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01121 Journal of Nara Medical Association >
Vol.46 No.4 >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10564/938

Authors: Kishimoto, Toshifumi
Noriyama, Yoshinobu
Iida, Junzo
Ueda, Fumiyo
Matsumura, Kazuya
Ueda, Hiroyuki
Miyake, Masakazu
Ikawa, Genro
Kinoshita, Kiyoko
Oribe, Hiroaki
Minami, Naoki
Keywords: panic disorder
panic attack
alcohol withdrawal
Issue Date: 31-Aug-1995
Publisher: 奈良医学会
Citation: 奈良医学雑誌 Vol.46 No.4 p.279-285
Abstract: We report four patients used alcohol to self-medicate primary panic dis- order and phobias, in whom prolonged alcohol intake and reported withdrawal episodes might have exacerbated and provoked panic attacks. Alcoholism and panic are probably mutually reinforcing, that is, panic may lead to drinking and also result from prolonged use or withdrawal of alcohol. We discuss the interaction of alcohol abuse/dependence with panic disorder, possible causal relationships, biologic relationships, and implications for therapeutic interventions. Possible biologic relationships involve the γ-aminobutyric acid (GABA)-benzodiazepine receptor complex and central noradrenergic system. Cognitive- behavioral psychotherapy is effective as well as medication for treatment.
URI: http://hdl.handle.net/10564/938
ISSN: 04695550
Appears in Collections:Vol.46 No.4

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