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Ambulatory Monitoring of Panic Disorder

Ambulatory Monitoring of Panic Disorder Abstract • Twelve patients with panic disorder and 11 control subjects received 24-hour ambulatory monitoring of heart rate, finger temperature, ambient temperature, and self-rated anxiety. No differences were found between groups in tonic levels of any measure or in their patterns of variation throughout the day. However, substantial heart rate increases and finger temperature changes did occur in panic attacks but not during control periods having equally high anxiety ratings. These measures may be useful in the diagnosis of panic disorder and in the assessment of treatment outcome. References 1. American Psychiatric Association, Committee on Nomenclature and Statistics: Diagnostic and Statistical Manual of Mental Disorders , ed 3. Washington, DC, American Psychiatric Association, 1980. 2. Kelly D, Mitchell-Heggs N, Sherman D: Anxiety and the effects of sodium lactate assessed clinically and physiologically . Br J Psychiatry 1971;119:129-141.Crossref 3. Freedman R, Ianni P, Ettedgui E, Pohl R, Rainey JM: Psychophysiological factors in panic disorder . Psychopathology 1984;17( (suppl 1) ): 66-73.Crossref 4. Shenasa M, Curry P, Sowton E: The relationship between symptoms and arrhythmias during 24-hour ECG recording, in Stott F, Raftery E, Goulding L (eds): Proceedings of the Third International Symposium on Ambulatory Monitoring. London, Academic Press Inc, 1980, pp 39-40. 5. Schiebelhofer W, Weber H, Joskowicz G, Glogar D, Probst P, Steinbach K, Kaindl F: Symptom-correlated ECG-registration using long-term ECG and ECG telephone telemetry, in Stott F, Raftery E, Clement D, Wright S (eds): Proceedings of the Fourth International Symposium on Ambulatory Monitoring. London, Academic Press Inc, 1982, pp 14-20. 6. Molnar G: Investigation of hot flashes by ambulatory monitoring . Am J Physiol 1979;237:R306-R310. 7. Freedman R, Ianni P: Self-control of digital temperature: Physiological factors and transfer effects . Psychophysiology 1983;20:682-689.Crossref 8. Freedman R, Ianni P: Role of cold and emotional stress in Raynaud's disease and scleroderma . Br Med J 1983;287:1499-1502.Crossref 9. Freedman R, Lynn S, Ianni P: Behavioral assessment of Raynaud's disease , in Keefe F, Blumenthal J (eds): Assessment Strategies in Behavioral Medicine . New York, Grune & Stratton Inc, 1982, pp 99-130. 10. Spielberger C: Anxiety as an emotional state , in Spielberger C (ed): Anxiety: Current Trends in Theory and Research . New York, Academic Press Inc, 1972, vol 1, pp 3-21. 11. Greenfield ADM: The circulation through the skin , in Hamilton WS (ed): Handbook of Physiology , Section 2: Circulation, vol II. Washington, DC, American Physiology Society, 1963, pp 1324-1351. 12. Freedman R, Ianni P, Wenig P: Behavioral treatment of Raynaud's disease . J Consult Clin Psychol 1983;51:539-549.Crossref 13. Freedman R, Ianni P, Wenig P: Behavioral treatment of Raynaud's phenomenon in scleroderma . J Behav Med 1984;7:341-351.Crossref 14. Lader M, Mathews A: Physiological changes during spontaneous panic attacks . J Psychosom Res 1970;14:377-382.Crossref 15. Cohen AS, Barlow D, Blanchard EB: The psychophysiology of relaxation-associated panic attacks . J Abnorm Psychol , in press. 16. Ekman P, Levenson R, Friesen W: Autonomic nervous system activity distinguishes among emotions . Science 1983;221:1208-1210.Crossref 17. Bloom L, Houston B, Burish T: An evaluation of finger pulse volume as a psychophysiological measure of anxiety . Psychophysiology 1976;13:40-42.Crossref 18. Bloom L, Trautt G: Finger pulse volume as a measure of anxiety: Further evaluation . Psychophysiology 1977;14:541-544.Crossref 19. Frederikson M, Ohman A: Cardiovascular and electrodermal responses conditioned to fear-relevant stimuli . Psychophysiology 1979;16:1-7.Crossref 20. Rosenberg E: Anxiety and the capacity to bear it . Int J Psychoanal 1949;30:1-12. 21. Nelson R: Methodological issues in assessment via self-monitoring , in Cone J, Hawkins R (eds): Behavioral Assessment . New York, Brunner/ Mazel Inc, 1977, pp 217-240. 22. Gorman J, Levy G, Liebowitz M, McGrath P, Appleby I, Dillon D, Davies S, Klein D: Effect of acute beta-adrenergic blockade on lactateinduced panic . Arch Gen Psychiatry 1983;40:1079-1082.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of General Psychiatry American Medical Association

Ambulatory Monitoring of Panic Disorder

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References (21)

Publisher
American Medical Association
Copyright
Copyright © 1985 American Medical Association. All Rights Reserved.
ISSN
0003-990X
eISSN
1598-3636
DOI
10.1001/archpsyc.1985.01790260038004
Publisher site
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Abstract

Abstract • Twelve patients with panic disorder and 11 control subjects received 24-hour ambulatory monitoring of heart rate, finger temperature, ambient temperature, and self-rated anxiety. No differences were found between groups in tonic levels of any measure or in their patterns of variation throughout the day. However, substantial heart rate increases and finger temperature changes did occur in panic attacks but not during control periods having equally high anxiety ratings. These measures may be useful in the diagnosis of panic disorder and in the assessment of treatment outcome. References 1. American Psychiatric Association, Committee on Nomenclature and Statistics: Diagnostic and Statistical Manual of Mental Disorders , ed 3. Washington, DC, American Psychiatric Association, 1980. 2. Kelly D, Mitchell-Heggs N, Sherman D: Anxiety and the effects of sodium lactate assessed clinically and physiologically . Br J Psychiatry 1971;119:129-141.Crossref 3. Freedman R, Ianni P, Ettedgui E, Pohl R, Rainey JM: Psychophysiological factors in panic disorder . Psychopathology 1984;17( (suppl 1) ): 66-73.Crossref 4. Shenasa M, Curry P, Sowton E: The relationship between symptoms and arrhythmias during 24-hour ECG recording, in Stott F, Raftery E, Goulding L (eds): Proceedings of the Third International Symposium on Ambulatory Monitoring. London, Academic Press Inc, 1980, pp 39-40. 5. Schiebelhofer W, Weber H, Joskowicz G, Glogar D, Probst P, Steinbach K, Kaindl F: Symptom-correlated ECG-registration using long-term ECG and ECG telephone telemetry, in Stott F, Raftery E, Clement D, Wright S (eds): Proceedings of the Fourth International Symposium on Ambulatory Monitoring. London, Academic Press Inc, 1982, pp 14-20. 6. Molnar G: Investigation of hot flashes by ambulatory monitoring . Am J Physiol 1979;237:R306-R310. 7. Freedman R, Ianni P: Self-control of digital temperature: Physiological factors and transfer effects . Psychophysiology 1983;20:682-689.Crossref 8. Freedman R, Ianni P: Role of cold and emotional stress in Raynaud's disease and scleroderma . Br Med J 1983;287:1499-1502.Crossref 9. Freedman R, Lynn S, Ianni P: Behavioral assessment of Raynaud's disease , in Keefe F, Blumenthal J (eds): Assessment Strategies in Behavioral Medicine . New York, Grune & Stratton Inc, 1982, pp 99-130. 10. Spielberger C: Anxiety as an emotional state , in Spielberger C (ed): Anxiety: Current Trends in Theory and Research . New York, Academic Press Inc, 1972, vol 1, pp 3-21. 11. Greenfield ADM: The circulation through the skin , in Hamilton WS (ed): Handbook of Physiology , Section 2: Circulation, vol II. Washington, DC, American Physiology Society, 1963, pp 1324-1351. 12. Freedman R, Ianni P, Wenig P: Behavioral treatment of Raynaud's disease . J Consult Clin Psychol 1983;51:539-549.Crossref 13. Freedman R, Ianni P, Wenig P: Behavioral treatment of Raynaud's phenomenon in scleroderma . J Behav Med 1984;7:341-351.Crossref 14. Lader M, Mathews A: Physiological changes during spontaneous panic attacks . J Psychosom Res 1970;14:377-382.Crossref 15. Cohen AS, Barlow D, Blanchard EB: The psychophysiology of relaxation-associated panic attacks . J Abnorm Psychol , in press. 16. Ekman P, Levenson R, Friesen W: Autonomic nervous system activity distinguishes among emotions . Science 1983;221:1208-1210.Crossref 17. Bloom L, Houston B, Burish T: An evaluation of finger pulse volume as a psychophysiological measure of anxiety . Psychophysiology 1976;13:40-42.Crossref 18. Bloom L, Trautt G: Finger pulse volume as a measure of anxiety: Further evaluation . Psychophysiology 1977;14:541-544.Crossref 19. Frederikson M, Ohman A: Cardiovascular and electrodermal responses conditioned to fear-relevant stimuli . Psychophysiology 1979;16:1-7.Crossref 20. Rosenberg E: Anxiety and the capacity to bear it . Int J Psychoanal 1949;30:1-12. 21. Nelson R: Methodological issues in assessment via self-monitoring , in Cone J, Hawkins R (eds): Behavioral Assessment . New York, Brunner/ Mazel Inc, 1977, pp 217-240. 22. Gorman J, Levy G, Liebowitz M, McGrath P, Appleby I, Dillon D, Davies S, Klein D: Effect of acute beta-adrenergic blockade on lactateinduced panic . Arch Gen Psychiatry 1983;40:1079-1082.Crossref

Journal

Archives of General Psychiatry – American Medical Association

Published: Mar 1, 1985

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