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Panic Disorder With Nocturnal Panic Attacks: Symptoms and Comorbidities

Published online by Cambridge University Press:  15 October 2007

Gökhan Sarísoy*
Affiliation:
Ondokuz Mayis University, Faculty of Medicine, Department of Psychiatry, 55139Samsun, Turkey
Ömer Böke
Affiliation:
Ondokuz Mayis University, Faculty of Medicine, Department of Psychiatry, 55139Samsun, Turkey
Ali C. Arík
Affiliation:
Ondokuz Mayis University, Faculty of Medicine, Department of Psychiatry, 55139Samsun, Turkey
Ahmet R. Şahin
Affiliation:
Ondokuz Mayis University, Faculty of Medicine, Department of Psychiatry, 55139Samsun, Turkey
*
Corresponding author. E-mail address: gokhansarisoy@gmail.com (G. Sarísoy).
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Abstract

The aim of this study was to determine the relationship between nocturnal panic attacks and comorbidities, clinical variables and panic attack symptoms. One hundred and six consecutive patients with DSM-IV panic disorder were enrolled in the study. The patients were divided into two groups depending on the presence of nocturnal panic attacks. Comorbidities were diagnosed with the help of SCID-I and SCID-II. The groups were compared using the Beck Depression Inventory, State-Trait Anxiety Inventory and Symptom Checklist. Nocturnal panic attacks were not related to comorbidities or age at the onset of the disease. The scores from the Beck Depression Inventory, general scores from the Symptom Checklist, somatization, obsession-compulsion, interpersonal sensitivity and anger-hostility sub-scale scores were higher in the nocturnal panic attack group. Patients with nocturnal panic attacks experience more frequent respiratory symptoms, suggesting that nocturnal panic attacks may be related to respiratory symptoms. Our findings demonstrate that patients with nocturnal panic attacks have more respiratory symptoms of panic, depressive and other psychiatric symptoms than the no nocturnal panic group.

Type
Original article
Copyright
Copyright © European Psychiatric Association 2008

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References

Agargun, M.Y., Kara, H.Nocturnal panic in patients with panic disorder: the association with major depression. Eur Psychiatry 1997;12:4243.CrossRefGoogle Scholar
Agargun, M.Y., Kara, H.Recurrent nocturnal panic, insomnia, and suicidal behavior in patients with panic disorder. Compr Psychiatr 1998;39:149151.CrossRefGoogle Scholar
Albert, U., Maina, G., Bergesio, C., Bogetto, F.Axis I and II comorbidities in subjects with and without nocturnal panic. Depress Anxiety 2006;23:422428.CrossRefGoogle ScholarPubMed
Albert, U., Maina, G., Bergesio, C., Bogetto, F.Nocturnal panic and recent life events. Depress Anxiety 2005;22:5258.CrossRefGoogle ScholarPubMed
Beck, A.T., Ward, C.N., Mendelson, M., Mock, J., Erbaugh, J.An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561571.CrossRefGoogle ScholarPubMed
Biber, B., Alkin, T.Panic disorder subtypes: differential responses to CO2 challenge. Am J Psychiatry 1999;156(5):739744.Google ScholarPubMed
Bouwer, C., Stein, D.J.Association of panic disorder with a history of traumatic suffocation. Am J Psychiatry 1997;154:15661570.CrossRefGoogle ScholarPubMed
Briggs, A.C., Stretch, D.D., Brandon, S.Subtyping of panic disorder by symptom profile. Br J Psychiatry 1993;163:201209.CrossRefGoogle ScholarPubMed
Craske, M.G., Barlow, D.H.Nocturnal panic. J Nerv Mental Dis 1989;177:160167.CrossRefGoogle ScholarPubMed
Craske, M.G., Freed, S.Expectations about arousal and nocturnal panic. J Abnorm Psychol 1995;104:567575.CrossRefGoogle ScholarPubMed
Craske, M.G., Kreuger, M.The prevalence of nocturnal panic in a college population. J Anxiety Disord 1990;4:125139.CrossRefGoogle Scholar
Craske, M.G., Lang, A.J., Mystkowski, J.L., Zucker, B.G., Bystritsky, A., Yan-go, F.Does nocturnal panic represent a more severe form of panic disorder?. J Nev Ment Dis 2002;190:611618.CrossRefGoogle ScholarPubMed
Craske, M., Rowe, M.K.Nocturnal panic. Clin Psychol Sci Pract 1997;2:153174.CrossRefGoogle Scholar
Dag, I.Belirti Tarama Listesi (SCL-90-R)’nin üniversite öğrencileri için güvenirliği ve geçerliği. Türk Psikiyatri Dergisi 1991;2:512 (In Turkish)Google Scholar
Derogatis, L.R., Rickels, K., Rock, A.F.The SCL-90 and the MMPI: a step in the validation of a new self-report scale. Br J Psychol 1976;128:280289.CrossRefGoogle ScholarPubMed
First, M.B., Robert, L., Spitzer, R.L., Gibbon, M., Williams, J.B.W.Structured clinical interview for DSM-IV axis I disorders (SCID-I). Washington DC: American Psychiatric Press; 1997.Google Scholar
Freed, S., Craske, M.G., Greher, M.R.Nocturnal panic and trauma. Depress Anxiety 1999;9:141145.3.0.CO;2-5>CrossRefGoogle ScholarPubMed
Freire, FC, Valença, AM, Nascimento, I, Lopes, FL, Mezzasalma, MA, Zin, VA, et al.Clinical features of respiratory and nocturnal panic disorder subtypes. Psychiatry Research (2007). (Epub ahead of print – http://dx.doi.org/doi:10.1016/j.psychres.2006.01.003).Google Scholar
Hisli, N.Beck Depresyon Envanteri'nin geçerliği üzerine bir çalışma. Psikoloji Dergisi 1998;6(22):118126 (In Turkish)Google Scholar
Labbate, L.A., Pollack, M.H., Otto, M.W., Langenauer, S., Rosenbaum, J.F.Sleep panic attacks: an association with childhood anxiety and adult psychopathology. Biol Psychiatry 1994;36:5760.CrossRefGoogle ScholarPubMed
Lopes, F.L., Nardi, A.E., Nascimento, I., Valença, A.M., Mezzasalma, M.A., Freire, R.C.et al.Diurnal panic attacks with and without nocturnal panic attacks: are there some phenomenological differences?. Rev Bras Psychiatry 2005;27(3):216221.CrossRefGoogle ScholarPubMed
Lopes, F.L., Nardi, A.E., Nascimento, I., Valença, A.M., Zin, W.A.Nocturnal panic attacks. Arq Neuro-Psiquiatr 603-B2002 717720.CrossRefGoogle ScholarPubMed
Lopes, F.L., Nascimento, I., Valença, A.M., Versiani, M., Nardi, A.E.Respiratory symptoms in nocturnal panic attacks. Can J Psychiatry 2002;47:76847685.CrossRefGoogle ScholarPubMed
Mellman, T.A., Uhde, T.W.Electroencephalographic sleep in panic disorder. Arch Gen Psychiatry 1989;45:178184.CrossRefGoogle Scholar
Mellman, T.A., Uhde, T.W.Sleep panic attacks: new clinical findings and theoretical implications. Am J Psychiatry 1989;146:12041207.Google ScholarPubMed
Merikangas, K.R.Anxiety disorders: epidemiology. In: Sadock, B.J., Sadock, V.A.. editors. Kaplan & Sadock's comprehensive textbook of psychiatry 8th ed.Philadelphia, USA: Lippincott Williams & Wilkins; 2005. p. 1724.Google Scholar
Merritt-Davis, O., Balon, R.Nocturnal panic: biology, psychopathology, and its contribution to the expression of panic disorder. Depress Anxiety 2003;18:221227.CrossRefGoogle ScholarPubMed
Nardi, A.E., Lopes, F.L., Valença, A.M., Nascimento, I., Perna, G.Pregnancy and respiratory nocturnal attacks. Can J Psychiatry 2003;48(8):573574.CrossRefGoogle Scholar
Norton, G.R., Norton, P.J., Walker, J.R., Cox, B.J., Stein, M.R.A comparison of people with and without nocturnal panic attacks. J Behav Ther Exper Psychiatry 1999;30:37–34.CrossRefGoogle ScholarPubMed
O'Mahony, J.F., Ward, B.G.Differences between those who panic by day and those who also panic by night. J Behav Ther Exper Psychiatry 2003;34:239249.CrossRefGoogle Scholar
Oner, N., Le Compte, A.Durumluk-Sürekli Kaygi Envanteri Elkitabi. Istanbul: Bogazici Yayinları; 1985. (In Turkish).Google Scholar
Overbeek, T., van Diest, R., Schruers, K., Kruizinga, F., Griez, E.Sleep complaints in panic disorder patients. J Nerv Ment Dis 2005;193:488493.CrossRefGoogle ScholarPubMed
Ozkurkcugil, A., Aydemir, O., Yildiz, M., Danacı, A.E., Köroğlu, E.DSM-IV Eksen I bozuklukları için yapılandırılmış klinik görüşmenin Türkçe'ye uyarlanması ve güvenirlilik çalışması. İlaç ve Tedavi Dergisi 1999;12:233236 (In Turkish)Google Scholar
Shapiro, C.M., Sloan, E.P.Nocturnal panic: an underrecognized entity. J Psychosom Res 1998;44(1):2123.CrossRefGoogle ScholarPubMed
Sorias, S., Saygılı, R., Elbi, H., Vahip, S., Mete, L., Nifirne, Z.et al.Structured clinical interview for DSM-III-R personality disorders. Turkish version. İzmir, Ege Üniversitesi Basımevi 1990.Google Scholar
Spielberg, C.D., Gersuch, R.L., Lushene, R.E.Manual for the state-trait anxiety inventory. Palo Alto, CA: Consulting Psychologist Press; 1970.Google Scholar
Spitzer, R.L., Williams, J.B.W., Gibbon, M., First, M.Manual for the structured clinical interview for DSM-III-R personality disorders. Washington D.C: American Psychiatric Press; 1990.Google Scholar
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