Journal of Anxiety Disorders
Volume 20, Issue 2, 2006, Pages 119-138

Neck-focused panic attacks among Cambodian refugees; a logistic and linear regression analysis (Article)

Hinton D.E.* , Chhean D. , Pich V. , Um K. , Fama J.M. , Pollack M.H.
  • a Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, 15 Parkman Street, Boston, MA 02114, United States, Southeast Asian Clinic, Arbour Counseling, Lowell, MA, United States
  • b Southeast Asian Clinic, Arbour Counseling, Lowell, MA, United States
  • c Southeast Asian Clinic, Arbour Counseling, Lowell, MA, United States
  • d Southeast Asian Clinic, Arbour Counseling, Lowell, MA, United States
  • e Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, 15 Parkman Street, Boston, MA 02114, United States
  • f Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, 15 Parkman Street, Boston, MA 02114, United States

Abstract

Consecutive Cambodian refugees attending a psychiatric clinic were assessed for the presence and severity of current - i.e., at least one episode in the last month - neck-focused panic. Among the whole sample (N = 130), in a logistic regression analysis, the Anxiety Sensitivity Index (ASI; odds ratio = 3.70) and the Clinician-Administered PTSD Scale (CAPS; odds ratio = 2.61) significantly predicted the presence of current neck panic (NP). Among the neck panic patients (N = 60), in the linear regression analysis, NP severity was significantly predicted by NP-associated flashbacks (β = .42), NP-associated catastrophic cognitions (β = .22), and CAPS score (β = .28). Further analysis revealed the effect of the CAPS score to be significantly mediated (Sobel test [Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173-1182]) by both NP-associated flashbacks and catastrophic cognitions. In the care of traumatized Cambodian refugees, NP severity, as well as NP-associated flashbacks and catastrophic cognitions, should be specifically assessed and treated. © 2005 Elsevier Inc. All rights reserved.

Author Keywords

posttraumatic stress disorder Panic attack subtypes Flashbacks Panic attack Catastrophic cognitions Cambodian refugees

Index Keywords

Panic Disorder refugee regression analysis logistic regression analysis Cambodia human Refugees middle aged statistics Asian continental ancestry group controlled study panic Cross-Sectional Studies United States Humans neck homicide male female cognition Personality Inventory psychological rating scale linear regression analysis Psychometrics scoring system Article major clinical study adult posttraumatic stress disorder Stress Disorders, Post-Traumatic mental hospital disease severity Cultural Characteristics Mental Recall Fear Somatoform Disorders
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-32044448146&doi=10.1016%2fj.janxdis.2005.02.001&partnerID=40&md5=42ae5e25e379406c09faebb52dd4f3bd
DOI: 10.1016/j.janxdis.2005.02.001
ISSN: 08876185
Cited by: 34
Original Language: English