Smoking and panic attacks, panic disorder, and agoraphobia: A review of the empirical literature

2005 ◽  
Vol 25 (6) ◽  
pp. 761-789 ◽  
Author(s):  
Michael J. Zvolensky ◽  
Matthew T. Feldner ◽  
Ellen W. Leen-Feldner ◽  
Alison C. McLeish
2019 ◽  
Vol 32 (6) ◽  
pp. e100140
Author(s):  
Donald J Robinaugh ◽  
Meredith J Ward ◽  
Emma R Toner ◽  
Mackenzie L Brown ◽  
Olivia M Losiewicz ◽  
...  

BackgroundCognitive–behavioural theories of panic disorder posit that panic attacks arise from a positive feedback loop between arousal-related bodily sensations and perceived threat. In a recently developed computational model formalising these theories of panic attacks, it was observed that the response to a simulated perturbation to arousal provided a strong indicator of vulnerability to panic attacks and panic disorder. In this review, we evaluate whether this observation is borne out in the empirical literature that has examined responses to biological challenge (eg, CO2 inhalation) and their relation to subsequent panic attacks and panic disorder.MethodWe searched PubMed, Web of Science and PsycINFO using keywords denoting provocation agents (eg, sodium lactate) and procedures (eg, infusion) combined with keywords relevant to panic disorder (eg, panic). Articles were eligible if they used response to a biological challenge paradigm to prospectively predict panic attacks or panic disorder.ResultsWe identified four eligible studies. Pooled effect sizes suggest that there is biological challenge response has a moderate prospective association with subsequent panic attacks, but no prospective relationship with panic disorder.ConclusionsThese findings provide support for the prediction derived from cognitive–behavioural theories and some preliminary evidence that response to a biological challenge may have clinical utility as a marker of vulnerability to panic attacks pending further research and development.Trial registration number135908.


1989 ◽  
Vol 3 (2) ◽  
pp. 107-115 ◽  
Author(s):  
Janet Woodruff Borden ◽  
George A. Clum ◽  
Susan E. Broyles
Keyword(s):  

2000 ◽  
Vol 58 (4) ◽  
pp. 1025-1029 ◽  
Author(s):  
ALEXANDRE MARTINS VALENÇA ◽  
ANTONIO EGIDIO NARDI ◽  
ISABELLA NASCIMENTO ◽  
MARCO A. MEZZASALMA ◽  
FABIANA L. LOPES ◽  
...  

OBJECTIVE: To assess the effectiveness of clonazepam, in a fixed dose (2 mg/day), compared with placebo in the treatment of panic disorder patients. METHOD: 24 panic disorder patients with agoraphobia were randomly selected. The diagnosis was obtained using the structured clinical interview for DSM-IV . All twenty-four subjects were randomly assigned to either treatment with clonazepam (2 mg/day) or placebo, during 6 weeks. Efficacy assessments included: change from baseline in the number of panic attacks; CGI scores for panic disorder; Hamilton rating scale for anxiety; and panic associated symptoms scale. RESULTS: At the therapeutic endpoint, only one of 9 placebo patients (11.1%) were free of panic attacks, compared with 8 of 13 (61.5%) clonazepam patients (Fisher exact test; p=0,031). CONCLUSION: the results provide evidence for the efficacy of clonazepam in panic disorder patients.


2021 ◽  
Vol 9 (T3) ◽  
pp. 237-239
Author(s):  
Muhammad Surya Husada ◽  
Mustafa M. Amin ◽  
Munawir Saragih

Background: COVID-19 is a newly emerging infectious disease which is found to be caused by SARS-2. COVID-19 pandemic has spread worldwide causing a rapidly increasing number of mental disorders cases, primarily anxiety disorder. Since majority of panic disorder patients are present with great anxiety in response to their physical or respiratory symptoms, support and encouragement from psychiatrist or therapist are fundamental to alleviate the severity of the symptoms. Case Report: We reported a case of COVID-19 induced panic disorder in a woman, 52 years old, batak tribe who started to experience multiple panic attacks since one of her family members was confirmed to be Covid-10 positive. Conclusion: In general, panic disorder is a common diagnosis, but this case appeared to be interesting as it is induced by COVID-19 pandemic. As in this case, the individual who experienced multiple panic attack is not even a COVID-19 patient but has one of her family member affected by the virus. A wide body of evidence has shown that this pandemic massively contributes to worsening of psychosocial burden in nationwide.


2009 ◽  
Vol 137 (11-12) ◽  
pp. 659-663 ◽  
Author(s):  
Milan Latas ◽  
Danilo Obradovic ◽  
Marina Pantic

Introduction. A cognitive model of aetiology of panic disorder assumes that people who experience frequent panic attacks have tendencies to catastrophically interpret normal and benign somatic sensations - as signs of serious illness. This arise the question: is this cognition specific for patients with panic disorder and in what intensity it is present in patients with serious somatic illness and in healthy subjects. Objective. The aim of the study was to ascertain the differences in the frequency and intensity of 'catastrophic' cognitions related to body sensations, and to ascertain the differences in the frequency and intensity of anxiety caused by different body sensations all related to three groups of subjects: a sample of patients with panic disorder, a sample of patients with history of myocardial infarction and a sample of healthy control subjects from general population. Methods. Three samples are observed in the study: A) 53 patients with the diagnosis of panic disorder; B) 25 patients with history of myocardial infarction; and C) 47 healthy controls from general population. The catastrophic cognitions were assessed by the Agoraphobic Cognitions Questionnaire (ACQ) and the Body Sensations Questionnaire (BSQ). These questionnaires assess the catastrophic thoughts associated with panic and agoraphobia (ACQ) and the fear of body sensations (BSQ). All study subjects answered questionnaires items, and the scores of the answers were compared among the groups. Results. The results of the study suggest that: 1) There is no statistical difference in the tendency to catastrophically interpret body sensations and therefore to induce anxiety in the samples of healthy general population and patients with history of myocardial infarction; 2) The patients with panic disorder have a statistically significantly more intensive tendency to catastrophically interpret benign somatic symptoms and therefore to induce a high level of anxiety in comparison to the sample of patients with the history of serious somatic illness (myocardial infarction) and the sample of healthy general population. Conclusion. The tendency to catastrophically interpret benign somatic symptoms and therefore to induce a high level of anxiety in patients with panic disorder, confirms the cognitive aetiology model of panic disorder and suggests that it should be the focus of prophylactic and therapeutic management of patients with panic disorder.


1998 ◽  
Vol 15 (4) ◽  
pp. 228-236 ◽  
Author(s):  
Patricia Rayment ◽  
Jeff Richards

Despite the very significant proportion of people with panic disorder who have accompanying agoraphobia, there is considerable controversy about the variables that influence the development of this avoidance behaviour. This study investigated whether degree of avoidance is a function of extent of fear and prevalence of negative cognitions about autonomic arousal symptoms and whether the use of, and confidence in, behavioural strategies to cope with panic sensations also influences agoraphobic avoidance. Thirty-nine people who met DSM-IV criteria for panic disorder completed questionnaires measuring fear and negative cognitions about autonomic arousal and panic sensations, and a questionnaire measuring their use of largely behavioural strategies to cope with panic attacks. Fear of autonomic arousal and negative cognitions in response to the occurrence of these arousal symptoms were jointly related to situational avoidance. There was little relationship between the use of, and confidence in, panic coping strategies and less agoraphobic avoidance, although simply allowing panic symptoms to develop and pass predicted less avoidance. The results were interpreted as providing an empirical basis for treatment that reduces fear of panic sensations and allows their experience to be tolerated while preventing escape and avoidance of situations in which panic occurs. There was little evidence that additional teaching of behavioural coping strategies would be useful in reducing agoraphobic avoidance.


1986 ◽  
Vol 95 (4) ◽  
pp. 384-388 ◽  
Author(s):  
Samuel M. Turner ◽  
S. Lloyd Williams ◽  
Deborah C. Beidel ◽  
Juan E. Mezzich
Keyword(s):  

2020 ◽  
Vol 12 (1) ◽  
pp. 13-27
Author(s):  
Sylvia Lindinger-Sternar ◽  
◽  
Chelsie Dollar ◽  
Sachin Jain ◽  
Jared Roberts

You are here: Home › Abstracts › Abstracts – Volume 12, Number 1, May 2020 › Group-Based Interventions and Test-Taking Anxiety in Male College Students of Varied Ethnicities doi 10.9769/EPJ.2020.12.1.SLS Sylvia Lindinger-Sternart, University of Providence, Great Falls,Montana, USA Chelsie Dollar, Great Falls, Montana, USA Sachin Jain, University of Providence, Montana, USA Jared Roberts, University of Providence, Montana, USA Abstract Purpose: Panic disorder is a disabling condition associated with reduced quality of life and impaired functioning. It is one of the most common mental health conditions in the United States and several European countries, and causes a significant burden of disease on impacted families. Typically, women have double the prevalence rate of anxiety-related disorders as compared to men. This preliminary study aimed to explore whether Emotional Freedom Techniques (EFT) offers potential as a treatment to reduce fear of future panic attacks in women who suffer from panic attacks. Eight women participated in the study. Outcomes were measured using the Subjective Units of Distress(SUD) scale and the Panic and Agoraphobia Scale(PAS). Results indicated reductions in both SUD and PAS scores at pre- and post-intervention, though not statistically significant, likely due to the small sample size. Nonetheless, the findings of this study support preliminary evidence that EFT may offer potential as a treatment for women with panic disorder. Further research to confirm statistical significance and long-term impacts of EFT needs to be conducted. Method: The current preliminary study adopted a one-group pre test, post test quasi-experimental A-B-A design, using the subjects themselves as their own control group. Results: The participants ranged from 35 to 53 years of age with a mean age of 43.75 years (SD 5.82) and median of 44 years, which is consistent with the literature that anxiety and panic encompasses all age brackets (Flint & Gagnon, 2003; Smoller et al., 2003; Yonkers, Bruce, Dyck, & Keller, 2003; Yonkers et al., 1998). Eight participants completed the demographic questionnaire, which included medications taken daily. Although all the participants were on medications, only five participants took medication for anxiety. Several different types of medicines or supplements were used by participants such as SSRIs, benzodiazepines, and magnesium, which is consistent with standards and guidelines for treating anxiety and panic disorders (Faria et al., 2012; Flint & Gagnon, 2003; Van Apeldoorn et al., 2014). Among the treatments besides medications, the most popular intervention was yoga and deep breathing. Participants reported an average caffeine intake of 1.125 cups per day (SD 1.13) with a range of 0 to 3 cups per day and median of 1 cup per day. Participants’ caffeine intake was similar to consumption patterns of the general population and can be eliminated as a variable that may influence this study’s results. This approach is consistent with the literature from the American Psychiatric Association (2013). Conclusion: To date, this is the first research study completed to determine whether EFT can assist with the reduction of fear of future panic attacks in women. The results showed a decrease in the PAS scores from the first day to the last day after four 60-minute sessions of group EFT. In addition, the SUD scores also showed a decrease not only from start of each session to end of each session but also from the first EFT session to the end of the last session, indicating the participants’ fear of having a future panic attack decreased from the first session to the last session. Statistically significant results were not obtained, however, likely due to the small sample size and high participant attrition rate. Nonetheless, this study offers preliminary support for the conducting of larger clinical trials to confirm the efficacy of EFT for treating fear of future panic attacks in women, as well as long-term impacts of EFT treatment on panic.


Author(s):  
Christina L. Macenski

Panic disorder consists of recurrent, unexpected panic attacks accompanied by persistent worry about future attacks and/or a maladaptive change in behavior related to the attacks. A panic attack is defined as an abrupt surge of intense fear or discomfort that reaches a peak within minutes that occurs in conjunction with several other associated symptoms such as palpitations, sweating, trembling, shortness of breath, and chest pain. Features of panic disorder that are more common in adolescents than in adults include less worry about additional panic attacks and decreased willingness to openly discuss their symptoms. All patients with suspected panic disorder should undergo a medical history, physical examination, and laboratory workup to exclude medical causes of panic attacks. Cognitive behavioral therapy (CBT) including interoceptive exposures is the gold standard therapy intervention. Medications including selective serotonin reuptake inhibitors (SSRIs) and serotonin norepinephrine reuptake inhibitors (SNRIs) can also help reduce symptoms.


Author(s):  
Peter D. McLean ◽  
Sheila R. Woody

This chapter addresses current understanding of panic disorder, with particular emphasis on assessment and treatment procedures. It first reviews the features of panic attacks and panic disorder, followed by a discussion of various theoretical perspectives on the problem, and assessment and treatment procedures, which focuses on pragmatics of working with clients with panic and agoraphobia.


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