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Familial patterns in patients with infrequent panic attacks

C A Dumas1, D A Katerndahl, S K Burge

  • 1Department of Family Practice, University of Texas Health Science Center at San Antonio, USA.

Archives of Family Medicine
|October 1, 1995
PubMed
Summary
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Patients with infrequent panic attacks reported higher family stress and more violent events. Childhood sexual abuse was significantly more prevalent in this group, suggesting a potential link to panic attacks.

Area of Science:

  • Psychiatry
  • Family Medicine
  • Psychology

Background:

  • Panic attacks are a significant clinical concern.
  • Understanding the family environment's role is crucial for effective treatment.

Purpose of the Study:

  • To investigate the family environment of individuals experiencing infrequent panic attacks.
  • To identify potential risk factors within the family context.

Main Methods:

  • A survey-based study comparing 30 patients with infrequent panic attacks to 30 matched controls.
  • Utilized Structured Clinical Interview for DSM-III, family environment scales, genograms, and validated instruments for family violence and sexual abuse.
  • Interviews were conducted in a university-based family health center serving a low-income, predominantly Hispanic population.

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Main Results:

  • Patients with infrequent panic attacks reported higher childhood and current family stress.
  • A significantly higher prevalence of childhood sexual abuse was found in patients with infrequent panic attacks (60% vs. 13%).
  • More frequent violent events in the past year were reported by the infrequent panic attack group.

Conclusions:

  • While family functioning and support showed no association, increased family stress and violence were linked to infrequent panic attacks.
  • Childhood sexual abuse emerges as a significant factor potentially contributing to the development of infrequent panic attacks.