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Risk factors for fearful spells, panic attacks and panic disorder in a community cohort of adolescents and young adults

Asselmann, Eva and Wittchen, Hans-Ulrich and Lieb, Roselind and Beesdo-Baum, Katja. (2016) Risk factors for fearful spells, panic attacks and panic disorder in a community cohort of adolescents and young adults. Journal of Affective Disorders, 193. pp. 305-308.

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Official URL: http://edoc.unibas.ch/45182/

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Abstract

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.; 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.; 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.; No strictly prospective analytical approach was used. Time intervals between some risk factors and their retrospective assessment were relatively long.; 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.
Faculties and Departments:07 Faculty of Psychology > Departement Psychologie > Forschungsbereich Klinische Psychologie und Neurowissenschaften > Klinische Psychologie und Epidemiologie (Lieb)
UniBasel Contributors:Lieb, Roselind
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Elsevier
ISSN:0165-0327
e-ISSN:1573-2517
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:30 Oct 2017 09:13
Deposited On:30 Oct 2017 09:13

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