TY - JOUR PY - 2000// TI - Childhood trauma and dissociative symptoms in panic disorder JO - American journal of psychiatry A1 - Marshall, R. D. A1 - Schneier, F. R. A1 - Lin, S. H. A1 - Simpson, H. Blair A1 - Vermes, D. A1 - Liebowitz, M. SP - 451 EP - 453 VL - 157 IS - 3 N2 - OBJECTIVE: Childhood trauma has been associated with increased risk for both panic disorder and dissociative symptoms in adulthood. The authors hypothesized that among individuals with a primary diagnosis of panic disorder, those experiencing depersonalization/derealization during panic attacks would be more likely to have a history of childhood trauma. METHOD: Rates of traumatic events were compared between panic disorder patients with (N=34) and without (N=40) prominent depersonalization/derealization during panic attacks. Symptom severity in the two groups was also examined. RESULTS: Contrary to the authors' hypothesis, no evidence was found that depersonalization/derealization during panic attacks was associated with childhood trauma. Minimal differences in severity of illness were found between patients with dissociative symptoms and those without such symptoms. CONCLUSIONS: This finding is consistent with a multifactorial model of dissociation. Factors other than childhood trauma and general psychopathology may underlie vulnerability to dissociative symptoms in panic disorder.

Language: en

LA - en SN - 0002-953X UR - http://dx.doi.org/ ID - ref1 ER -