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Increase of panic during the second part of pregnancy

Published online by Cambridge University Press:  16 April 2020

C Verburg
Affiliation:
Department of Clinical and Biological Psychiatry, State University of Limburg, PO Box 616, 6200 MD Maastricht, The Netherlands
E Griez
Affiliation:
Department of Clinical and Biological Psychiatry, State University of Limburg, PO Box 616, 6200 MD Maastricht, The Netherlands
J Meijer
Affiliation:
Department of Clinical and Biological Psychiatry, State University of Limburg, PO Box 616, 6200 MD Maastricht, The Netherlands
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Summary

Four pregnancies in three panic disorder patients are described. In three pregnancies panic symptoms improved initially, but worsened in the second half. One patient developed panic disorder in the second half of her pregnancy. Changes in balance between progesterone and estrogen could explain this clinical course.

Type
Rapid communication
Copyright
Copyright © Elsevier, Paris 1994

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References

Cowley, DSRoy-Byrne, PPPanic disorder during pregnancy. J Psychosom Obstel Gynaecol 1989;10:193210CrossRefGoogle Scholar
George, DTLadenheim, JANutt, DJEffect of pregnancy on panic attacks. Am J Psychiatry 1987;144:1078–9Google ScholarPubMed
Klein, DFFalse suffocation alarms, spontaneous panics, and related conditions. Arch Gen Psychiatry 1993;50:306–17CrossRefGoogle ScholarPubMed
Price, WAHeli, DEstrogen-induced panic attacks. Psychosomatics 1988;49:480–4Google Scholar
Villeponteaux, VALydiard, RBLaraia, MTStuart, GWBallenger, JCThe effect of pregnancy on preexisting panic disorder. J Clin Psychiatry 1992;53(6):201–3Google Scholar
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