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Panic attacks and panic disorder in the American Indian community
Craig N Sawchuk1, Peter Roy-Byrne2, Carolyn Noonan3
1Department of Psychiatry and Psychology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, United States.
Journal of Anxiety Disorders
|October 11, 2016
Summary
Panic disorder affects American Indians similarly to other populations, but with unique comorbidity patterns. Research highlights the need for accessible, evidence-based treatments for this underserved group.
Area of Science:
- Psychiatry
- Epidemiology
- Mental Health Research
Background:
- Panic disorder is a prevalent mental health condition with limited research in non-Caucasian populations.
- Understanding panic disorder in American Indian (AI) communities is crucial for targeted interventions.
Purpose of the Study:
- To describe the epidemiology, clinical features, and comorbidities of panic attacks and panic disorder in two AI tribes.
- To compare clinical characteristics and panic symptoms between AI individuals with panic disorder and those with panic attacks only.
Main Methods:
- A culturally-adapted Composite International Diagnostic Interview was used to assess panic attacks, panic disorder, and psychiatric comorbidities in 3084 AI participants.
- Linear and logistic regression analyses were performed, adjusting for age, gender, and tribe.
Main Results:
- 8.5% of American Indians reported a lifetime history of panic attacks.
- Comorbid posttraumatic stress disorder was higher in females, while alcohol-related disorders were higher in males.
- Prevalence and clinical features were similar to majority populations, but panic symptoms were consistent across genders, with distinct comorbidity patterns.
Conclusions:
- Panic disorder in American Indians shares similarities with general populations but exhibits unique comorbidity profiles.
- Findings underscore the need to investigate the availability and accessibility of evidence-based panic treatments for this underserved population.
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