Reduction in Hypochondriasis with Treatment of Panic Disorder

1986 ◽  
Vol 149 (5) ◽  
pp. 631-635 ◽  
Author(s):  
R. Noyes ◽  
J. Reich ◽  
J. Clancy ◽  
T. W. O'Gorman
Keyword(s):  
Panic Disorder ◽  
Psychiatric Patients ◽  
Illness Behavior ◽  
Prominent Feature ◽  
Medical Resources ◽  
Adequate Treatment ◽  
Disease Conviction

Hypochondriasis was assessed in 60 patients with panic disorder and agoraphobia using the Illness Behavior Questionnaire. Before treatment, IBQ hypochondriasis scores were similar to those of a group of hypochondriacal psychiatric patients. In patients who improved with treatment, significant reductions in somatic preoccupation, disease phobia, and disease conviction occurred. Hypochondriasis appears to be a prominent feature of panic disorder and agoraphobia, and responds to treatment of the primary conditions. Our findings underscore the importance of providing adequate treatment and thereby avoiding wasteful use of medical resources and alienation of patients from doctors.

Respiratory panic attacks and COVID-19 Contact details: Kotova O.V. — PhD (medicine), Associate Professor of the Department of Psychiatry, Psychotherapy and Psychosomatic Pathology Address: 45 Dubninskaya St., building 1, apt. 1, Moscow, Russian Federation, 127174, tel.: +7-903-117-99-83, e-mail: [email protected] The unpredictability of the COVID-19 spread and the pandemic has led to a loss of self-control in many people, to anxiety and panic. Social restrictions due to the new coronavirus infection also negatively affected the mental and social well-being of the population. Under these conditions, the mental disorders incidence, including panic disorders, has increased significantly and has attracted attention to this problem as one of the current pandemic consequences. Panic attacks can have a significant respiratory component. In such cases, panic attacks are called respiratory attacks, and their clinical manifestations may be similar to some of the COVID-19 symptoms. For example, coughing and breathlessness are common in coronavirus infection and are potentially considered by patients as а high risk symptoms of an adverse outcome, and cause fear of developing acute respiratory distress syndrome. Due to the possibility of the increase of the respiratory panic attacks prevalence after the COVID-19 pandemic has regressed, the relevance of timely detection and adequate treatment of panic disorder is increasing. Key words: panic attacks, hyperventilation syndrome, respiratory panic attacks, panic disorder, COVID-19

2021 ◽  
Vol 19 (1) ◽  
pp. 29-33
Author(s):  
O. V. Kotova ◽  
◽  
A. R. Artemenko ◽  
A. A. Belyaev ◽  
E. S. Akarachkova ◽  
...  
Keyword(s):  
Panic Disorder ◽  
Distress Syndrome ◽  
Clinical Manifestations ◽  
Well Being ◽  
Self Control ◽  
Panic Attacks ◽  
Adequate Treatment ◽  
Panic Disorders ◽  
Loss Of Self ◽  
Coronavirus Infection

The unpredictability of the COVID-19 spread and the pandemic has led to a loss of self-control in many people, to anxiety and panic. Social restrictions due to the new coronavirus infection also negatively affected the mental and social well-being of the population. Under these conditions, the mental disorders incidence, including panic disorders, has increased significantly and has attracted attention to this problem as one of the current pandemic consequences. Panic attacks can have a significant respiratory component. In such cases, panic attacks are called respiratory attacks, and their clinical manifestations may be similar to some of the COVID-19 symptoms. For example, coughing and breathlessness are common in coronavirus infection and are potentially considered by patients as а high risk symptoms of an adverse outcome, and cause fear of developing acute respiratory distress syndrome. Due to the possibility of the increase of the respiratory panic attacks prevalence after the COVID-19 pandemic has regressed, the relevance of timely detection and adequate treatment of panic disorder is increasing.

Crossed Hand-Eye Dominance in Male Psychiatric Patients

2002 ◽  
Vol 95 (3) ◽  
pp. 728-732 ◽  
Author(s):  
Orestis Giotakos
Keyword(s):  
Mental Retardation ◽  
Panic Disorder ◽  
Cognitive Deficits ◽  
Psychiatric Patients ◽  
Hemispheric Lateralization ◽  
Heroin Addiction ◽  
Psychotic Symptoms ◽  
Control Group ◽  
Eye Dominance ◽  
Personality Disordered

Increased incidence of left-eye and crossed hand-eye dominance have been considered as indicating left hemispheric dysfunction in many neuropsychiatric disorders. This study investigates the incidence of left-eye and crossed hand-eye dominance in patience with schizophrenia ( n = 68), panic disorder ( n = 62), personality disorder ( n = 35), heroin addiction ( n = 54), and mental retardation ( n = 33), in comparison with controls ( n = 944). All psychiatric groups, except the group with panic disorder, had significantly greater frequency of left-eye dominance than the control group. Furthermore, all psychiatric groups, except the personality-disordered group, had significantly greatest frequency of crossed hand-eye dominance than the control group. These findings further support the evidence of an anomaly in hemispheric lateralization among different psychiatric populations, particularly among those with psychotic symptoms and cognitive deficits.

Hypochondriacal Fears and Beliefs, Anxiety, and Somatisation

1992 ◽  
Vol 160 (4) ◽  
pp. 525-532 ◽  
Author(s):  
Robert Kellner ◽  
Juan Hernandez ◽  
Dorothy Pathak
Keyword(s):  
General Practice ◽  
Linear Regression ◽  
Rating Scales ◽  
Psychiatric Patients ◽  
Somatic Symptoms ◽  
False Belief ◽  
Symptom Checklist ◽  
Stepwise Linear Regression ◽  
Males And Females ◽  
Disease Conviction

Four self-rating scales of hypochondriasis and the Symptom Checklist-90 were administered to 100 general practice (GP) patients and matched non-psychotic psychiatric out-patients. In a stepwise linear regression, self-rated somatic symptoms and anxiety predicted hypochondriacal fears and beliefs; self-rated depression did not appear as a predictor. There were differences between males and females and between psychiatric patients and GP patients in the associations of these constructs. These results varied in part with the scale of hypochondriasis used. Various scales of hypochondriasis appear to measure different features of the hypochondriasis syndrome. Fear of disease (disease phobia) was associated with anxiety, whereas a false belief of having a disease (disease conviction) was associated more with somatic symptoms.

Study of cardiovascular risk factors in mental disorders

2011 ◽  
Vol 26 (S2) ◽  
pp. 1167-1167
Author(s):  
M.A. Ruiz Feliu ◽  
M.C. Campos Mangas
Keyword(s):  
Risk Factors ◽  
Metabolic Syndrome ◽  
Cardiovascular Risk ◽  
General Population ◽  
Cardiovascular Risk Factors ◽  
Mental Health Center ◽  
Psychiatric Patients ◽  
Outpatient Basis ◽  
Treatment Protocols ◽  
Adequate Treatment

IntroductionPsychiatric patients have high rates of cardiovascular disease compared with the general population, but little is known about the prevalence of metabolic syndrome that predisposes them to this condition.ObjectivesAssess the presence of metabolic syndrome in psychiatric patients on an outpatient basis and compare their rates with those for the general population.MethodsA sample of 80 patients followed for six months in a mental health center of San Sebastian were interviewed and assessed, diagnose metabolic syndrome according to the criteria of the ATP-III guide. The results were compared with those of a representative sample of the general population of that health care settings.ResultsThe mean age of patients was 52 years, with 57% of women. The prevalence of current smoking was 36.4% (general population = 32%) of obesity of 41.4% (PG = 16.6%), hypertension 30.8% (PG = 15.3%), diabetes mellitus 12.4% (PG = 6.8%), and dyslipidemia of 30.4% (PG = 11.1%). 41.4% of patients in the study met diagnostic criteria for metabolic syndrome, while this figure was 24% in the general population and took place at a later age. 60% of patients with metabolic abnormality was not receiving adequate treatment.ConclusionsThe prevalence of cardiovascular risk factors in psychiatric outpatients is very high and requires the application of treatment protocols to improve their physical health.

scholarly journals Abnormal illness behavior and Internet addiction severity: The role of disease conviction, irritability, and alexithymia

2017 ◽  
Vol 6 (1) ◽  
pp. 92-97 ◽  
Author(s):  
Giuseppe Scimeca ◽  
Antonio Bruno ◽  
Manuela Crucitti ◽  
Claudio Conti ◽  
Diego Quattrone ◽  
...  
Keyword(s):  
Internet Addiction ◽  
Illness Behavior ◽  
Addiction Severity ◽  
Abnormal Illness Behavior ◽  
Disease Conviction

Debate: Can suicide be prevented?

2016 ◽  
Vol 33 (S1) ◽  
pp. S2-S2
Author(s):  
D. Wasserman
Keyword(s):  
Psychiatric Patients ◽  
Systematic Evaluation ◽  
Adequate Treatment ◽  
Treatment And Prevention ◽  
Genetic Predictors ◽  
Measurement Tools ◽  
Life Threatening ◽  
Competing Interest ◽  
Unnecessary Death ◽  
Commit Suicide

Suicidal behaviour is the most common life-threatening psychiatric emergency. Reliable and precise tools to predict suicidal behaviours and to get support in the clinical practice are frequently requested.Several measurement tools for suicide risk assessment, both psychometric and biological have been studied. However, the low precision of the predictions make these tools insufficient from the clinical perspective. To date, the same applies to the search of genetic predictors. The best information is gained in a standard clinical evaluation, which puts focus on the need of acquiring the best possible knowledge and skills by practicing clinicians.The European Psychiatric Association (EPA) issued a guidance paper on suicide treatment and prevention, which was published in the European Psychiatry in 2012 [1]. This guidance paper elucidates the process of systematic evaluation of suicidal risks in the clinical interview, an overview of the best treatment possibilities and strategies for follow-up. As psychiatric patients constitute the majority of people who commit suicide, the adequate treatment of depression, substance use disorders, schizophrenia and other psychiatric diseases is a must.We will probably never be able to have perfect measurements to predict if an individual will or will not commit suicide, due to the complexities of human behaviour. However, with a good clinical praxis, suicide is an unnecessary death [2].Disclosure of interestThe author has not supplied his declaration of competing interest.

Depression and anxiety as a single disorder: evidence from brain stem auditory evoked potentials

1997 ◽  
Vol 12 (8) ◽  
pp. 395-398 ◽  
Author(s):  
R Kimhi ◽  
Y Barak ◽  
D Levy ◽  
A Elizur
Keyword(s):  
Panic Disorder ◽  
Evoked Potentials ◽  
Brain Stem ◽  
Auditory Evoked Potentials ◽  
Psychiatric Patients ◽  
Small Sample ◽  
Depression And Anxiety ◽  
Diagnostic And Statistical Manual ◽  
Depression Scales ◽  
Drug Free

SummaryAnxiety and depression are often interlinked as demonstrated by clinical, epidemiological, psychopharmacological and even genetic studies. However, robust biochemical and electrophysiological evidence for linkage or separation of mood and anxiety disorders is scarce. Brain stem auditory evoked potentials (BASEP) can easily and non-invasivly be measured in psychiatric patients and reflect neurophysiological processes in the brain stem. The aim of the present study was to evaluate BASEP in drug-free patients suffering from panic disorder or major depression and to compare these to healthy controls. Patients (n = 26; panic = 16, depression = 10) were diagnosed according to Diagnostic and Statistical Manual (DSM)-III-R criteria assessed by the Hamilton Anxiety and Hamilton Depression Scales, and all underwent 3 weeks of medications washout. All subjects (n = 36) completed the study. N3 latency was decreased in the patient group (P < 0.05), N3-5 interval was lengthened (P < 0.05), the N3 latency correlated with anxiety scores and depression scores correlated with the N3 and N5 latency periods. In conclusion, our small sample demonstrated shared electrophysiological variables in panic disorder and depression, further supporting the concept of spectrum disorder.

Coping as an Index of Illness Behavior in Panic Disorder

1987 ◽  
Vol 175 (2) ◽  
pp. 78-84 ◽  
Author(s):  
PETER P. VITALIANO ◽  
WAYNE KATON ◽  
JOAN RUSSO ◽  
ROLAND D. MAIURO ◽  
KATHLEEN ANDERSON ◽  
...  
Keyword(s):  
Panic Disorder ◽  
Illness Behavior

scholarly journals Do defense mechanisms vary according to the psychiatric disorder?

2006 ◽  
Vol 28 (3) ◽  
pp. 179-183 ◽  
Author(s):  
Carolina Blaya ◽  
Marina Dornelles ◽  
Rodrigo Blaya ◽  
Letícia Kipper ◽  
Elizeth Heldt ◽  
...  
Keyword(s):  
Discriminant Analysis ◽  
Panic Disorder ◽  
Defense Mechanisms ◽  
Psychiatric Patients ◽  
Acting Out ◽  
Obsessive Compulsive ◽  
Psychiatric Interview ◽  
Defense Style ◽  
Defense Style Questionnaire ◽  
Depressive Patients

OBJECTIVE: The aim of this study was to evaluate the defense mechanisms used by depressive and anxious patients without comorbidities compared to those used by controls and to determine whether these patterns differ between diagnoses. METHOD: The sample was composed of 167 psychiatric patients and 36 controls that were evaluated using the Defense Style Questionnaire 40. All subjects were evaluated through a clinical interview, and each evaluation was confirmed through the application of the Mini International Neuropsychiatric Interview, a structured psychiatric interview. We used ANOVA and discriminant analysis to assess differences between groups. RESULTS: Neurotic defense mechanisms discriminated controls from all patients except those with social anxiety. Immature defense mechanisms differentiated controls from all patients, as well as distinguished depressive patients from panic disorder and obsessive disorder patients. The discriminant analysis indicated that depressive patients are characterized by projection, panic disorder patients by sublimation and obsessive-compulsive patients by acting out. CONCLUSIONS: Depressive and anxious patients differ from other individuals in their use of defense mechanisms, and each diagnosis has a particular pattern. These findings could lead to the development of specific psychotherapeutic interventions.

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