Orthostatic panic attacks among Vietnamese refugees

Devon E. Hinton, W Ladson Hinton, Minh Tran, Men Nguyen, Lim Nguyen, Curtis Hsia, Mark H. Pollack

Research output: Contribution to journalArticle

20 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)515-544
Number of pages30
JournalTranscultural Psychiatry
Volume44
Issue number4
DOIs
StatePublished - Dec 2007

Fingerprint

Panic
Refugees
Panic Disorder
refugee
gulf war
Dizziness
phenomenology
First World War
fatigue
civil war
World War II
American Civil War
cognition
Persian Gulf Syndrome
Neurocirculatory Asthenia
Japan
World War I
Chronic Fatigue Syndrome
Cognition
Psychiatry

Keywords

  • Cross-cultural psychiatry
  • Orthostatic hypotension
  • Panic attacks
  • Post-traumatic stress disorder
  • Vietnamese refugees

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Hinton, D. E., Hinton, W. L., Tran, M., Nguyen, M., Nguyen, L., Hsia, C., & Pollack, M. H. (2007). Orthostatic panic attacks among Vietnamese refugees. Transcultural Psychiatry, 44(4), 515-544. https://doi.org/10.1177/1363461507081640

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 journalArticle

Hinton, DE, Hinton, WL, Tran, M, Nguyen, M, Nguyen, L, Hsia, C & Pollack, MH 2007, 'Orthostatic panic attacks among Vietnamese refugees', Transcultural Psychiatry, vol. 44, no. 4, pp. 515-544. https://doi.org/10.1177/1363461507081640
Hinton, Devon E. ; Hinton, W Ladson ; Tran, Minh ; Nguyen, Men ; Nguyen, Lim ; Hsia, Curtis ; Pollack, Mark H. / Orthostatic panic attacks among Vietnamese refugees. In: Transcultural Psychiatry. 2007 ; Vol. 44, No. 4. pp. 515-544.
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