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Panic, Perception, and pCO2

  • Conference paper
Panic and Phobias 2

Abstract

Explanations of panic disorder (PD) refer to underlying pathogenic processes that are assumed to be specific to PDs. There are various ways to test the validity of such theories on the dynamics of panic. Particularly important, if not decisive, are tests aimed at triggering and neutralizing the hypothetical underlying process. Triggering the pathogenic mechanism should arouse panic, preferably only in PD, while neutralizing the process should reduce pathology.

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References

  • Alexander PE, Alexander DD (1985) Alprazolam treatment for panic disorders. J Clin Psychiatry 47: 301–304

    Google Scholar 

  • Bonn JA, Harrison J, Rees L (1973) Lactate infusion in the treatment of “free-floating” anxiety. Can HJ Psychiatry 18: 41–46

    Google Scholar 

  • Chambless DL, Caputo GG, Bright P, Gallagher R (1984) Assessment of fear of fear in agoraphobics: the body sensations questionnaire and the agoraphobic cognitions questionnaire. J Consult Clin Psychol 52: 1090–1097

    Article  PubMed  Google Scholar 

  • Charney DS et al (1984) Noradrenergic function in panic anxiety. Arch Gen Psychiatry 41: 751

    PubMed  Google Scholar 

  • Chamey DS, Woods SW, Goodman WK, Rifkin B, Kind MRN, Aiken B, Quadrino MS, Heninger GR (1986) Drug treatment of panic disorder; the comparative efficacy of imipramine, alprazolam and trazodone. J Clin Psychiatry 47: 580–586

    Google Scholar 

  • Chouinard G, Annable L, Fontaine R, Solyom L (1982) Alprazolam in the treatment of generalized anxiety and panic disorders: a double blind placebo controlled study. Psychopharmacology 77: 229–233

    Article  PubMed  Google Scholar 

  • Clark DM (1986) A cognitive approach to panic. Behav Res Ther 24: 461–470

    Article  PubMed  Google Scholar 

  • Ehlers A, Margraf J, Roth WT (1986) Experimental induction of panic attacks. In: Hand J, Wittchen HU (eds) Panic and phobias. Empirical evidence of theoretical models and longterm effects of behavioral treatments. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Elam M, Yao T, Thoren T, Svensson TH (1981) Hypercapnia and hyperoxia: chemoreceptor mediated control of locus coereleus neurons and splanchnic sympathetic nerves. Brain Res 222: 373–381

    Article  PubMed  Google Scholar 

  • Emmelkamp PMG (1982) Phobic and obsessive compulsive disorders: theory, research and practice. Plenum, New York

    Google Scholar 

  • Fyer AJ, Liebowitz MR, Gorman JM, Campeas R, Levin A, Davies SO, Goetz D, Klein DF (1987) Discontinuation of Alprazolam treatment in panic patients. Am J Psychiatry 144: 303–308

    PubMed  Google Scholar 

  • Garssen B, van Veenendaal W, Bloemink R (1983) Agoraphobia and the hyperventilation syndrome. Behav Res Ther 21: 643–649

    Article  PubMed  Google Scholar 

  • Garssen B (1986) Psychofysiologie van de adern-haling en het hyperventilatiesyndroom; psychophysiology of respiration and the hyperventilation syndrome (with a summary in English). Doctoral thesis, Utrecht, Holland

    Google Scholar 

  • Gorman JM; Askanazi J, Liebowitz MR, Fyer AJ, Stein J, Kinney JM, Klein DF (1984) Response to hyperventilation in a group of patients with panic disorder. Am J Psychiatry 141: 857–861

    PubMed  Google Scholar 

  • Gorman JM, Fyer AJ, Ross DC, Cohen S, Martinez JM, Liebowitz MR, Klein DF (1985) Normalization of veneus pH, pCO2 and bicarbonate levels after blockade of panic attacks. Psychiatry Res 14: 57–65

    Article  PubMed  Google Scholar 

  • Griez E, Pols H, van den Hout MA (1987) Acid base balance in real life panic. J Affective Disord 12: 263–266

    Article  Google Scholar 

  • Hibbert GA (1984) Ideational components of anxiety: their origin and content. Br J Psychiatry 144: 618–624

    Article  PubMed  Google Scholar 

  • Hibbert GA (1985) Ambulatory monitoring of transcutaneous pCOz. In: Lacey J, Sturgeon J (eds) Proceedings of the 15th European conference on psychosomatic medicine. Libby, London

    Google Scholar 

  • Hout MA van den (1987) The explanation of experimental panic. In: Rachman S, Maser JD (eds) Panic: psychological perspectives. Erlbaum, Hillsdale, pp 237–258

    Google Scholar 

  • Hout MA van den, van der Molen GM, Griez E, Lousberg H (1987a) Specificity of interoceptive fear to panic disorders. J Psychopathol Behav Assess 9: 99–109

    Article  Google Scholar 

  • Hout MA van den, van der Molen GM, Griez E, Lousberg H, Jansen A (1987b) Reduction of CO2-induced anxiety in patients with panic attacks after repeated CO2 exposure. Am J Psychiatry 144: 788–791

    PubMed  Google Scholar 

  • Hout MA van den, Boek C, van der Molen GM, Jansen A, Griez E (1987c) Rebreathing to cope with hyperventilation. Experimental tests of the paper bag method. J Behav Med (in press)

    Google Scholar 

  • Ley R (1985) Agoraphobia, the panic attack and the hyperventilation syndrome. Behav Res Ther 23: 79–81

    Article  PubMed  Google Scholar 

  • Lousberg H, Griez E, van den Hout MA (to be published) Carbon dioxide chemosensitivity in panic disorder. Acta Psychiatr Scand

    Google Scholar 

  • Lydiard RB, Laraia MT, Ballenger JC, Howell EF (1987) Emergence of depressive symptoms in patients receiving alprazolam for panic disorder. Am J Psychiatry 5: 664–665

    Google Scholar 

  • Margraf J, Ehlers A, Roth WT (1987) Expectancy effects and hyperventilation as laboratory stressors. In: Hellhamer D, Florin I, Weiner H (eds) New frontiers in stress research. Huber, Toronto

    Google Scholar 

  • Molen GM van der, van den Hout MA, Vroemen J, Lousberg H, Griez E (1986) Cognitive determinants of lactate induced anxiety. Behav Res Ther 24: 677–680

    Article  PubMed  Google Scholar 

  • Monteiro WO, Noshirvani HF, Marks IM, Lelliot PP (1987) Anorganismic from clomipramine in obsessive compulsive disorder. A controlled trial. Br J Psychiatry 151: 107–112

    Article  PubMed  Google Scholar 

  • Nutt DJ (1986) Increased central alpha2 adrenoceptor sensitivity in panic disorder. Psycho-pharmacology. 90: 268–269

    Google Scholar 

  • Pearson MG, Peattie B, Quadiri MR, Finn R (1985) Abnormalities of respiratory centre function and pottasium homeostasis in the chronic hyperventilation syndrome. Paper presented at the 5th international symposium on respiratory psychophysiology. Nijmegen, The Netherlands

    Google Scholar 

  • Pennebaker JW (1982) The psychology of physical Symptoms. Springer, Berlin Heidelberg New York

    Book  Google Scholar 

  • Rapee R (1987) Psychological treatment of panic attacks: theoretical conceptualization and review of evidence. Clin Psychol Rev 7: 427–438

    Article  Google Scholar 

  • Rapee R, Matlich R, Murrell E (1986) Cognitive mediation in the affective component of spontaneous panic attacks. J Behav Ther Exp Psychiatry 17: 245–253

    Article  PubMed  Google Scholar 

  • Reiss S, Peterson RA, Garsky DM, McNally RJ (1986) Anxiety sensitivity, anxiety frequency and the prediction of fearfulness. Behav Res Ther 24: 1–8

    Article  PubMed  Google Scholar 

  • Salkovskis PM, Warwich HMC, Clark DM, Wessels DJ (1986) A demonstration of acute hyperventilation during naturally occurring panic attacks. Behav Res Ther 24: 91–94

    Article  PubMed  Google Scholar 

  • Shear MK (1986) Pathophysiology of panic: a review of pharmacologic provocative tests and naturalistic monitoring data. J Clin Psychiatry [Suppl] 47: 18–26

    Google Scholar 

  • Woods SW, Charney DS, Loke J, Goodman WK, Redmond DE, Henninger GR (1986) Carbon dioxide sensitivity in panic anxiety. Arch Gen Psychiatry 43: 900–909

    PubMed  Google Scholar 

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© 1988 Springer-Verlag Berlin Heidelberg

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van den Hout, M.A. (1988). Panic, Perception, and pCO2 . In: Hand, I., Wittchen, HU. (eds) Panic and Phobias 2. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-73543-1_11

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  • DOI: https://doi.org/10.1007/978-3-642-73543-1_11

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-73545-5

  • Online ISBN: 978-3-642-73543-1

  • eBook Packages: Springer Book Archive

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