title: Panic attacks and panic disorder in the American Indian community.
abstract: Panic disorder is a common mental health condition, but little is known about panic disorder in non-Caucasian populations. The purpose of this study is to describe the epidemiology, clinical features, and comorbidities of panic attacks and panic disorder in two large American Indian (AI) tribes (N=3084). A culturally-adapted version of the Composite International Diagnostic Interview assessed panic attacks, panic disorder, and various psychiatric comorbidities. After adjusting for age, gender, and tribe, linear and logistic regression analyses were conducted to compare AIs with panic disorder to those with panic attacks only on clinical characteristics and panic symptoms. Approximately 8.5% (N=234) of American Indians reported a lifetime history of panic attacks. Among individuals with panic attacks, comorbid posttraumatic stress disorder was higher in females (p=0.03) and comorbid alcohol-related disorders were higher in males (p≤0.001). The prevalence and clinical features of panic attacks and panic disorder in American Indians were similar to epidemiologic studies with majority populations. However, in contrast to earlier research, panic symptoms were similar in both males and females, and different patterns of comorbidity emerged. Future research should examine the availability and accessibility of evidence-based panic treatments for this traditionally underserved population.
authors.affiliation: Department of Psychiatry and Psychology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, United States. Electronic address: sawchuk.craig@mayo.edu.
authors.forename: Craig N
authors.initials: CN
authors.lastname: Sawchuk
authors.affiliation: Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA 98104, United States.
authors.forename: Peter
authors.initials: P
authors.lastname: Roy-Byrne
authors.affiliation: Department of and Epidemiology, University of Washington, Seattle, WA 98104, United States.
authors.forename: Carolyn
authors.initials: C
authors.lastname: Noonan
authors.affiliation: Department of Psychiatry and Psychology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, United States.
authors.forename: Julia R
authors.initials: JR
authors.lastname: Craner
authors.affiliation: Department of and Epidemiology, University of Washington, Seattle, WA 98104, United States.
authors.forename: Jack
authors.initials: J
authors.lastname: Goldberg
authors.affiliation: American Indian and Alaska Native Programs, University of Colorado Health Sciences Center, Denver, CO 80045, United States.
authors.forename: Spero
authors.initials: S
authors.lastname: Manson
authors.affiliation: Department of Medicine, Washington State University, Seattle, WA 98101, United States.
authors.forename: Dedra
authors.initials: D
authors.lastname: Buchwald
authors.affiliation: American Indian and Alaska Native Programs, University of Colorado Health Sciences Center, Denver, CO 80045, United States.
mesh_terms: D000293:Adolescent; D000328:Adult; D019973:Alcohol-Related Disorders; D015897:Comorbidity; D005260:Female; D006801:Humans; D007198:Indians, North American / Q000523:psychology*; D007406:Interview, Psychological; D008297:Male; D008875:Middle Aged; D010200:Panic; D016584:Panic Disorder / Q000453:epidemiology* / Q000503:physiopathology*; D015995:Prevalence; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology; D014481:United States / Q000453:epidemiology; D055815:Young Adult
keywords: American Indian; Panic attacks; Panic disorder; Panic symptoms