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沙特阿拉伯艾卜哈初级卫生保健中心就诊的育龄女性中惊恐发作的患病率及预测因素

Prevalence and predictors of panic attacks among reproductive-age females among the attendees of primary health centers of Abha, Saudi Arabia.

作者信息

Al Saleh Majed, Alshammary Zaina, Alsaif Bushra Abdulhameed, Alzubaidi Fatimah Hassan, Bawazeer Duaa Mohammed, Al-Asmari Bandar, Alahmari Mozoun

机构信息

Family Medicine Program, MOH, Aseer Health Cluster, Abha, Saudi Arabia.

出版信息

J Educ Health Promot. 2025 Jul 4;14:237. doi: 10.4103/jehp.jehp_2026_24. eCollection 2025.

Abstract

BACKGROUND

Panic attacks are sudden, intense episodes of fear, often accompanied by physical symptoms like tachycardia, rapid breathing, and sweating. These episodes can escalate into panic disorder, marked by persistent anxiety about future attacks. This study is novel in exploring an underrepresented population in global mental health research: reproductive-aged women in Abha, Saudi Arabia. Cultural, social, and environmental factors unique to this region significantly influence the occurrence of panic attacks. The study examines socio-demographic and obstetric factors associated with these episodes in southern Saudi Arabia, a region with limited existing research. To determine the prevalence and frequency of panic attacks among reproductive-aged women in Abha, Saudi Arabia, and identify associated socio-demographic and obstetric factors.

MATERIALS AND METHODS

A descriptive cross-sectional study was conducted on a total of 499 reproductive-aged women (18-49 years) who were recruited using convenience sampling. Participants included those who met the inclusion criteria of reproductive age and consented to participate. Data was collected using a validated electronic questionnaire of socio-demographics, obstetric history, panic attack experiences, and triggers. Statistical analyses, including chi-square and regression, were applied.

RESULTS

Among participants, 15.5% were diagnosed with panic disorder, and 63.7% experienced at least one panic attack, predominantly between 18 and 25 years. Symptoms included tachycardia, shortness of breath, dizziness, nausea, and chest pain. Significant associations were found between panic attacks and marital status, number of children, smoking, and family history.

CONCLUSION

Nearly two-thirds of reproductive-aged women, particularly divorced women with a family history of panic attacks, experienced these episodes early in life. These attacks were linked to low coping skills and high-stress perception, impacting daily life and emotional resilience.

摘要

背景

惊恐发作是突然出现的强烈恐惧发作,常伴有心动过速、呼吸急促和出汗等身体症状。这些发作可能会升级为惊恐障碍,其特征是对未来发作持续焦虑。本研究在探索全球心理健康研究中代表性不足的人群方面具有创新性:沙特阿拉伯阿卜哈的育龄妇女。该地区独特的文化、社会和环境因素显著影响惊恐发作的发生。本研究调查了沙特阿拉伯南部与这些发作相关的社会人口学和产科因素,该地区现有研究有限。目的是确定沙特阿拉伯阿卜哈育龄妇女中惊恐发作的患病率和频率,并确定相关的社会人口学和产科因素。

材料与方法

采用方便抽样法对总共499名育龄妇女(18 - 49岁)进行了描述性横断面研究。参与者包括符合育龄纳入标准并同意参与的人。使用经过验证的电子问卷收集社会人口学、产科病史、惊恐发作经历和触发因素的数据。应用了包括卡方检验和回归分析在内的统计分析方法。

结果

在参与者中,15.5%被诊断为惊恐障碍,63.7%经历过至少一次惊恐发作,主要发生在18至25岁之间。症状包括心动过速、呼吸急促、头晕、恶心和胸痛。惊恐发作与婚姻状况、子女数量、吸烟和家族史之间存在显著关联。

结论

近三分之二的育龄妇女,尤其是有惊恐发作家族史的离婚妇女,在生命早期经历过这些发作。这些发作与应对能力低和压力感知高有关,影响日常生活和情绪恢复力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c5b/12327754/87a93935ec5b/JEHP-14-237-g001.jpg

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