@article{ref1,
title="Gastrointestinal-focused panic attacks among Cambodian refugees: associated psychopathology, flashbacks, and catastrophic cognitions",
journal="Journal of anxiety disorders",
year="2007",
author="Hinton, Devon E. and Chhean, Dara and Fama, Jeanne M. and Pollack, Mark H. and McNally, R. J.",
volume="21",
number="1",
pages="42-58",
abstract="Among Cambodian refugees attending a psychiatric clinic, we assessed psychopathology associated with gastrointestinal panic (GIP), and investigated possible causal mechanisms, including &quot;fear of fear&quot; and GIP-associated flashbacks and catastrophic cognitions. GIP (n=46) patients had greater psychopathology (Clinician-Administered PTSD Scale [CAPS] and Symptom Checklist-90-R [SCL]) and &quot;fear of fear&quot; (Anxiety Sensitivity Index [ASI]) than did non-GIP patients (n=84). Logistic regression revealed that general psychopathology (SCL; odds ratio=4.1) and fear of anxiety-related sensations (ASI; odds ratio=2.4) predicted the presence of GIP. Among GIP patients, a hierarchical regression revealed that GIP-associated trauma recall and catastrophic cognitions explained variance in GIP severity beyond a measure of general psychopathology (SCL). A mediational analysis indicated that SCL's effect on GIP severity was mediated by GIP-associated flashbacks and catastrophic cognitions.<p /> <p>Language: en</p>",
language="en",
issn="0887-6185",
doi="10.1016/j.janxdis.2006.03.009",
url="http://dx.doi.org/10.1016/j.janxdis.2006.03.009"
}