Orthostatic Panic Attacks Among Vietnamese Refugees

Viewed historically and cross-culturally, orthostatic-induced dizziness, i.e., dizziness caused by standing up from a sitting or a lying position, forms a key aspect of many syndromes: irritable heart (American Civil War), effort syndrome (World War I and World War II), chronic fatigue syndrome (con...

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Veröffentlicht in:Transcultural psychiatry 2007-12, Vol.44 (4), p.515-544
Hauptverfasser: Hinton, Devon E., Hinton, Ladson, Tran, Minh, Nguyen, Men, Nguyen, Lim, Hsia, Curtis, Pollack, Mark H.
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container_end_page 544
container_issue 4
container_start_page 515
container_title Transcultural psychiatry
container_volume 44
creator Hinton, Devon E.
Hinton, Ladson
Tran, Minh
Nguyen, Men
Nguyen, Lim
Hsia, Curtis
Pollack, Mark H.
description Viewed historically and cross-culturally, orthostatic-induced dizziness, i.e., dizziness caused by standing up from a sitting or a lying position, forms a key aspect of many syndromes: irritable heart (American Civil War), effort syndrome (World War I and World War II), chronic fatigue syndrome (contemporary USA), Gulf War syndrome (contemporary USA), and orthostatic dysregulation (contemporary Japan). Among Vietnamese refugees attending a psychiatric clinic, this study documents a high rate of orthostatic panic (OP), as well as certain processes seemingly generating these panic attacks, viz., flashbacks and culturally specific catastrophic cognitions. Case examples are used to demonstrate OP's phenomenology and relevance to clinical care. To illustrate the mechanisms producing OP, we adduce the multiplex model of panic generation. Culturally appropriate care of Vietnamese refugees should include assessment and treatment of OP.
doi_str_mv 10.1177/1363461507081640
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Among Vietnamese refugees attending a psychiatric clinic, this study documents a high rate of orthostatic panic (OP), as well as certain processes seemingly generating these panic attacks, viz., flashbacks and culturally specific catastrophic cognitions. Case examples are used to demonstrate OP's phenomenology and relevance to clinical care. To illustrate the mechanisms producing OP, we adduce the multiplex model of panic generation. 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subjects Adult
Bipolar Disorder - ethnology
Bipolar Disorder - therapy
Cognitive problems, arts and sciences, folk traditions, folklore
Cognitive Therapy
Cross-Cultural Comparison
Ethnology
Ethnopsychiatry. Ethnopsychoanalysis. Ethnopsychology
Female
Humans
Hypotension, Orthostatic - ethnology
Hypotension, Orthostatic - psychology
Male
Mental Health Services - utilization
Panic Disorder - ethnology
Panic Disorder - etiology
Refugees - statistics & numerical data
Schizophrenia - ethnology
Schizophrenia - therapy
Social relations. Intercultural and interethnic relations. Collective identity
Social structure and social relations
Stress Disorders, Post-Traumatic - psychology
Substance-Related Disorders - ethnology
Substance-Related Disorders - therapy
Traditional sciences and medicine
United States - epidemiology
Vietnam - ethnology
title Orthostatic Panic Attacks Among Vietnamese Refugees
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