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Panic attacks in chronic schizophrenia.

N Argyle1

  • 1Physiology Department, MIU, Fairfield, Iowa 52556.

The British Journal of Psychiatry : the Journal of Mental Science
|September 1, 1990
PubMed
Summary
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Panic attacks are common in schizophrenia patients undergoing maintenance therapy, often linked to phobias or psychotic symptoms. Some patients experienced increased panic when treated with neuroleptic medications.

Area of Science:

  • Psychiatry
  • Clinical Psychology

Background:

  • Schizophrenia is a chronic mental disorder requiring ongoing maintenance therapy.
  • Comorbid anxiety disorders, such as panic attacks, are frequently observed in schizophrenia patients.

Purpose of the Study:

  • To investigate the prevalence and characteristics of panic attacks in patients receiving maintenance therapy for schizophrenia.
  • To explore the association between panic attacks, phobias, and psychotic symptoms in this population.

Main Methods:

  • Observational study of 20 patients attending a clinic for schizophrenia maintenance therapy.
  • Clinical assessment of panic attacks, agoraphobia, social phobia, paranoid ideation, and negative symptoms.

Main Results:

  • Seven out of 20 patients (35%) reported regular panic attacks.

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  • Panic attacks were frequently associated with agoraphobia and social phobia.
  • In some cases, fears and avoidance correlated with paranoid ideas and negative symptoms.
  • The relationship between panic and psychotic symptoms was highly variable.
  • Two patients experienced an increase in panic attacks while on neuroleptic medication.

    • Conclusions:

    • Panic attacks and related phobias represent a significant issue in schizophrenia patients on maintenance therapy.
    • The interplay between panic, phobias, and psychotic symptoms requires further investigation.
    • The potential role of neuroleptic medication in exacerbating panic symptoms warrants consideration.