Cardiac Neurosis and Psychopathology

Psychiatric illness according to DSM-III-R criteria was investigated in 54 consecutive patients suffering from cardiac neurosis (neurocirculatory asthenia or Da Costa’s syndrome). Thirty-seven of the 54 patients (68.5%) were found to suffer from a psychiatric disorder. Generalized anxiety disorder,...

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Bibliographic Details
Published in:Psychotherapy and psychosomatics 1989-01, Vol.52 (1-3), p.88-91
Main Authors: Conti, Sandra, Savron, Gianni, Bartolucci, Giovanna, Grandi, Silvana, Magelli, Carlo, Semprini, Franco, Saviotti, Francesco M., Trombini, Giancarlo, Fava, Giovanni A., Magnani, Bruno
Format: Article
Language:English
Subjects:
Adult
Anxiety Disorders - diagnosis
Anxiety Disorders - psychology
Female
Humans
Male
Middle Aged
Neurocirculatory Asthenia - diagnosis
Neurocirculatory Asthenia - psychology
Panic
Phobic Disorders - diagnosis
Phobic Disorders - psychology
Psychiatric Status Rating Scales
Psychometrics
Research Paper
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Summary:Psychiatric illness according to DSM-III-R criteria was investigated in 54 consecutive patients suffering from cardiac neurosis (neurocirculatory asthenia or Da Costa’s syndrome). Thirty-seven of the 54 patients (68.5%) were found to suffer from a psychiatric disorder. Generalized anxiety disorder, social phobia and panic disorder accounted for most of the diagnoses. Panic disorder was frequently preceded by (and associated with) generalized anxiety, phobic avoidance and hypochondriasis. The results should alert the physician to inquire for symptoms of an anxiety disorder when a patient presents with cardiac neurosis.
ISSN:0033-3190
1423-0348
DOI:10.1159/000288304