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• W4210977877 startingPage "133" @default.
• W4210977877 abstract "Patients with PD experience recurrent episodes of panic, characterised by an intense feeling of impending doom or apprehension. These effects may be accompanied by several physical manifestations of anxiety (see Tab. 5.1). A three-part phenomenological model for PD has been formulated (Klein, 1981). The acute panic attack is the keystone of this model, characterised by sudden and spontaneous, crescendo-like onset of autonomic symptoms and a subjective sense of dread. These attacks last between 10 and 30 min in most instances, and then the patient returns to baseline functioning. The second feature is anticipatory anxiety. The patient begins to worry that an attack will occur again. Rather than returning to baseline after each attack, the patient now exists in a more chronic state of anxiety, always anticipating the onset of an attack. Finally, a subset of patients with PD develops phobic avoidance. In many of these patients, incapacitating agoraphobia supervenes, as they fear leaving the security of home in case a panic attack occurs. The question of whether panic attacks play a fundamental role in the development of agoraphobia remains controversial (Klein et al., 1983; Basoglu et al., 1994). Nevertheless, most patients with agoraphobia had panic attacks before becoming phobic (DeNardo et al., 1983; Noyes et al., 1986; Uhde et al., 1985)." @default.
• W4210977877 created "2022-02-13" @default.
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• W4210977877 date "2002-01-01" @default.
• W4210977877 modified "2023-10-05" @default.
• W4210977877 title "Panic disorder" @default.
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