Panic attacks and panic disorder in the American Indian community

Craig Sawchuk, Peter Roy-Byrne, Carolyn Noonan, Julia R. Craner, Jack Goldberg, Spero Manson, Dedra Buchwald

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Panic disorder is a common mental health condition, but little is known about panic disorder in non-Caucasian populations. The purpose of this study is to describe the epidemiology, clinical features, and comorbidities of panic attacks and panic disorder in two large American Indian (AI) tribes (N = 3084). A culturally-adapted version of the Composite International Diagnostic Interview assessed panic attacks, panic disorder, and various psychiatric comorbidities. After adjusting for age, gender, and tribe, linear and logistic regression analyses were conducted to compare AIs with panic disorder to those with panic attacks only on clinical characteristics and panic symptoms. Approximately 8.5% (N = 234) of American Indians reported a lifetime history of panic attacks. Among individuals with panic attacks, comorbid posttraumatic stress disorder was higher in females (p = 0.03) and comorbid alcohol-related disorders were higher in males (p ≤ 0.001). The prevalence and clinical features of panic attacks and panic disorder in American Indians were similar to epidemiologic studies with majority populations. However, in contrast to earlier research, panic symptoms were similar in both males and females, and different patterns of comorbidity emerged. Future research should examine the availability and accessibility of evidence-based panic treatments for this traditionally underserved population.

Original languageEnglish (US)
Pages (from-to)6-12
Number of pages7
JournalJournal of Anxiety Disorders
Volume48
DOIs
StatePublished - May 1 2017

Fingerprint

North American Indians
Panic Disorder
Panic
Comorbidity
Population Groups
Alcohol-Related Disorders
Vulnerable Populations
Post-Traumatic Stress Disorders
Population
Psychiatry
Epidemiologic Studies
Linear Models
Mental Health
Epidemiology
Logistic Models
Regression Analysis
Interviews

Keywords

  • American Indian
  • Panic attacks
  • Panic disorder
  • Panic symptoms

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Sawchuk, C., Roy-Byrne, P., Noonan, C., Craner, J. R., Goldberg, J., Manson, S., & Buchwald, D. (2017). Panic attacks and panic disorder in the American Indian community. Journal of Anxiety Disorders, 48, 6-12. https://doi.org/10.1016/j.janxdis.2016.10.004

Panic attacks and panic disorder in the American Indian community. / Sawchuk, Craig; Roy-Byrne, Peter; Noonan, Carolyn; Craner, Julia R.; Goldberg, Jack; Manson, Spero; Buchwald, Dedra.

In: Journal of Anxiety Disorders, Vol. 48, 01.05.2017, p. 6-12.

Research output: Contribution to journalArticle

Sawchuk, C, Roy-Byrne, P, Noonan, C, Craner, JR, Goldberg, J, Manson, S & Buchwald, D 2017, 'Panic attacks and panic disorder in the American Indian community', Journal of Anxiety Disorders, vol. 48, pp. 6-12. https://doi.org/10.1016/j.janxdis.2016.10.004
Sawchuk, Craig ; Roy-Byrne, Peter ; Noonan, Carolyn ; Craner, Julia R. ; Goldberg, Jack ; Manson, Spero ; Buchwald, Dedra. / Panic attacks and panic disorder in the American Indian community. In: Journal of Anxiety Disorders. 2017 ; Vol. 48. pp. 6-12.
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