Is Nocturnal Panic a Distinct Disease Category? Comparison of Clinical Characteristics among Patients with Primary Nocturnal Panic, Daytime Panic, and Coexistence of Nocturnal and Daytime Panic
| Autor: | Tatsuki Sugiura, Yoko Komada, Yuichi Inoue, Shingo Nishida, Masaki Nakamura |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine Night Terrors medicine.medical_specialty Comorbidity Antidepressive Agents Tricyclic Nocturnal Severity of Illness Index behavioral disciplines and activities mental disorders Severity of illness medicine Humans Hypnotics and Sedatives Age of Onset Sex Distribution Psychiatry Retrospective Studies Psychiatric Status Rating Scales Analysis of Variance Panic disorder Panic New Research medicine.disease humanities Airway Obstruction Neurology Panic Disorder Disease category Female Neurology (clinical) Age of onset medicine.symptom Psychology Selective Serotonin Reuptake Inhibitors Clinical psychology |
| Zdroj: | Journal of Clinical Sleep Medicine. :461-467 |
| ISSN: | 1550-9397 1550-9389 |
| Popis: | Many patients with panic disorder (PD) experience nocturnal panic attacks. We investigated the differences in demographic variables and symptom characteristics as well as response to treatment among patients with primary day panic (DP), primary nocturnal panic (NP), and the coexistence of DP and NP (DP/NP), and discuss whether NP is a distinct disease category.One hundred one consecutive untreated patients with PD were enrolled and subsequently divided into the NP, DP, and DP/NP groups. The presence of 13 panic attack symptom items as well as scores on the Panic Disorder Severity Scale (PDSS) and the Pittsburgh Sleep Quality Index (PSQI) were compared among the groups. After 3 months of regular treatment, PDSS scores were assessed again to evaluate treatment response.Nocturnal panic attacks of the participants were mostly reported to occur in the first tertile of nocturnal sleep. The number of males, onset age, and presence of choking sensation were significantly higher, and the PDSS score was significantly lower in the NP group compared with the other groups. The DP/NP group showed the highest PDSS score, and participants in this group were prescribed the highest doses of medication among all groups. Only diagnostic sub-category was significantly associated with treatment response. The total score for PDSS and PSQI correlated significantly only in the NP group.DP/NP could be a severe form of PD, while primary NP could be a relatively mild subcategory that may partially share common pathophysiology with adult type night terror. |
| Databáze: | OpenAIRE |
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