Panic disorder in the families of patients with normal coronary arteries and non-fear panic disorder
Patients with non-fear panic disorder (NFPD) meet DSM-III-R criteria for panic disorder, but do not report subjective fear or anxiety. Although apparently common in medical settings, this controversial group is in need of further diagnostic validation. This study assessed family history of panic dis...
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| Veröffentlicht in: | Behaviour research and therapy 1992-07, Vol.30 (4), p.403-406 |
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| creator | Beitman, Bernard D. Thomas, Ann Muir Kushner, Matt G. |
| description | Patients with non-fear panic disorder (NFPD) meet DSM-III-R criteria for panic disorder, but do not report subjective fear or anxiety. Although apparently common in medical settings, this controversial group is in need of further diagnostic validation. This study assessed family history of panic disorder in patients with chest pain and normal coronary arteries (CP/NCA) and either NFPD, panic disorder with fear, or no panic. It was hypothesized that the two panic disorder groups would have similar, elevated rates of panic disorder in their first-degree relatives, compared to patients without panic. The results support the hypothesis; about 17% of the first-degree relatives of both NFPD and panic disorder patients were diagnosable with panic disorder according to proband interviews, whereas only 4.6% of the first-degree relatives of patients without panic were so diagnosable. These results support the diagnostic validity of NFPD in CP/NCA patients, because such patients had a family history of panic disorder similar to patients with a more classical panic disorder presentation. The lack of fear symptoms and behavior in NFPD may cause panic disorder to be overlooked as a potential cause of somatic symptoms in patients with no medical explanation for their condition. |
| doi_str_mv | 10.1016/0005-7967(92)90052-I |
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Although apparently common in medical settings, this controversial group is in need of further diagnostic validation. This study assessed family history of panic disorder in patients with chest pain and normal coronary arteries (CP/NCA) and either NFPD, panic disorder with fear, or no panic. It was hypothesized that the two panic disorder groups would have similar, elevated rates of panic disorder in their first-degree relatives, compared to patients without panic. The results support the hypothesis; about 17% of the first-degree relatives of both NFPD and panic disorder patients were diagnosable with panic disorder according to proband interviews, whereas only 4.6% of the first-degree relatives of patients without panic were so diagnosable. These results support the diagnostic validity of NFPD in CP/NCA patients, because such patients had a family history of panic disorder similar to patients with a more classical panic disorder presentation. The lack of fear symptoms and behavior in NFPD may cause panic disorder to be overlooked as a potential cause of somatic symptoms in patients with no medical explanation for their condition.</description><identifier>ISSN: 0005-7967</identifier><identifier>EISSN: 1873-622X</identifier><identifier>DOI: 10.1016/0005-7967(92)90052-I</identifier><identifier>PMID: 1616475</identifier><identifier>CODEN: BRTHAA</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adult and adolescent clinical studies ; Anxiety disorders. Neuroses ; Biological and medical sciences ; Chest Pain - genetics ; Chest Pain - psychology ; Coronary Disease - genetics ; Coronary Disease - psychology ; Depression ; Emotions ; Families & family life ; Fear ; Fear & phobias ; Female ; Heart ; Humans ; Male ; Medical sciences ; Middle Aged ; Mood disorders ; Neurocirculatory Asthenia - genetics ; Neurocirculatory Asthenia - psychology ; Panic Disorder - genetics ; Panic Disorder - psychology ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Risk Factors ; Sick Role ; Social research ; Stress</subject><ispartof>Behaviour research and therapy, 1992-07, Vol.30 (4), p.403-406</ispartof><rights>1992</rights><rights>1992 INIST-CNRS</rights><rights>Copyright Pergamon Press Inc. Jul 1992</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c413t-1cf96ef37bb7bdcc81ed778fa15547104b846dca20e2544fcd76cc48c8f8ec5d3</citedby><cites>FETCH-LOGICAL-c413t-1cf96ef37bb7bdcc81ed778fa15547104b846dca20e2544fcd76cc48c8f8ec5d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0005-7967(92)90052-I$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,30999,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=5353981$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1616475$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Beitman, Bernard D.</creatorcontrib><creatorcontrib>Thomas, Ann Muir</creatorcontrib><creatorcontrib>Kushner, Matt G.</creatorcontrib><title>Panic disorder in the families of patients with normal coronary arteries and non-fear panic disorder</title><title>Behaviour research and therapy</title><addtitle>Behav Res Ther</addtitle><description>Patients with non-fear panic disorder (NFPD) meet DSM-III-R criteria for panic disorder, but do not report subjective fear or anxiety. Although apparently common in medical settings, this controversial group is in need of further diagnostic validation. This study assessed family history of panic disorder in patients with chest pain and normal coronary arteries (CP/NCA) and either NFPD, panic disorder with fear, or no panic. It was hypothesized that the two panic disorder groups would have similar, elevated rates of panic disorder in their first-degree relatives, compared to patients without panic. The results support the hypothesis; about 17% of the first-degree relatives of both NFPD and panic disorder patients were diagnosable with panic disorder according to proband interviews, whereas only 4.6% of the first-degree relatives of patients without panic were so diagnosable. These results support the diagnostic validity of NFPD in CP/NCA patients, because such patients had a family history of panic disorder similar to patients with a more classical panic disorder presentation. The lack of fear symptoms and behavior in NFPD may cause panic disorder to be overlooked as a potential cause of somatic symptoms in patients with no medical explanation for their condition.</description><subject>Adult and adolescent clinical studies</subject><subject>Anxiety disorders. Neuroses</subject><subject>Biological and medical sciences</subject><subject>Chest Pain - genetics</subject><subject>Chest Pain - psychology</subject><subject>Coronary Disease - genetics</subject><subject>Coronary Disease - psychology</subject><subject>Depression</subject><subject>Emotions</subject><subject>Families & family life</subject><subject>Fear</subject><subject>Fear & phobias</subject><subject>Female</subject><subject>Heart</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mood disorders</subject><subject>Neurocirculatory Asthenia - genetics</subject><subject>Neurocirculatory Asthenia - psychology</subject><subject>Panic Disorder - genetics</subject><subject>Panic Disorder - psychology</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Risk Factors</subject><subject>Sick Role</subject><subject>Social research</subject><subject>Stress</subject><issn>0005-7967</issn><issn>1873-622X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp9kUuLFDEUhYMoYzv6DxSCiOiiNK-qpDYDMvhoGNCFgruQurlhMlQlbVKt-O9N280oLlyFy_3O4eYcQh5z9oozPrxmjPWdHgf9YhQvxzaIbnuHbLjRshuE-HqXbG6R--RBrTdtlEawM3LGBz4o3W-I_-RSBOpjzcVjoTHR9RppcEucI1aaA925NWJaK_0R12uaclncTCGXnFz5SV1ZsRxIl3xbpi6gK03zt-tDci-4ueKj03tOvrx7-_nyQ3f18f328s1VB4rLteMQxgGD1NOkJw9gOHqtTXC875XmTE1GDR6cYCh6pQJ4PQAoAyYYhN7Lc_L86Lsr-dse62qXWAHn2SXM-2q1ZEKO_djAp_-AN3lfUrvNCq6U5NKwBqkjBCXXWjDYXYlL-7PlzB4asId47SFeOwr7uwG7bbInJ-_9tKD_IzpG3vbPTntXwc2huASx3mK97OVoeMMujhi2wL5HLLZCqwHQx4KwWp_j_-_4BQ5qouo</recordid><startdate>19920701</startdate><enddate>19920701</enddate><creator>Beitman, Bernard D.</creator><creator>Thomas, Ann Muir</creator><creator>Kushner, Matt G.</creator><general>Elsevier Ltd</general><general>Elsevier Science</general><general>Elsevier Science Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>19920701</creationdate><title>Panic disorder in the families of patients with normal coronary arteries and non-fear panic disorder</title><author>Beitman, Bernard D. ; Thomas, Ann Muir ; Kushner, Matt G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c413t-1cf96ef37bb7bdcc81ed778fa15547104b846dca20e2544fcd76cc48c8f8ec5d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Adult and adolescent clinical studies</topic><topic>Anxiety disorders. Neuroses</topic><topic>Biological and medical sciences</topic><topic>Chest Pain - genetics</topic><topic>Chest Pain - psychology</topic><topic>Coronary Disease - genetics</topic><topic>Coronary Disease - psychology</topic><topic>Depression</topic><topic>Emotions</topic><topic>Families & family life</topic><topic>Fear</topic><topic>Fear & phobias</topic><topic>Female</topic><topic>Heart</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mood disorders</topic><topic>Neurocirculatory Asthenia - genetics</topic><topic>Neurocirculatory Asthenia - psychology</topic><topic>Panic Disorder - genetics</topic><topic>Panic Disorder - psychology</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Risk Factors</topic><topic>Sick Role</topic><topic>Social research</topic><topic>Stress</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Beitman, Bernard D.</creatorcontrib><creatorcontrib>Thomas, Ann Muir</creatorcontrib><creatorcontrib>Kushner, Matt G.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Behaviour research and therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Beitman, Bernard D.</au><au>Thomas, Ann Muir</au><au>Kushner, Matt G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Panic disorder in the families of patients with normal coronary arteries and non-fear panic disorder</atitle><jtitle>Behaviour research and therapy</jtitle><addtitle>Behav Res Ther</addtitle><date>1992-07-01</date><risdate>1992</risdate><volume>30</volume><issue>4</issue><spage>403</spage><epage>406</epage><pages>403-406</pages><issn>0005-7967</issn><eissn>1873-622X</eissn><coden>BRTHAA</coden><abstract>Patients with non-fear panic disorder (NFPD) meet DSM-III-R criteria for panic disorder, but do not report subjective fear or anxiety. Although apparently common in medical settings, this controversial group is in need of further diagnostic validation. This study assessed family history of panic disorder in patients with chest pain and normal coronary arteries (CP/NCA) and either NFPD, panic disorder with fear, or no panic. It was hypothesized that the two panic disorder groups would have similar, elevated rates of panic disorder in their first-degree relatives, compared to patients without panic. The results support the hypothesis; about 17% of the first-degree relatives of both NFPD and panic disorder patients were diagnosable with panic disorder according to proband interviews, whereas only 4.6% of the first-degree relatives of patients without panic were so diagnosable. These results support the diagnostic validity of NFPD in CP/NCA patients, because such patients had a family history of panic disorder similar to patients with a more classical panic disorder presentation. The lack of fear symptoms and behavior in NFPD may cause panic disorder to be overlooked as a potential cause of somatic symptoms in patients with no medical explanation for their condition.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>1616475</pmid><doi>10.1016/0005-7967(92)90052-I</doi><tpages>4</tpages></addata></record> |
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| subjects | Adult and adolescent clinical studies Anxiety disorders. Neuroses Biological and medical sciences Chest Pain - genetics Chest Pain - psychology Coronary Disease - genetics Coronary Disease - psychology Depression Emotions Families & family life Fear Fear & phobias Female Heart Humans Male Medical sciences Middle Aged Mood disorders Neurocirculatory Asthenia - genetics Neurocirculatory Asthenia - psychology Panic Disorder - genetics Panic Disorder - psychology Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Risk Factors Sick Role Social research Stress |
| title | Panic disorder in the families of patients with normal coronary arteries and non-fear panic disorder |
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