Panic disorder phenomenology in urban self-identified Caucasian-Non-Hispanics and Caucasian-Hispanics

Michael Hollifield, Margaret R Finley, Betty Skippe

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

The epidemiology of panic disorder is well known, but data about some phenomenological aspects are sparse. The symptom criteria for panic disorder were developed largely from rational expert consensus methods and not from empirical research. This fact calls attention to the construct validity of the panic disorder diagnosis, which may affect accuracy of epidemiological findings. Seventy self-identified Non-Hispanic-Caucasian (Anglo) and Hispanic-Caucasian (Hispanic) people who were diagnosed with DSM-III-R panic disorder with or without agoraphobia were invited to complete a Panic Phenomenological Questionnaire (PPQ), which was constructed for this study from the Hamilton Anxiety Scale Items and The DSM-III-R panic symptoms. Fifty (71%) subjects agreed to participate, and there was no response bias detected. Seven symptoms on the PPQ that are not in the DSM-IV diagnostic criteria were reported to occur with a high prevalence in this study. Furthermore, many symptoms that occurred with a high frequency and were reported to be experienced as severe are also not included in current nosology. A few of the DSM-IV criterion symptoms occurred with low prevalence, frequency, and severity. Cognitive symptoms were reported to occur with higher frequency and severity during attacks than autonomic or other symptoms. There were modest differences between ethnic groups with regard to panic attack phenomena. Further research using multiple empirical methods aimed at improving the content validity of the panic disorder diagnosis is warranted. This includes utilizing consistent methods to collect data that will allow for rational decisions about how to construct valid panic disorder criteria across cultures.

Original languageEnglish (US)
Pages (from-to)7-17
Number of pages11
JournalDepression and Anxiety
Volume18
Issue number1
DOIs
StatePublished - 2003
Externally publishedYes

Fingerprint

Panic Disorder
Hispanic Americans
Diagnostic and Statistical Manual of Mental Disorders
Panic
Agoraphobia
Neurobehavioral Manifestations
Empirical Research
Ethnic Groups
Consensus
Epidemiology
Anxiety
Cross-Sectional Studies
Research

Keywords

  • Anxiety
  • Culture
  • Diagnosis
  • Ethnicity
  • Explanatory model
  • Measurement
  • Nosology
  • Panic disorder
  • Phenomenology
  • Validity

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Psychology(all)
  • Clinical Psychology

Cite this

Panic disorder phenomenology in urban self-identified Caucasian-Non-Hispanics and Caucasian-Hispanics. / Hollifield, Michael; Finley, Margaret R; Skippe, Betty.

In: Depression and Anxiety, Vol. 18, No. 1, 2003, p. 7-17.

Research output: Contribution to journalArticle

Hollifield, Michael ; Finley, Margaret R ; Skippe, Betty. / Panic disorder phenomenology in urban self-identified Caucasian-Non-Hispanics and Caucasian-Hispanics. In: Depression and Anxiety. 2003 ; Vol. 18, No. 1. pp. 7-17.
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