Trauma na Infância e Apego estão associados ao Transtorno do Pânico de acordo com a Teoria Psicodinâmica

Introduction: The aim of this study is to evaluate the association between childhood trauma and parental bonding in panic disorder (PD) compared to controls. Methods: 123 patients and 123 paired controls were evaluated through the Mini International Neuropsychiatry Interview, the Childhood Trauma Questionnaire (CTQ) and Parental Bonding Instrument (PBI). Results: The PBI and CTQ scales are highly correlated. PD patients presented higher rates of emotional abuse (OR=2.54, p=0.001), mother overprotection (MOP) (OR=1.98, p=0.024) and father overprotection (FOP) (OR=1.84 p=0.041) as compared to controls. Regarding gender, only MOP remains independently associated with PD (OR=3.28, p=0.032) for men. Besides, higher FOP (OR=2.2, p=0.017) and less father warmth (OR=0.48, p=0.039) were associated with female PD patients. Conclusions: Higher rates of different types of trauma, especially emotional abuse, are described in PD patients as compared to controls. The differences regarding gender and parental bonding could be explained in the light of the psychodynamic theory. Keywords: attachment, PBI, CTQ, anxiety, environment