{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T20:29:26Z","timestamp":1789504166556,"version":"build-2803163510"},"reference-count":27,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2005,3,1]],"date-time":"2005-03-01T00:00:00Z","timestamp":1109635200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Transcult Psychiatry"],"published-print":{"date-parts":[[2005,3]]},"abstract":"<jats:p> Among a psychiatric population of Cambodian refugees ( N = 100), 42% had current - i.e. at least once in the last year - sleep paralysis (SP). Of those experiencing SP, 91% (38\/42) had visual hallucinations of an approaching being, and 100% (42\/42) had panic attacks. Among patients with post-traumatic stress disorder (PTSD; n = 45), 67% (30\/45) had SP, whereas among those without PTSD, only 22.4% (11\/45) had SP (\u03c7<jats:sup>2<\/jats:sup> = 20.4, p &lt; .001). Of the patients with PTSD, 60% (27\/45) had monthly episodes of SP. The Cambodian panic response to SP seems to be greatly heightened by elaborate cultural ideas - with SP generating concerns about physical status, \u2018good luck\u2019 status,\u2018bad luck\u2019 status, sorcery assault, and ghost assault - and by trauma associations to the figure seen in SP. Case vignettes illustrate cultural beliefs about, and trauma resonances of, SP. A model to explain the high rate of SP in this population is presented. SP is a core aspect of the Cambodian refugees response to trauma; when assessing Cambodian refugees, and traumatized refugees in general, clinicians should assess for its presence. <\/jats:p>","DOI":"10.1177\/1363461505050710","type":"journal-article","created":{"date-parts":[[2005,3,9]],"date-time":"2005-03-09T22:41:02Z","timestamp":1110408062000},"page":"46-77","source":"Crossref","is-referenced-by-count":95,"title":["\u2018The Ghost Pushes You Down\u2019: Sleep Paralysis-Type Panic                 Attacks in a Khmer Refugee Population"],"prefix":"10.1177","volume":"42","author":[{"given":"Devon E.","family":"Hinton","sequence":"first","affiliation":[{"name":"Massachusetts General Hospital, Harvard Medical School,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vuth","family":"Pich","sequence":"additional","affiliation":[{"name":"Arbour Counseling Services"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dara","family":"Chhean","sequence":"additional","affiliation":[{"name":"Arbour Counseling Services"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark H.","family":"Pollack","sequence":"additional","affiliation":[{"name":"Massachusetts General Hospital, Harvard Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2005,3,1]]},"reference":[{"key":"atypb1","volume-title":"Anxiety and its disorders","author":"Barlow, D.","year":"2003"},{"key":"atypb2","first-page":"289","volume":"80","author":"Bell, C.","year":"1988","journal-title":"Journal of the National Medical Association"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.154.11.1566"},{"key":"atypb4","volume-title":"Origins of phobias and anxiety disorders","author":"Craske, M.","year":"2003"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1097\/00005053-198903000-00006"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1097\/00005053-200209000-00006"},{"key":"atypb7","volume-title":"Structured clinical interview for DSM IV axis I disorders. 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