Childhood internalizing and externalizing problems predict the onset of clinical panic attacks over adolescence: the TRAILS study.

<h4>Background</h4>Panic attacks are a source of individual suffering and are an independent risk factor for later psychopathology. However, much less is known about risk factors for the development of panic attacks, particularly during adolescence when the incidence of panic attacks inc...

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Autores principales:	Christina M Mathyssek, Thomas M Olino, Frank C Verhulst, Floor V A van Oort
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/ad0fd61734fa490d9865fa6a2639c4a6
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spelling	oai:doaj.org-article:ad0fd61734fa490d9865fa6a2639c4a62021-11-18T08:05:19ZChildhood internalizing and externalizing problems predict the onset of clinical panic attacks over adolescence: the TRAILS study.1932-620310.1371/journal.pone.0051564https://doaj.org/article/ad0fd61734fa490d9865fa6a2639c4a62012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23251576/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Panic attacks are a source of individual suffering and are an independent risk factor for later psychopathology. However, much less is known about risk factors for the development of panic attacks, particularly during adolescence when the incidence of panic attacks increases dramatically. We examined whether internalizing and externalizing problems in childhood predict the onset of panic attacks in adolescence.<h4>Method</h4>This study is part of the TRacking Adolescents' Individual Lives Survey (TRAILS), a Dutch longitudinal population cohort study (N = 1,584). Internalizing and Externalizing Problems were collected using the Youth Self-Report (YSR) and the parent-report Child Behavior Checklist (CBCL) at baseline (age 10-12). At age 18-20, DSM-IV defined panic attacks since baseline were assessed with the Composite International Diagnostic Interview (CIDI). We investigated whether early adolescent Internalizing and Externalizing Problems predicted panic attacks between ages 10-20 years, using survival analysis in univariate and multivariate models.<h4>Results</h4>There were N = 314 (19.8%) cases who experienced at least one DSM-IV defined panic attack during adolescence and N = 18 (1.2%) who developed panic disorder during adolescence. In univariate analyses, CBCL Total Problems, Internalizing Problems and three of the eight syndrome scales predicted panic attack onset, while on the YSR all broad-band problem scales and each narrow-band syndrome scale predicted panic attack onset. In multivariate analyses, CBCL Social Problems (HR 1.19, p<.05), and YSR Thought Problems (HR 1.15, p<.05) and Social Problems (HR 1.26, p<.01) predicted panic attack onset.<h4>Conclusion</h4>Risk indicators of panic attack include the wide range of internalizing and externalizing problems. Yet, when adjusted for co-occurring problem behaviors, Social Problems were the most consistent risk factor for panic attack onsets in adolescence.Christina M MathyssekThomas M OlinoFrank C VerhulstFloor V A van OortPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 12, p e51564 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Christina M Mathyssek Thomas M Olino Frank C Verhulst Floor V A van Oort Childhood internalizing and externalizing problems predict the onset of clinical panic attacks over adolescence: the TRAILS study.
description	<h4>Background</h4>Panic attacks are a source of individual suffering and are an independent risk factor for later psychopathology. However, much less is known about risk factors for the development of panic attacks, particularly during adolescence when the incidence of panic attacks increases dramatically. We examined whether internalizing and externalizing problems in childhood predict the onset of panic attacks in adolescence.<h4>Method</h4>This study is part of the TRacking Adolescents' Individual Lives Survey (TRAILS), a Dutch longitudinal population cohort study (N = 1,584). Internalizing and Externalizing Problems were collected using the Youth Self-Report (YSR) and the parent-report Child Behavior Checklist (CBCL) at baseline (age 10-12). At age 18-20, DSM-IV defined panic attacks since baseline were assessed with the Composite International Diagnostic Interview (CIDI). We investigated whether early adolescent Internalizing and Externalizing Problems predicted panic attacks between ages 10-20 years, using survival analysis in univariate and multivariate models.<h4>Results</h4>There were N = 314 (19.8%) cases who experienced at least one DSM-IV defined panic attack during adolescence and N = 18 (1.2%) who developed panic disorder during adolescence. In univariate analyses, CBCL Total Problems, Internalizing Problems and three of the eight syndrome scales predicted panic attack onset, while on the YSR all broad-band problem scales and each narrow-band syndrome scale predicted panic attack onset. In multivariate analyses, CBCL Social Problems (HR 1.19, p<.05), and YSR Thought Problems (HR 1.15, p<.05) and Social Problems (HR 1.26, p<.01) predicted panic attack onset.<h4>Conclusion</h4>Risk indicators of panic attack include the wide range of internalizing and externalizing problems. Yet, when adjusted for co-occurring problem behaviors, Social Problems were the most consistent risk factor for panic attack onsets in adolescence.
format	article
author	Christina M Mathyssek Thomas M Olino Frank C Verhulst Floor V A van Oort
author_facet	Christina M Mathyssek Thomas M Olino Frank C Verhulst Floor V A van Oort
author_sort	Christina M Mathyssek
title	Childhood internalizing and externalizing problems predict the onset of clinical panic attacks over adolescence: the TRAILS study.
title_short	Childhood internalizing and externalizing problems predict the onset of clinical panic attacks over adolescence: the TRAILS study.
title_full	Childhood internalizing and externalizing problems predict the onset of clinical panic attacks over adolescence: the TRAILS study.
title_fullStr	Childhood internalizing and externalizing problems predict the onset of clinical panic attacks over adolescence: the TRAILS study.
title_full_unstemmed	Childhood internalizing and externalizing problems predict the onset of clinical panic attacks over adolescence: the TRAILS study.
title_sort	childhood internalizing and externalizing problems predict the onset of clinical panic attacks over adolescence: the trails study.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/ad0fd61734fa490d9865fa6a2639c4a6
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Childhood internalizing and externalizing problems predict the onset of clinical panic attacks over adolescence: the TRAILS study.

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