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Am J Psychiatry 157:451-453, March 2000
© 2000 American Psychiatric Association


Brief Report

Childhood Trauma and Dissociative Symptoms in Panic Disorder

Randall D. Marshall, M.D., Franklin R. Schneier, M.D., Shu-Hsing Lin, Ph.D., H. Blair Simpson, M.D., Ph.D., Donna Vermes, R.N.C., and Michael Liebowitz, M.D.

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.




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