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Reexperiencing symptoms, dissociation, and avoidance behaviors in daily fife of patients with PTSD and patients with panic disorder with agoraphobia

Pfaltz, Monique C. and Michael, Tanja and Meyer, Andrea H. and Wilhelm, Frank H.. (2013) Reexperiencing symptoms, dissociation, and avoidance behaviors in daily fife of patients with PTSD and patients with panic disorder with agoraphobia. Journal of traumatic stress, 26 (4). pp. 443-450.

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Official URL: http://edoc.unibas.ch/dok/A6164867

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Abstract

Panic attacks are frequently perceived as life threatening. Panic disorder (PD) patients may therefore experience symptoms of posttraumatic stress disorder (PTSD). The authors explored this in 28 healthy controls, 17 PTSD patients, and 24 PD patients with agoraphobia who completed electronic diaries 36 times during 1 week. Patient groups frequently reported dissociation as well as thoughts, memories, and reliving of their trauma or panic attacks. PTSD patients reported more trauma/panic attack thoughts (incidence rate ratio [IRR] = 2.9) and memories (IRR = 2.8) than PD patients. Patient groups relived their trauma or panic attacks equally frequently, and reported comparable bodily reactions and distress associated with trauma or panic attack memories. Clinical groups avoided trauma or panic attack reminders more often than healthy controls (avoidance of trauma‐ or panic attack‐related thoughts (IRR = 8.0); avoidance of things associated with the trauma or panic attack (IRR = 40.7). PD patients avoided trauma or panic attack reminders less often than PTSD patients (avoidance of trauma‐ or panic attack‐related thoughts [IRR = 2.5]; avoidance of things associated with the trauma or panic attack [IRR = 4.1]), yet these differences were nonsignificant when controlling for functional impairment. In conclusion, trauma‐like symptoms are common in PD with agoraphobia and panic attacks may be processed similarly as trauma in PTSD.
Faculties and Departments:07 Faculty of Psychology
UniBasel Contributors:Meyer, Andrea Hans
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Kluwer Academic
ISSN:0894-9867
e-ISSN:1573-6598
Note:Publication type according to Uni Basel Research Database: Journal article
Identification Number:
Last Modified:03 Jul 2018 10:20
Deposited On:25 Oct 2013 08:33

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