Non-fearful panic disorder in gastroenterology

Psychosomatics
Piero Porcelli, Massimo De Carne

Abstract

Nonfearful panic disorder (NFPD) is a panic condition masked under the appearance of somatic symptoms only, without the component of fear, and it represents a challenging diagnostic task. This is the first case report of NFPD in a male patient with acute gastric pain and gastrointestinal disease (atrophic gastritis and H. pylori infection). The patient showed atypical panic symptoms and demoralization on the Diagnostic Criteria for Psychosomatic Research screening. He was successfully treated with anti-panic medication and cognitive-behavioral therapy. The case report shows that accurate psychosomatic assessment may help clinicians avoid diagnostic delay, prevent the administration of unnecessary medications, and give patients more appropriate treatment.

References

Mar 1, 1991·The American Journal of Psychiatry·J L RussellK M Bartels
Jan 1, 1987·Behaviour Research and Therapy·B D BeitmanJ Lamberti
Mar 1, 1974·The American Journal of Psychiatry·J D Frank
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Mar 19, 2005·Psychosomatics·James L Griffith, Lynne Gaby
Jun 14, 2005·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Michael P JonesMichael D Crowell
Mar 3, 2007·Psychosomatics·Giovanni A FavaThomas N Wise

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Citations

Apr 29, 2010·Current Psychiatry Reports·Piero Porcelli, Chiara Rafanelli
Aug 21, 2013·Behavioural and Cognitive Psychotherapy·Sunjeev K KambojSue Watson
Nov 16, 2017·Evidence-based Complementary and Alternative Medicine : ECAM·Danan GanYong'an Ye

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