888). They offer several possible explanations. Exposure to abuse as a child may result in an extreme and realistic fear of threat to survival. This may be how panic disorder starts. Later, it may persist, or recur spontaneously, even without abusive conditions. In the face of a real life threat, panic is not pathological, but in childhood panic may make the child more vulnerable to panic later. Exposure to abuse may lead to biochemical changes that increase the risk of a disorder. Because the study was based on interviews with 18 to 21-year-olds, who were asked to recall past experiences, the findings could be contaminated by recall bias in which young people with mental instability might be more likely to report abuse in childhood. However, the authors' analysis concluded that no evidence suggested an association between reporting abuse and the presence of psychiatric disorders.
Discussion
These four articles, which report research studies on panic disorders, suggest that panic disorders may have both psychological and biochemical origins. Children who are abused have a higher risk for panic disorder in adulthood. Mothers with panic disorders often give birth to smaller babies. Likewise, children whose...
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