting for 20-40% of cases in medical populations. This condition shares similarities with conventional panic disorder.

Area of Science:

  • Psychiatry
  • Anxiety Disorders
  • Clinical Psychology

Background:

  • Panic disorder is typically characterized by intense fear or anxiety.
  • Some individuals meet panic disorder criteria without reporting subjective fear, termed non-fearful panic disorder (NFPD).
  • Existing literature includes various related concepts like 'somatically expressed panic' and 'masked anxiety'.

Purpose of the Study:

  • To provide the first comprehensive overview of non-fearful panic disorder (NFPD).
  • To review studies on overlapping phenomena related to NFPD.
  • To discuss the conceptualization and diagnostic validity of NFPD.

Main Methods:

  • Literature review of studies investigating NFPD and related conditions.
  • Analysis of cross-sectional comparisons between NFPD and conventional panic disorder.

Related Experiment Videos

  • Application of a 'triple-response' model of anxiety.

    • Main Results:

    • NFPD and related conditions represent 20-40% of panic disorder cases in medical populations.
    • Individuals with NFPD show similarities to those with conventional panic disorder in cross-sectional studies.
    • A 'triple-response' model of anxiety supports conceptualizing NFPD as a panic disorder subtype.

    Conclusions:

    • Non-fearful panic disorder (NFPD) is a distinct subtype of panic disorder.
    • NFPD warrants further investigation regarding its construct and predictive diagnostic validity.
    • Clinical recognition of NFPD is crucial for accurate diagnosis and treatment.