Abstract
Viewed historically and cross-culturally, orthostatic-induced dizziness, i.e., dizziness caused by standing up from a sitting or a lying position, forms a key aspect of many syndromes: irritable heart (American Civil War), effort syndrome (World War I and World War II), chronic fatigue syndrome (contemporary USA), Gulf War syndrome (contemporary USA), and orthostatic dysregulation (contemporary Japan). Among Vietnamese refugees attending a psychiatric clinic, this study documents a high rate of orthostatic panic (OP), as well as certain processes seemingly generating these panic attacks, viz., flashbacks and culturally specific catastrophic cognitions. Case examples are used to demonstrate OP's phenomenology and relevance to clinical care. To illustrate the mechanisms producing OP, we adduce the multiplex model of panic generation. Culturally appropriate care of Vietnamese refugees should include assessment and treatment of OP.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 515-544 |
| Number of pages | 30 |
| Journal | Transcultural Psychiatry |
| Volume | 44 |
| Issue number | 4 |
| DOIs | |
| State | Published - Dec 2007 |
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Keywords
- Cross-cultural psychiatry
- Orthostatic hypotension
- Panic attacks
- Post-traumatic stress disorder
- Vietnamese refugees
ASJC Scopus subject areas
- Psychiatry and Mental health
Cite this
Orthostatic panic attacks among Vietnamese refugees. / Hinton, Devon E.; Hinton, W Ladson; Tran, Minh; Nguyen, Men; Nguyen, Lim; Hsia, Curtis; Pollack, Mark H.
In: Transcultural Psychiatry, Vol. 44, No. 4, 12.2007, p. 515-544.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Orthostatic panic attacks among Vietnamese refugees
AU - Hinton, Devon E.
AU - Hinton, W Ladson
AU - Tran, Minh
AU - Nguyen, Men
AU - Nguyen, Lim
AU - Hsia, Curtis
AU - Pollack, Mark H.
PY - 2007/12
Y1 - 2007/12
N2 - Viewed historically and cross-culturally, orthostatic-induced dizziness, i.e., dizziness caused by standing up from a sitting or a lying position, forms a key aspect of many syndromes: irritable heart (American Civil War), effort syndrome (World War I and World War II), chronic fatigue syndrome (contemporary USA), Gulf War syndrome (contemporary USA), and orthostatic dysregulation (contemporary Japan). Among Vietnamese refugees attending a psychiatric clinic, this study documents a high rate of orthostatic panic (OP), as well as certain processes seemingly generating these panic attacks, viz., flashbacks and culturally specific catastrophic cognitions. Case examples are used to demonstrate OP's phenomenology and relevance to clinical care. To illustrate the mechanisms producing OP, we adduce the multiplex model of panic generation. Culturally appropriate care of Vietnamese refugees should include assessment and treatment of OP.
AB - Viewed historically and cross-culturally, orthostatic-induced dizziness, i.e., dizziness caused by standing up from a sitting or a lying position, forms a key aspect of many syndromes: irritable heart (American Civil War), effort syndrome (World War I and World War II), chronic fatigue syndrome (contemporary USA), Gulf War syndrome (contemporary USA), and orthostatic dysregulation (contemporary Japan). Among Vietnamese refugees attending a psychiatric clinic, this study documents a high rate of orthostatic panic (OP), as well as certain processes seemingly generating these panic attacks, viz., flashbacks and culturally specific catastrophic cognitions. Case examples are used to demonstrate OP's phenomenology and relevance to clinical care. To illustrate the mechanisms producing OP, we adduce the multiplex model of panic generation. Culturally appropriate care of Vietnamese refugees should include assessment and treatment of OP.
KW - Cross-cultural psychiatry
KW - Orthostatic hypotension
KW - Panic attacks
KW - Post-traumatic stress disorder
KW - Vietnamese refugees
UR - http://www.scopus.com/inward/record.url?scp=37249019091&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=37249019091&partnerID=8YFLogxK
U2 - 10.1177/1363461507081640
DO - 10.1177/1363461507081640
M3 - Article
C2 - 18089637
AN - SCOPUS:37249019091
VL - 44
SP - 515
EP - 544
JO - Transcultural Psychiatry
JF - Transcultural Psychiatry
SN - 1363-4615
IS - 4
ER -