Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-20T06:23:00.307Z Has data issue: false hasContentIssue false
  • English
  • Français

Clinical features of panic attacks in schizophrenia

Published online by Cambridge University Press:  16 April 2020

F.J. Baylé ,
M.O. Krebs ,
C. Epelbaum ,
D. Levy  and
P. Hardy
F.J. Baylé*
Affiliation:
University of Paris V and Service Hospitalo-Universitaire de Santé Mentale et de Thérapeutique, Centre Hospitalier Sainte-Anne, 75674Paris cedex, France
M.O. Krebs
Affiliation:
University of Paris V and Service Hospitalo-Universitaire de Santé Mentale et de Thérapeutique, Centre Hospitalier Sainte-Anne, 75674Paris cedex, France
C. Epelbaum
Affiliation:
Psychiatry department, Hopital de Bicêtre, 78 rue du Général Leclerc, 94275Le Kremlin-Bicêtre Cedex, France
D. Levy
Affiliation:
University of Paris V and Service Hospitalo-Universitaire de Santé Mentale et de Thérapeutique, Centre Hospitalier Sainte-Anne, 75674Paris cedex, France
P. Hardy
Affiliation:
Psychiatry department, Hopital de Bicêtre, 78 rue du Général Leclerc, 94275Le Kremlin-Bicêtre Cedex, France
*
* Correspondence and reprints.
Get access

Summary

Since reports have underscored that panic attacks (PA) may be an identifiable state occurring in schizophrenia, we studied the symptomatology of PA in a group of schizophrenic patients. Of 40 patients (21 males and 19 females) attending a clinic for maintenance therapy of schizophrenia, 19 (36.8%) had a lifetime history of PA. Seven among those 19 patients (36.8%) had or had had spontaneous panic attacks, not related to phobic fears or delusional fears, and for the 12 remaining patients, the PA were related to paranoid ideas. Moreover, the paranoid subtype of schizophrenia tends to be more often associated with a history of panic attack than other subtypes of schizophrenia (52.6% vs 23.8%; χ2 = 3.5, P = .06). It seems that there are at least two types of PA in schizophrenic patients. The first one could be independent from the psychotic feature, with no psychopathological link. The second kind of PA could be directly related to a schizophrenic disorder, and found in patients with the paranoid subtype.

Keywords

anxietyclinical featurespanic attackpanic disorderschizophrenia
Type
Original Article
Information
European Psychiatry , Volume 16 , Issue 6 , September 2001 , pp. 349 - 353
Copyright
Copyright © 2001 Éditions scientifiques et médicales Elsevier SAS. All rights reserved

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-III). 3rd Ed. Washington D.C: American Psychiatric Association; 1980.Google Scholar
American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-III-R). 3rd Ed. rev. Washington D.C: American Psychiatric Association; 1987.Google Scholar
Argyle, N.Panic attacks in schizophrenia. Br J Psychiatry 1990; 157: 430–3.CrossRefGoogle Scholar
Argyle, NRoth, M.A phenomenological study of 90 patients with panic disorder. Part II. Psychiatr Dev 1989; 3: 187–209.Google Scholar
Boyd, JH.Use of mental health services for the treatment of panic disorder. Am J Psychiatry 1986; 143: 1569–74.Google ScholarPubMed
Eaton, WWDryman, AWeissman, MM.Panic and phobia. Robins, LNRegier, DA, Eds.; Psychiatric disorder in America. New York: The Free Press; 1991.Google Scholar
Heun, RMaier, W.Relation of schizophrenia and panic disorder: evidence from a controlled study. Am J Med Genet 1995; 60: 000.CrossRefGoogle Scholar
Kahn, JPPuertollano, MASchane, MDKlein, DF.Adjunctive alprazolam for schizophrenia with panic anxiety: clinical observation and pathogenic implications. Am J Psychiatry 1988; 145: 742–4.Google Scholar
Klein, DF.Anxiety reconceptualised. Compr Psychiatry 1980; 21: 411–27.CrossRefGoogle Scholar
Malo Ocejo, PMedrano Albeniz, JUriarte Uriarte, J.Schizophrenia and panic attacks. Arch Neurobiol (Madrid) 1991; 54: 11–3.Google ScholarPubMed
Neenan, PFelkner, JReich, J.Schizoid personality traits developing secondary to panic disorder. J Nerv Ment Dis 1986; 174: 483.CrossRefGoogle ScholarPubMed
Overall, JEGorham, DR.The Brief Psychiatric Rating Scale Psychol Rep 1962; 10: 799–812.Google Scholar
Perini, CBattegay, R.Unterschiede in der köperliechen Symptomatik der Angst bei Neurotikern, endogen Depressiven und Schizophrenen. Schweiz Rundschau M 1977; 66: 1474–80.Google Scholar
Reich, JBraginsky, Y.Paranoid personality traits in a panic disorder population: a pilot study. Compr Psychiatry 1994; 35: 260–4.CrossRefGoogle Scholar
Strian, FKlicpera, C.Anxiety in schizophrenic psychoses. Arch Psychiatr Nervenkr 1983; 233: 347–57.CrossRefGoogle ScholarPubMed
Swinson, RPKuch, K.Clinical features of panic and related disorders. Ballenger, JC,Ed. Clinical aspects of panic disorder. New York: Wiley-Liss; 1990. 13–31.Google Scholar
Tien, AYEaton, WW.Psychopathologic precursors and sociodemographic risk factors for the schizophrenia syndrome. Arch Gen Psychiatry 1992; 49: 37–46.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.