Hinton Devon, Hinton Susan, Pham Thang, Chau Ha, Tran Minh
Harvard University, USA.
Transcult Psychiatry. 2003 Sep;40(3):342-76. doi: 10.1177/13634615030403003.
Surveying 60 Vietnamese patients with either current or past post-traumatic stress disorder, this article aims to phenomenologically characterize the syndrome of 'hit by the wind' in a multidimensional manner. This includes determining the patient conceptualization of the disorder, profiling 'hit by the wind' episodes suffered by patients in the previous month, and presenting case vignettes. Eighteen of the 60 patients (30%) suffered at least one episode of 'hit by the wind' in the last month; all 18 patients had at least one episode of 'hit by the wind' in the last month that met panic attack criteria. For the 18 patients, 33 episodes of'hit by the wind' that met panic attack criteria were experienced in the previous month. For these 33 episodes, the most frequently reported DSM-IV panic attack symptoms were chills (100%; 33/33) and dizziness (88%; 29/33). Flashbacks played a role in the 'hit by the wind' episodes for 5 of the 18 patients (28%). In the discussion, a model of how the syndrome of 'hit by the wind' generates panic is adduced; also, possible Chinese origins of the disorder are discussed.
通过对60名患有当前或过去创伤后应激障碍的越南患者进行调查，本文旨在从多维度对“中风”综合征进行现象学特征描述。这包括确定患者对该疾病的概念化理解、描绘患者在上个月经历的“中风”发作情况，并展示病例 vignettes。60名患者中有18名（30%）在上个月至少经历了一次“中风”发作；所有18名患者在上个月至少有一次“中风”发作符合惊恐发作标准。对于这18名患者，上个月共经历了33次符合惊恐发作标准的“中风”发作。在这33次发作中，最常报告的DSM-IV惊恐发作症状是寒战（100%；33/33）和头晕（88%；29/33）。18名患者中有5名（28%）在“中风”发作中出现了闪回。在讨论中，提出了一个关于“中风”综合征如何引发惊恐的模型；此外，还讨论了该疾病可能的中国起源。
