Risk factors for fearful spells, panic attacks and panic disorder in a community cohort of adolescents and young adults
Publikation: Beitrag in Fachzeitschrift › Forschungsartikel › Beigetragen › Begutachtung
Beitragende
Abstract
Background Panic attacks (PA) and panic disorder (PD) as well as fearful spells only (FS-only, attacks of anxiety not meeting full criteria for PA or PD) increase the risk for various mental disorders. It is unclear so far whether FS-only, PA and PD share the same etiologies and risk factors. Methods A representative community sample of adolescents and young adults (n=3021, aged 14-24 at baseline) was prospectively followed up over up to 10 years. Panic pathology and putative risk factors were assessed using the DSM-IV/M-CIDI and its embedded assessment modules and questionnaires. Results In Cox regressions stratified by sex and age, female sex, parental anxiety and depression, behavioral inhibition, harm avoidance, lower coping-efficacy and parental rejection predicted the onset of FS-only, PA and PD (Hazard Ratios 1.2-3.0). Associations with other risk factors partially differed for FS-only, PA and PD and tended to be stronger for PA and PD than for FS-only. Limitations No strictly prospective analytical approach was used. Time intervals between some risk factors and their retrospective assessment were relatively long. Conclusions Findings suggest that FS-only, PA and PD are etiologically similar and represent qualitatively equal, albeit differently severe forms of panic pathology that lie on different points of the same fear-panic dimension.
Details
Originalsprache | Englisch |
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Seiten (von - bis) | 305-308 |
Seitenumfang | 4 |
Fachzeitschrift | Journal of Affective Disorders |
Jahrgang | 193 |
Publikationsstatus | Veröffentlicht - 15 März 2016 |
Peer-Review-Status | Ja |
Externe IDs
PubMed | 26774518 |
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ORCID | /0000-0002-9687-5527/work/142235311 |
Schlagworte
Ziele für nachhaltige Entwicklung
ASJC Scopus Sachgebiete
Schlagwörter
- Epidemiology, Etiology, Panic pathology, Predictors