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Panic-phobic patients and developmental trauma

D David1, A Giron, T A Mellman

  • 1Department of Psychiatry, School of Medicine, University of Miami, Fla.

The Journal of Clinical Psychiatry
|March 1, 1995
PubMed
Summary
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Adults with anxiety disorders, including panic, agoraphobia, and social phobia, show high rates of childhood trauma. Sexual and physical abuse histories were particularly linked to social phobia in these patients.

Area of Science:

  • Psychiatry
  • Psychology
  • Trauma Studies

Background:

  • Developmental trauma is frequently observed in adult anxiety disorder patients.
  • Previous research indicates elevated trauma rates in individuals with anxiety disorders.
  • This study investigates trauma prevalence in specific phobia subtypes.

Purpose of the Study:

  • To replicate findings on developmental trauma in patients with panic disorder, agoraphobia, and/or social phobia.
  • To compare trauma rates in clinical and nonclinical populations.
  • To explore the relationship between trauma types and specific phobic subtypes.

Main Methods:

  • Fifty-one patients with panic disorder with agoraphobia and/or social phobia were assessed.
  • Lifetime diagnoses were determined using interviews and rating scales.

Related Experiment Videos

  • Developmental trauma was evaluated using the Life Experience Questionnaire (LEQ) and compared to 51 nonclinical subjects.

    • Main Results:

    • 63% of patients reported childhood trauma, significantly higher than comparison groups (35% and 24%).
    • Sexual and/or physical abuse histories were significantly increased in the patient group.
    • These abuse histories were most strongly associated with social phobia, unlike separation/loss experiences.

    Conclusions:

    • The study confirms increased childhood trauma rates in anxiety disorder patients, consistent with prior research.
    • A significant association was found between social phobia and histories of sexual/physical abuse.
    • These findings highlight the specific link between certain trauma types and social phobia.