The study aimed at assessing a relationship between pain and panic in the echocardiographically confirmed mitral valve prolapse syndrome. Thirty three patients, 23 women and 10 men, were included. Mean age was 32 years. Standard Pain Perception Questionnaire by Melzack and Ostrowski's Well Being Questionnaire were used. During examination all patients were free from pain. Therefore, delayed pain effect was assessed. Present pain was evaluated with different scale. Significant relationship between pain and panic was shown in the mitral valve prolapse syndrome. In retrospective analysis pain was responsible for 16% of panic disorders (n = 0.396; p < .02). An effect of the actual pain is less pronounced and explain 14% of panic disorders (n = 0.372; p < .02), as the actual pain was less intense. There was also contrary relationship, but weaker. Panic exerts an effect on pain intensity in 11% (n = 0.330; p < .05). In the system pain-panic the former is prevailing in this syndrome. The obtained results confirm the value of psychotherapy modifying panic disorders.
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