Psychophysiological reactions to two levels of voluntary hyperventilation in panic disorder
Abstract Panic disorder (PD) patients usually react with more self-reported distress to voluntary hyperventilation (HV) than do comparison groups. Less consistently PD patients manifest physiological differences such as more irregular breathing and slower normalization of lowered end-tidal p CO2 aft...
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| Veröffentlicht in: | Journal of anxiety disorders 2008-06, Vol.22 (5), p.886-898 |
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| container_title | Journal of anxiety disorders |
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| creator | Wollburg, Eileen Meuret, Alicia E Conrad, Ansgar Roth, Walton T Kim, Sunyoung |
| description | Abstract Panic disorder (PD) patients usually react with more self-reported distress to voluntary hyperventilation (HV) than do comparison groups. Less consistently PD patients manifest physiological differences such as more irregular breathing and slower normalization of lowered end-tidal p CO2 after HV. To test whether physiological differences before, during, or after HV would be more evident after more intense HV, we designed a study in which 16 PD patients and 16 non-anxious controls hyperventilated for 3 min to 25 mmHg, and another 19 PD patients and another 17 controls to 20 mmHg. Patients reacted to HV to 20 mmHg but not to 25 mmHg with more self-reported symptoms than controls. However, at neither HV intensity were previous findings of irregular breathing and slow normalization of p CO2 replicated. In general, differences between patients and controls in response to HV were in the cognitive-language rather than in the physiological realm. |
| doi_str_mv | 10.1016/j.janxdis.2007.09.004 |
| format | Article |
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Less consistently PD patients manifest physiological differences such as more irregular breathing and slower normalization of lowered end-tidal p CO2 after HV. To test whether physiological differences before, during, or after HV would be more evident after more intense HV, we designed a study in which 16 PD patients and 16 non-anxious controls hyperventilated for 3 min to 25 mmHg, and another 19 PD patients and another 17 controls to 20 mmHg. Patients reacted to HV to 20 mmHg but not to 25 mmHg with more self-reported symptoms than controls. However, at neither HV intensity were previous findings of irregular breathing and slow normalization of p CO2 replicated. In general, differences between patients and controls in response to HV were in the cognitive-language rather than in the physiological realm.</description><identifier>ISSN: 0887-6185</identifier><identifier>EISSN: 1873-7897</identifier><identifier>DOI: 10.1016/j.janxdis.2007.09.004</identifier><identifier>PMID: 17950571</identifier><language>eng</language><publisher>New York, NY: Elsevier Ltd</publisher><subject>Adaptation, Physiological - physiology ; Adult ; Adult and adolescent clinical studies ; Anxiety disorders. Neuroses ; Arousal ; Autonomic nervous system ; Biological and medical sciences ; Breathing ; Carbon Dioxide - blood ; Cognition Disorders - diagnosis ; Cognition Disorders - physiopathology ; Cognition Disorders - psychology ; Control Groups ; Female ; Galvanic Skin Response - physiology ; Heart Rate - physiology ; Humans ; Hyperventilation ; Hyperventilation - blood ; Hyperventilation - physiopathology ; Hyperventilation - psychology ; Male ; Medical sciences ; Panic disorder ; Panic Disorder - diagnosis ; Panic Disorder - physiopathology ; Panic Disorder - psychology ; Panic disorders ; Partial Pressure ; Personality Inventory ; Psychiatry ; Psychological distress ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Psychophysiological aspects ; Psychophysiology ; Pulmonary Ventilation - physiology ; Respiration ; Self-report ; Sensation - physiology ; Surveys and Questionnaires ; Tidal Volume - physiology ; Voluntary hyperventilation</subject><ispartof>Journal of anxiety disorders, 2008-06, Vol.22 (5), p.886-898</ispartof><rights>Elsevier Ltd</rights><rights>2007 Elsevier Ltd</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c479t-b532b0b1eb1000a62d3e00e78c8f4f7bbdabc7a8feef50ffb8d6b854745f759c3</citedby><cites>FETCH-LOGICAL-c479t-b532b0b1eb1000a62d3e00e78c8f4f7bbdabc7a8feef50ffb8d6b854745f759c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.janxdis.2007.09.004$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,31000,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20383835$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17950571$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wollburg, Eileen</creatorcontrib><creatorcontrib>Meuret, Alicia E</creatorcontrib><creatorcontrib>Conrad, Ansgar</creatorcontrib><creatorcontrib>Roth, Walton T</creatorcontrib><creatorcontrib>Kim, Sunyoung</creatorcontrib><title>Psychophysiological reactions to two levels of voluntary hyperventilation in panic disorder</title><title>Journal of anxiety disorders</title><addtitle>J Anxiety Disord</addtitle><description>Abstract Panic disorder (PD) patients usually react with more self-reported distress to voluntary hyperventilation (HV) than do comparison groups. Less consistently PD patients manifest physiological differences such as more irregular breathing and slower normalization of lowered end-tidal p CO2 after HV. To test whether physiological differences before, during, or after HV would be more evident after more intense HV, we designed a study in which 16 PD patients and 16 non-anxious controls hyperventilated for 3 min to 25 mmHg, and another 19 PD patients and another 17 controls to 20 mmHg. Patients reacted to HV to 20 mmHg but not to 25 mmHg with more self-reported symptoms than controls. However, at neither HV intensity were previous findings of irregular breathing and slow normalization of p CO2 replicated. In general, differences between patients and controls in response to HV were in the cognitive-language rather than in the physiological realm.</description><subject>Adaptation, Physiological - physiology</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Anxiety disorders. Neuroses</subject><subject>Arousal</subject><subject>Autonomic nervous system</subject><subject>Biological and medical sciences</subject><subject>Breathing</subject><subject>Carbon Dioxide - blood</subject><subject>Cognition Disorders - diagnosis</subject><subject>Cognition Disorders - physiopathology</subject><subject>Cognition Disorders - psychology</subject><subject>Control Groups</subject><subject>Female</subject><subject>Galvanic Skin Response - physiology</subject><subject>Heart Rate - physiology</subject><subject>Humans</subject><subject>Hyperventilation</subject><subject>Hyperventilation - blood</subject><subject>Hyperventilation - physiopathology</subject><subject>Hyperventilation - psychology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Panic disorder</subject><subject>Panic Disorder - diagnosis</subject><subject>Panic Disorder - physiopathology</subject><subject>Panic Disorder - psychology</subject><subject>Panic disorders</subject><subject>Partial Pressure</subject><subject>Personality Inventory</subject><subject>Psychiatry</subject><subject>Psychological distress</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychophysiological aspects</subject><subject>Psychophysiology</subject><subject>Pulmonary Ventilation - physiology</subject><subject>Respiration</subject><subject>Self-report</subject><subject>Sensation - physiology</subject><subject>Surveys and Questionnaires</subject><subject>Tidal Volume - physiology</subject><subject>Voluntary hyperventilation</subject><issn>0887-6185</issn><issn>1873-7897</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFksFu1DAQhiMEotvCI4BygVvCOIlj5wKqKihIlUACThwsxxmzDl472MlC3h5HuwiJS-WDL9_8Hn8zWfaMQEmAtK_GcpTu92BiWQGwEroSoHmQ7QhndcF4xx5mO-CcFS3h9CK7jHEEIAxa9ji7IKyjQBnZZd8-xVXt_bRfo_HWfzdK2jygVLPxLuazz-dfPrd4RBtzr_Ojt4ubZVjz_TphOKKbjZUbnBuXT9IZlaemfBgwPMkeaWkjPj3fV9nXd2-_3Lwv7j7efri5vitUw7q56Gld9dAT7AkAyLYaagRAxhXXjWZ9P8heMck1oqagdc-Htue0YQ3VjHaqvspennKn4H8uGGdxMFGhtdKhX6Jouwoo4dW9IGVVC3XdJpCeQBV8jAG1mII5pF8LAmLTL0Zx1i82_QI6kfSnuufnB5b-gMO_qrPvBLw4AzIm0zpIp1LGX66CmqdDE_fmxCXteDQYRFQGncLBBFSzGLy5t5XX_yUoa9w23h-4Yhz9ElwaiiAiVgLE521XtlUBtq1JA_Uf0Xu9zQ</recordid><startdate>20080601</startdate><enddate>20080601</enddate><creator>Wollburg, Eileen</creator><creator>Meuret, Alicia E</creator><creator>Conrad, Ansgar</creator><creator>Roth, Walton T</creator><creator>Kim, Sunyoung</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>20080601</creationdate><title>Psychophysiological reactions to two levels of voluntary hyperventilation in panic disorder</title><author>Wollburg, Eileen ; Meuret, Alicia E ; Conrad, Ansgar ; Roth, Walton T ; Kim, Sunyoung</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c479t-b532b0b1eb1000a62d3e00e78c8f4f7bbdabc7a8feef50ffb8d6b854745f759c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adaptation, Physiological - physiology</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Anxiety disorders. Neuroses</topic><topic>Arousal</topic><topic>Autonomic nervous system</topic><topic>Biological and medical sciences</topic><topic>Breathing</topic><topic>Carbon Dioxide - blood</topic><topic>Cognition Disorders - diagnosis</topic><topic>Cognition Disorders - physiopathology</topic><topic>Cognition Disorders - psychology</topic><topic>Control Groups</topic><topic>Female</topic><topic>Galvanic Skin Response - physiology</topic><topic>Heart Rate - physiology</topic><topic>Humans</topic><topic>Hyperventilation</topic><topic>Hyperventilation - blood</topic><topic>Hyperventilation - physiopathology</topic><topic>Hyperventilation - psychology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Panic disorder</topic><topic>Panic Disorder - diagnosis</topic><topic>Panic Disorder - physiopathology</topic><topic>Panic Disorder - psychology</topic><topic>Panic disorders</topic><topic>Partial Pressure</topic><topic>Personality Inventory</topic><topic>Psychiatry</topic><topic>Psychological distress</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychophysiological aspects</topic><topic>Psychophysiology</topic><topic>Pulmonary Ventilation - physiology</topic><topic>Respiration</topic><topic>Self-report</topic><topic>Sensation - physiology</topic><topic>Surveys and Questionnaires</topic><topic>Tidal Volume - physiology</topic><topic>Voluntary hyperventilation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wollburg, Eileen</creatorcontrib><creatorcontrib>Meuret, Alicia E</creatorcontrib><creatorcontrib>Conrad, Ansgar</creatorcontrib><creatorcontrib>Roth, Walton T</creatorcontrib><creatorcontrib>Kim, Sunyoung</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of anxiety disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wollburg, Eileen</au><au>Meuret, Alicia E</au><au>Conrad, Ansgar</au><au>Roth, Walton T</au><au>Kim, Sunyoung</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychophysiological reactions to two levels of voluntary hyperventilation in panic disorder</atitle><jtitle>Journal of anxiety disorders</jtitle><addtitle>J Anxiety Disord</addtitle><date>2008-06-01</date><risdate>2008</risdate><volume>22</volume><issue>5</issue><spage>886</spage><epage>898</epage><pages>886-898</pages><issn>0887-6185</issn><eissn>1873-7897</eissn><abstract>Abstract Panic disorder (PD) patients usually react with more self-reported distress to voluntary hyperventilation (HV) than do comparison groups. Less consistently PD patients manifest physiological differences such as more irregular breathing and slower normalization of lowered end-tidal p CO2 after HV. To test whether physiological differences before, during, or after HV would be more evident after more intense HV, we designed a study in which 16 PD patients and 16 non-anxious controls hyperventilated for 3 min to 25 mmHg, and another 19 PD patients and another 17 controls to 20 mmHg. Patients reacted to HV to 20 mmHg but not to 25 mmHg with more self-reported symptoms than controls. However, at neither HV intensity were previous findings of irregular breathing and slow normalization of p CO2 replicated. In general, differences between patients and controls in response to HV were in the cognitive-language rather than in the physiological realm.</abstract><cop>New York, NY</cop><pub>Elsevier Ltd</pub><pmid>17950571</pmid><doi>10.1016/j.janxdis.2007.09.004</doi><tpages>13</tpages></addata></record> |
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| subjects | Adaptation, Physiological - physiology Adult Adult and adolescent clinical studies Anxiety disorders. Neuroses Arousal Autonomic nervous system Biological and medical sciences Breathing Carbon Dioxide - blood Cognition Disorders - diagnosis Cognition Disorders - physiopathology Cognition Disorders - psychology Control Groups Female Galvanic Skin Response - physiology Heart Rate - physiology Humans Hyperventilation Hyperventilation - blood Hyperventilation - physiopathology Hyperventilation - psychology Male Medical sciences Panic disorder Panic Disorder - diagnosis Panic Disorder - physiopathology Panic Disorder - psychology Panic disorders Partial Pressure Personality Inventory Psychiatry Psychological distress Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychophysiological aspects Psychophysiology Pulmonary Ventilation - physiology Respiration Self-report Sensation - physiology Surveys and Questionnaires Tidal Volume - physiology Voluntary hyperventilation |
| title | Psychophysiological reactions to two levels of voluntary hyperventilation in panic disorder |
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