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Nonfearful Panic Disorder in Chest Pain Patients

Received Oct. 3, 2002; revision received April 11, 2003; accepted April 28, 2003. From the Department of Psychiatry, Ullevål University Hospital, Oslo, Norway. Address reprint requests to Dr. Bringager, Department of Psychiatry, Ullevål University Hospital, 0407 Oslo, Norway; c.b.bringager{at}psykiatri.uio.no (e-mail).

The prevalence of nonfearful panic disorder (panic attacks without the experience of fear) was estimated in 199 patients consecutively referred to outpatient cardiac investigation for chest pain. Fifty-nine patients met the criteria for panic disorder, and 17 patients fulfilled the criteria for nonfearful panic disorder. The patients with nonfearful panic disorder had lower scores on self-reported panic symptoms and lower frequencies of agoraphobia and comorbid axis I disorders than the patients with panic disorder and had a higher prevalence of somatic disorders than the patients without panic disorder. The patients with nonfearful panic disorder did not differ significantly from the patients with panic disorder in health-related quality of life.

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