المؤلفون: Sultan Uncu

المصدر: The Global Psychotherapist, Vol 4, Pp 104-114 (2024)

مصطلحات موضوعية: positive psychotherapy, the balance model, panic attack, panic disorder, Psychology, BF1-990

الوصف: The aim of this study is to examine the functionality of the balance model, one of the inventories in positive psychotherapy, in treating panic disorder, and the positive developments it adds to the individual’s life, in the context of a case study. In the study, conducted with a 27-year-old female patient diagnosed with panic disorder, it was observed that the balance model provided the individual with insight, and helped her learn to establish a connection between problems and symptoms by recognizing the underlying problems and avoiding individuals who caused her difficulties. Over time, it created balance in her daily life and contributed positively to her development.

وصف الملف: electronic resource

العلاقة: https://www.positum.org/ppt_artticles/uncu-s-2024-lkj224Test/; https://doaj.org/toc/2710-1460Test

الوصول الحر: https://doaj.org/article/7f806f11000c45e9bc1d0a8dac0609d3Test

المؤلفون: Norio Sugawara, Norio Yasui‐Furukori, Kazutaka Shimoda

المصدر: Neuropsychopharmacology Reports, Vol 43, Iss 4, Pp 647-649 (2023)

مصطلحات موضوعية: cannabinoids, e‐cigarette device, panic attack, substance abuse, tetrahydrocannabinol acetate, Therapeutics. Pharmacology, RM1-950, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571

الوصف: Abstract Aim Tetrahydrocannabinol acetate (THC‐O) is a cannabinoid‐based product, and few medical studies have evaluated the effects of THC‐O on humans. Recently, e‐cigarettes have become popular among teenagers and young adults worldwide. However, there have been reports of people misusing this device as a delivery system for drugs of abuse. Case Presentation We herein report a case of panic attack after THC‐O inhalation using an e‐cigarette device in an 18‐year‐old male with no history of psychiatric disorders. Although he started smoking both regular cigarettes and e‐cigarettes in junior high school, he had never vaped delta‐9 THC or THC‐O until the present episode. A total of 20 min after his first inhalation of THC‐O, he experienced a sudden attack that lasted 2 h. After this episode, he did not inhale THC‐O. Throughout the subsequent 6 months of follow‐up, he maintained improvement with no panic attacks. Conclusion In this case, we intend to emphasize that THC‐O is not safe, even if the substance is regarded as loophole drug. The use of e‐cigarette devices might accelerate substance abuse.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/2574-173XTest

الوصول الحر: https://doaj.org/article/37c42f09dad846b89aec652bee19e47aTest

المؤلفون: Francesco Castellana, Grazia D’Onofrio, Filomena Ciccone, Maria Teresa Di Claudio, Maura Pugliatti, Teresa Popolizio, Giuseppe d’Orsi

المصدر: Brain Sciences, Vol 14, Iss 6, p 594 (2024)

مصطلحات موضوعية: ictal fear, panic attack, video–EEG, temporal lobe epilepsy, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571

الوصف: Panic disorder (PD) and focal epilepsy, in particular, temporal lobe epilepsy, often present diagnostic challenges due to overlapping clinical manifestations. This article describes the case of a 25-year-old female, misdiagnosed with PD for 15 years, whose recurring episodes of sudden fear, palpitations, and nausea were later identified as manifestations of focal epilepsy. Initially unresponsive to conventional anti-anxiety medications, the patient’s correct diagnosis was only established through comprehensive electro-clinical, neuropsychological, and neuroimaging evaluations during her admission to our research hospital. Long-term video–EEG monitoring (LTVEM) played a pivotal role in identifying the epileptic nature of her episodes, which were characterized by paroxysmal activity in the right temporal and zygomatic regions, consistent with the location of a dysplastic lesion in the right amygdala, as revealed by high-resolution magnetic resonance imaging. These findings underline the importance of considering focal epilepsy in the differential diagnosis of PD, especially in cases refractory to standard psychiatric treatments. The misdiagnosis of epilepsy as PD can lead to significant delays in appropriate treatment, potentially exacerbating the patient’s condition and affecting their quality of life. This case emphasizes the necessity of a multidisciplinary approach and the utilization of advanced diagnostic tools like LTVEM in elucidating the underlying causes of paroxysmal psychiatric symptoms.

وصف الملف: electronic resource

العلاقة: https://www.mdpi.com/2076-3425/14/6/594Test; https://doaj.org/toc/2076-3425Test

الوصول الحر: https://doaj.org/article/225699ac480947d38089f325dcc3171eTest

المؤلفون: Sabrina Wideburg, Catharina Voss, Theresa M. Ollmann, Hanna Kische, Lars Pieper, Katja Beesdo-Baum

المصدر: Journal of Affective Disorders Reports, Vol 15, Iss , Pp 100696- (2024)

مصطلحات موضوعية: Panic attack, Fearful spell, Psychopathology, Adolescence, Epidemiology, Course, Mental healing, RZ400-408

الوصف: Background: Lifetime panic attacks (PAs) have been associated with a range of mental disorders and increased disorder severity. In DSM-5, PAs can be used as a descriptive specifier across disorders. This study investigates frequency and clinical implications of PAs and Fearfull Spells (FS) occurring simultaneously with mental disorders in community youth. Methods: Symptoms and diagnoses of DSM-5 mental disorders including time-related and clinical severity information were assessed from 11/2015–12/2016 in a random sample of 14–21 year olds from Dresden, Germany (N = 1,180). Results: Lifetime prevalence estimates for PAs were highest among participants with lifetime agoraphobia (60.2 %) and separation anxiety disorder (sepAD, 46.0 %). Only 4.8 % of participants with any mental disorder fulfilled the criteria of the DSM-5 PA specifier (simultaneous PAs without a co-occurring panic disorder (PD)), mostly participants with sepAD (12.8 %) and posttraumatic stress disorder (10.7 %). Averaged across all disorders, simultaneous PAs/FSs were associated with lower mental health, higher mental health impairment and more service utilization compared to no PAs/FSs and partly also to lifetime PAs/FSs. Limitations: Retrospective self-report data could be affected by recall bias. Low case numbers limit statistical power. Conclusions: The present findings support the use of PAs/FSs as transdiagnostic DSM-5 specifier, as PAs/FSs occurring simultaneously with mental disorders are descriptively associated with severity indicators. However, the exclusion of PD cases results in a limited proportion of general population youth for which the specifier applies. Larger prospective epidemiological studies could clarify the time course of PAs/FSs, PD and other mental disorders and their effects on severity and course.

وصف الملف: electronic resource

العلاقة: http://www.sciencedirect.com/science/article/pii/S2666915323002330Test; https://doaj.org/toc/2666-9153Test

الوصول الحر: https://doaj.org/article/79c6bb38da1e43c198190863118d1a19Test

المؤلفون: Martínez-Álvarez, Verónica Lizeth

مصطلحات موضوعية: Interocepción, Ataque de Pánico, Perfil sensorial, Procesamiento sensorial, Interoception, Panic attack, Sensory profile, Sensory processing

الوصف: La sintomatología de los ataques de pánico (AP) son respuestas de alarma del sistema nervioso autónomo que suelen aparecer de forma súbita, generando malestar significativo en la vida de quien lo padece. Algunos tratamientos no farmacológicos, además de abordar la distorsión de pensamiento y el catastrofismo, incluyen estrategias de exposición y estimulación sensoriales, principalmente interoceptivas, con el fin de generar habituación a dichas sensaciones, lo cual podría depender del umbral de respuesta del individuo. El objetivo de este trabajo es hacer una revisión rápida de artículos que abordan la relación entre el procesamiento sensorial y los AP en los últimos diez años, obtenidos de cuatro bases de datos. Se encuentran pocos estudios que aborden directamente esta relación, pues muchos trabajos encontrados se han centrado en otras patologías del neurodesarrollo, pero si se resalta el papel de esta variable en los mecanismos subyacentes en otros problemas de salud mental. Los datos encontrados sugieren que si existe evidencia de biomarcadores alterados a nivel sensorial, además de confirmar que los pacientes con AP presentan una alta sensibilidad a la ansiedad, no solo ante estimulación respiratoria, por lo que dicha sensibilidad si puede considerarse como un factor predisponente, al estar correlacionada directamente con la interocepción, lo cual remarca la efectividad de las intervenciones con exposición, sin embargo, falta evidencia para determinar si existe un tipo o clasificación de perfil sensorial específico que determine la aparición de los episodios de AP, lo cual, sería de gran utilidad para futuros trabajos de investigación y validación de herramientas de intervención. ; The symptomatology of panic attacks (PA) are alarm responses of the autonomic nervous system that usually appear suddenly, generating significant discomfort in the sufferer's life. Some non-pharmacological treatments, in addition to addressing thought distortion and catastrophizing, include sensory exposure and stimulation ...

العلاقة: https:/doi.org/10.14198/DCN.25841; Revista de Discapacidad, Clínica y Neurociencias. 2024, 11(1): 27-38. https:/doi.org/10.14198/DCN.25841; http://hdl.handle.net/10045/144591Test

الإتاحة: https://doi.org/10.14198/DCN.25841Test
http://hdl.handle.net/10045/144591Test

المؤلفون: Lommatzsch, Alexander, Cirasino, Daniela, De Fabrizio, Mariangela, Orlando, Stefano, Terzi, Caterina, Antoncecchi, Mirko

المصدر: Phenomena Journal - International Journal of Psychopathology, Neuroscience and Psychotherapy; Vol. 6 No. 1 (2024): January - June 2024; 6 - 11 ; Phenomena Journal - Giornale Internazionale di Psicopatologia, Neuroscienze e Psicoterapia; V. 6 N. 1 (2024): Gennaio - Giugno 2024; 6 - 11 ; 2612-6796

مصطلحات موضوعية: psicoterapia, Gestalt, attacco di panico, rabbia, approccio fenomenologico-esistenziale, contatto, territorialità, psychotherapy, panic attack, anger, phenomenological-existential approach, contact, territoriality

الوصف: Panic disorder is currently one of the most widespread anxiety disorders in Western countries. The authors, psychologists and Gestalt psychotherapists, have observed in their psychotherapeutic settings some recurring tendencies in people who report panic attack symptoms. In the narratives of the latter there is often a failure to assume clear and defined positions within one's emotional, relational and professional life. In addition to being a manifestation of anxiety and fear, the authors hypothesize that in panic disorder there is existential and relational distress connected to inadequate anger management. The frequently reported experience concerns the inability to refuse to do something you don't want and the consequent sense of frustration and anxiety. According to a vision of Gestalt therapy, a person feels anger when he does not get what he wants, or when he finds himself in a territorial conflict. From here derive the different actions relating to the manifestation of anger itself. This article illustrates a proposal for an intervention study on the expression of the experience of anger connected to panic attacks. From a phenomenological-descriptive perspective, the authors will collect the lived experience of anger connected to panic disorder through a semi-structured interview. The information collected will be useful to outline the elements of a descriptive psychopathology of anger connected to panic disorder in a Gestalt perspective. ; Attualmente il disturbo di panico è uno dei disturbi d’ansia più diffusi nei Paesi occidentali. Gli autori, psicologi e psicoterapeuti della Gestalt, hanno osservato nei propri setting psicoterapeutici alcune tendenze ricorrenti nelle persone che riferiscono sintomi di attacco di panico. Nelle narrazioni di queste ultime spesso si presenta una mancata assunzione di posizioni chiare e definite all’interno della propria vita affettiva, relazionale e professionale. Oltre che una manifestazione dell’ansia e della paura, gli autori ipotizzano che nel disturbo di panico sia ...

وصف الملف: application/pdf

العلاقة: https://phenomenajournal.marpedizioni.it/phenomena/article/view/195/201Test; https://phenomenajournal.marpedizioni.it/phenomena/article/view/195Test

الإتاحة: https://doi.org/10.32069/PJ.2021.2.195Test
https://phenomenajournal.marpedizioni.it/phenomena/article/view/195Test

المؤلفون: Klevebrant, Lisa, Frick, Andreas, Docent

المصدر: General Hospital Psychiatry. 74:22-31

مصطلحات موضوعية: Panic disorder, Caffeine challenge, Provocation, Panic attack, Anxiety, Meta-analysis

الوصف: Background: Caffeine has been purported to have anxiogenic and panicogenic properties, specifically salient in patients with panic disorder (PD). However, compilations of the magnitude of the effect of caffeine on anxiety and panic attacks are lacking and potential dose-response relationships have not been examined.Objectives: In the present systematic review and meta-analysis, we aimed to examine the acute effects of placebo-controlled caffeine challenge on occurrence of panic attacks and subjective anxiety in patients with PD and healthy controls (HC), including dose-response relationships.Methods: Systematic searches were performed in six databases. We included blinded placebo-controlled studies of acute caffeine challenge on panic attacks and/or subjective anxiety in adult patients with PD.Results: Of the 1893 identified articles, ten met our inclusion criteria. The 9 studies investigating panic attacks included 237 patients, of which 51.1% had a panic attack following caffeine, but none after placebo. Six of these studies compared 128 patients with 115 healthy controls (HC), finding that patients (53.9%) were more vulnerable than HC (1.7%) for panic attacks following caffeine (log RR: 3.47; 95% CI 2.06–4.87). Six studies investigated subjective anxiety in 121 patients and 111 HC following caffeine, with an overall effect indicating increased sensitivity to the anxiogenic effects of caffeine in the patient group (Hedges' g = 1.02 [95% CI: 0.09–1.96]). The restricted range of caffeine employed [400–750 mg] and few studies (3) not using 480 mg prevented any meaningful analysis of a dose-response relationship.Limitations: Of the ten studies included, only 2 reported anxiety data for the placebo condition, precluding a proper meta-analysis comparing anxiogenic effects of caffeine and placebo. The restricted dose range used prevented assessment of dose-response relationships.Conclusions: The results confirm that caffeine at doses roughly equivalent to 5 cups of coffee induces panic attacks in a large proportion of PD patients and highly discriminates this population from healthy adults. Caffeine also increases anxiety in PD patients as well as among healthy adults at these doses although the exact relationship between caffeine-induced anxiety and panic attacks remains uncertain. The results suggest that caffeine targets important mechanisms related to the pathophysiology of PD.Implications: Future studies should employ a wider range of caffeine doses and investigate contributions of biological and psychological mechanisms underlying the anxiogenic and panicogenic effects of caffeine. In the clinic, patients with PD should be informed about the panicogenic and anxiogenic effects of caffeine, with the caveat that little is known regarding smaller doses than 480 mg. Registration. PROSPERO (www.crd.york.ac.uk/prospero) registration number CRD42019120220.

وصف الملف: electronic

الوصول الحر: https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-460588Test
https://doi.org/10.1016/j.genhosppsych.2021.11.005Test
https://uu.diva-portal.org/smash/get/diva2:1617782/FULLTEXT01.pdfTest

المؤلفون: Ortega, Izaskun, Bados López, Arturo, Saldaña García, Carmina

المصدر: Anuario de psicología / The UB Journal of psychology; 2012: Vol.: 42 Núm.: 2; p. 231-244

مصطلحات موضوعية: fobia social, ataque de pánico, tratamiento cognitivo-conductual, exposición, Social phobia, panic attack, cognitive-behavioral treatment, exposure

الوصف: Se presenta el caso de una mujer de 27 años que consultó por ataques de pánico que comenzaron año y medio antes de acudir a terapia y que se agudizaron en el mes previo a la consulta. Tras cuatro sesiones de evaluación y una entrevista con una amiga se consideró que se trataba de un trastorno de ansiedad social. Los ataques eran desencadenados por situaciones sociales y la paciente temía vomitar delante de otros y ser evaluada negativamente. Se aplicó a lo largo de 21 sesiones un tratamiento cognitivo-conductual que incluyó autorregistros, entrenamiento en respiración controlada, entrenamiento en atención, reestructuración cognitiva, autoexposición en vivo y entrenamiento en asertividad respecto a su pareja, ya que había sintomatología ansiosa asociada con las discusiones y maltrato por parte de su compañero. Las puntuaciones obtenidas en las escalas administradas a lo largo del proceso indicaron una mejora progresiva y clínicamente significativa. Las razones principales que pueden haber contribuido al éxito terapéutico son la motivación para el cambio, la sólida alianza terapéutica establecida, la aceptación y aplicación constante de la técnica de exposición y el entrenamiento asertivo respecto a la pareja.
We report a case of a 27-year-old woman with panic attacks which began one and a half year before coming to therapy and worsened in the prior month of consultation. After four assessment sessions and an interview with a friend, a diagnosis of social anxiety disorder was made. Panic attacks were triggered by social situations and the patient was afraid of vomiting in front of the others and being evaluated negatively. A cognitive-behavioral treatment was applied over 21 sessions which included self-monitoring, training in controlled breathing, attention training, cognitive restructuring, self-exposure in vivo and assertiveness training centered on her partner, since patient’s anxious symptomatology was also related to the discussions and mistreatments by her companion. Scores on the scales applied along the process indicated a progressive and clinically significant improvement. The main reasons that may have contributed to therapeutic success are the motivation for change, the strong therapeutic alliance established, the acceptance and consistent application of the exposure technique, and the assertiveness training related to her partner

وصف الملف: application/pdf

العلاقة: https://www.raco.cat/index.php/AnuarioPsicologia/article/view/258938/346636Test

الوصول الحر: https://www.raco.cat/index.php/AnuarioPsicologia/article/view/258938Test

المؤلفون: Chan-hen Tsai, Mesakh Christian, Feipei Lai

المصدر: Frontiers in Psychiatry, Vol 14 (2023)

مصطلحات موضوعية: case management, panic disorder, panic attack, quality of care, mobile-aided intervention, maintenance treatment, Psychiatry, RC435-571

الوصف: BackgroundIndividuals with panic disorder frequently face ongoing symptoms, suboptimal treatment adherence, and increased relapse rates. Although mobile health interventions have shown promise in improving treatment outcomes for numerous mental health conditions, their effectiveness, specifically for panic disorder, has yet to be determined.ObjectiveThis study investigates the effects of a mobile-aided case management program on symptom reduction and quality of care among individuals with panic disorder.MethodsThis 3-year cohort study enrolled 138 participants diagnosed with panic disorder. One hundred and eight participants joined the mobile-aided case management group and 30 in the treatment-as-usual group. Data were collected at baseline, 3-month, 6-month, and 12-month treatment checkpoints using self-report questionnaires, in-depth interviews, direct observation, and medical record analysis.ResultsDuring the maintenance treatment phase, the mobile-assisted case management group decreased both panic severity (p = 0.008) and state anxiety (p = 0.016) more than the control group at 6 months. Participants who underwent case management experienced enhanced control over panic symptoms, heightened self-awareness, and elevated interpersonal support.ConclusionThe mobile-aided case management is beneficial in managing panic disorder, especially maintenance treatment.

وصف الملف: electronic resource

العلاقة: https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1203194/fullTest; https://doaj.org/toc/1664-0640Test

الوصول الحر: https://doaj.org/article/8abb2733208842d9836ad9811d060065Test

المؤلفون: Elena A. Korabelnikova, Elena V. Yakovleva

المصدر: Анналы клинической и экспериментальной неврологии, Vol 16, Iss 4, Pp 62-70 (2022)

مصطلحات موضوعية: sleep, insomnia, panic disorder, panic attack, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571

الوصف: Sleep disorder, especially insomnia, is one of the most common panic disorder (PanD) comorbidities, with PanD and insomnia being closely related. PanD severity is definitely associated with sleep disorder while sleep disorder is caused by abnormal anxiety. Insomnia management in PanD patients is based on a multidisciplinary approach to achieve emotional balance and includes both medicinal treatment and a wide range of psychotherapy methods. Successful insomnia management contributes to the effectiveness of PanD therapy, reduces relapse probability, and improves susceptibility to many anxiolytics.

وصف الملف: electronic resource

العلاقة: https://annaly-nevrologii.com/journal/pathID/article/viewFile/881/pdfTest; https://doaj.org/toc/2075-5473Test; https://doaj.org/toc/2409-2533Test

الوصول الحر: https://doaj.org/article/176b822f3e8c4c5794e0ecd899efc101Test