Cognitive and Behavioral Practice
Volume 12, Issue 3, 2005, Pages 301-311+375

Orthostatically induced panic attacks among Cambodian refugees: Flashbacks, catastrophic cognitions, and associated psychopatholgy (Article)

Hinton D.E.* , Pollack M.H. , Pich V. , Fama J.M. , Barlow D.H.
  • a Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States, Massachusetts General Hospital, Department of Psychiatry, WACC 812, 15 Parkman St., Boston, MA 02114, United States
  • b Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States
  • c Arbour Counseling, Lowell, MA, United States
  • d Harvard University, Cambridge, MA, United States
  • e Center for Anxiety and Related Disorders, Boston University, United States

Abstract

Consecutive Cambodian refugees (N = 100) attending a psychiatric clinic were assessed for the presence and severity of current orthostatic panic (OP), which is defined as panic triggered by standing up. The patients with current OP (n = 36) had significantly great psychopathology than patients without current OP. During OP, trauma associations and catastrophic cognition were common. Negative affectivity's impact on OP severity was significantly mediated (Sobel test; Baron & Kenny, 1986) by orthostasis-associated flashbacks and catastrophic cognitions. In the care of traumatized Cambodian refugees, OP-including associated flashbacks and catastrophic cognitions-should be specifically assessed and treated. Copyright © 2005 by Association for Advancement of Behavior Therapy. All rights of reproduction in any form reserved.

Author Keywords

[No Keywords available]

Index Keywords

male rating scale female cognition major clinical study mood disorder standing Review priority journal refugee mental hospital disease severity psychotrauma panic Cambodia disease association human adult
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-32444444858&doi=10.1016%2fS1077-7229%2805%2980052-5&partnerID=40&md5=636117f42d9c932d8809ba55f69a1efe
DOI: 10.1016/S1077-7229(05)80052-5
ISSN: 10777229
Cited by: 13
Original Language: English