Impulsivity in patients with panic disorder-agoraphobia: The role of cyclothymia
| Autor: | Cristina Toni, Marzia Benvenuti, Giulio Perugi, Alessandra Del Carlo, Liliana Dell'Osso |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty lcsh:RC435-571 Neuropsychological Tests Impulsivity Barratt Impulsiveness Scale Cognition lcsh:Psychiatry mental disorders medicine Humans Psychiatry Temperament Agoraphobia Psychiatric Status Rating Scales Panic disorder Cyclothymic Disorder Middle Aged medicine.disease Psychiatry and Mental health Clinical Psychology Affect Hypomania Impulsive Behavior Anxiety sensitivity Anxiety Panic Disorder Female medicine.symptom Psychology Mania Clinical psychology |
| Zdroj: | Comprehensive Psychiatry, Vol 54, Iss 7, Pp 1090-1097 (2013) |
| Popis: | The relationship between Panic Disorder (PD) and impulsivity is not well explored. The present investigation aims to compare impulsivity, measured by different rating tools, in PD patients vs. healthy controls and to explore the influence of co-morbid Cyclothymic Disorder (CD) on the relationship between PD and impulsivity. Sixty-four subjects with PD and 44 matched controls underwent a diagnostic and symptomatological evaluations by the Mini Neuropsychiatric Interview (M.I.N.I) Plus 5.0; the Bech-Rafaelsen Depression and Mania Scale (BRDMS), the State-Trait Anxiety Inventory (STAI), the Hypomania Check List (HCL-32) and the Clinical Global Impression (CGI); the Questionnaire for the Affective and Anxious Temperament Evaluation of Memphis, Pisa, Paris and San Diego-Modified (TEMPS-M), the Separation Anxiety Sensitivity Index (SASI), the Interpersonal Sensitivity Symptoms Inventory (ISSI). Finally, psychometric and neurocognitive evaluations of impulsivity was carried out using the Barratt Impulsiveness Scale (BIS-11) and the Immediate and Delayed Memory Task (IMT/DMT). Subjects with PD were more impulsive than the controls in all the explored measures, reporting higher scores in symptomatological and temperamental scales. The comparison between PD patients with (Cyclo+) and without (Cyclo−) comorbid CD and controls showed that Cyclo+ are the most impulsive subjects in all the investigated measures and are characterized by the greatest symptomatological impairment, the highest scores in temperamental scales, and the highest levels of interpersonal sensitivity and separation anxiety. In our patients with PD, without lifetime comorbidity with major mood episodes, trait and state impulsivity may be related to the presence of comorbid cyclothymic mood instability. |
| Databáze: | OpenAIRE |
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