PEDIATRICS Vol. 94 No. 1 July 1994, pp. 108-110
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Role of Panic Attacks in the Intractability of Asthma in Children

Chantal Baron MD1 and Jacques-Édouard Marcotte MD1

1 Departments of Psychiatry and Pediatrics, Section of Pneumology, Hôpital Sainte-Justine, Université de Montréal, Montreal, Quebec, Canada H3T 1C5

Many authors have stressed the impact of anxiety on asthma. Kinsman has demonstrated how a "panicky" life-style could interfere with asthma management and even result in an increase in use of medications.1 Similar findings were observed in children at our institution.2,3

Contrary to the concept of a "panicky" patient as used by Kinsman,1 the American Psychiatric Association defines a specific entity called panic state or panic disorder remarkable by its intensity and painfulness as well as in the intense fear of resurgence it provokes in patients.

The official criteria of panic disorder in DSM3-R4 in the adult classification are:

A) One or more panic attacks (discrete periods of intense fear or discomfort) that were unexpected, ie, did not occur immediately on exposure to a situation that almost always caused anxiety.

Submitted on July 27, 1993
Accepted on November 19, 1993




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