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Showing 2 results for Panic Attacks

Ali Khazaee, Usha Barahmand,
Volume 2, Issue 3 (9-2014)
Abstract

Panic attacks are discrete episodes of intense fear or discomfort accompanied by symptoms such as palpitations, shortness of breath, sweating, trembling, derealization and a fear of losing control or dying. Although panic attacks are required for a diagnosis of panic disorder, they also occur in association with a host of other disorders listed in the 5h version of the diagnostic and statistical manual of mental disorders. This paper presents the steps in making a differential diagnosis of panic attacks. Detailed explanations with appropriate examples are provided to illustrate each of the decision-making process. The first step in the differential for a panic attack is to rule out the presence of etiological substance or medication use. When taken in high enough doses or during substance withdrawal, a number of substances and medications can lead to a panic attack. Next, possible etiological general medical conditions such as hyperthyroidism or pheochromocytoma, should be considered. Once it is clear that panic attacks are not the direct physiological consequence of a substance or medical condition, the next step is to determine the relationship between the panic attacks and a possible situational trigger. Finally, panic attacks triggered by a realistic event do not warrant a diagnosis of a mental disorder. An illustrative flow chart which will facilitate the differential diagnosis of panic attacks is provided in this review.
Seyedeh Samaneh Esteghamat, Sanaz Moghaddami, Seyedeh Sana Esteghamat, Hadi Kazemi, Peir Hossein Kolivand, Ali Gorji,
Volume 4, Issue 3 (12-2016)
Abstract

The aim of this study was to compare the level of anxiety and depression in patients admitted to surgery or internal departments. The study was carried out on 359 hospitalized patients over the age of 18 years and designed as a cross sectional survey. Participants were recruited from internal medicine and surgery departments of Khatam Al Anbia Hospital, Tehran, Iran. Information was collected using the Hospital Anxiety and Depression Scale. Ninety-four (26.18%) patients had no anxiety and depression, 96 (26.7%) were borderline cases of anxiety, 140 (39%) were very anxious, 89 (24.8%) were borderline cases of depression, and 106 (29.5%) had depressed mood. There was a significant correlation between anxious mood and sex and duration of background disease as well as between the level of depressive mood and age. Patients with anxiety are significantly more prone to depression. However there were no significant differences between the level of anxiety or depression between surgical or non-surgical patients. The prevalence of anxious and depressive moods was high in both surgical and non-surgical patients. However, non-surgical treatments were as stressful as surgical procedures for patients admitted to hospital in the first 24 h.



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مجله علوم اعصاب شفای خاتم The Neuroscience Journal of Shefaye Khatam
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