Respiratory Biofeedback-Assisted Therapy in Panic Disorder

書誌事項

公開日
2001-09
権利情報
  • https://journals.sagepub.com/page/policies/text-and-data-mining-license
DOI
  • 10.1177/0145445501254006
公開者
SAGE Publications

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説明

<jats:p> The authors describe a new methodologically improved behavioral treatment for panic patients using respiratory biofeedback from a handheld capnometry device. The treatment rationale is based on the assumption that sustained hypocapnia resulting from hyperventilation is a key mechanism in the production and maintenance of panic. The brief 4-week biofeedback therapy is aimed at voluntarily increasing self-monitored end-tidal partial pressure of carbon dioxide (PCO<jats:sub>2</jats:sub>) and reducing respiratory rate and instability through breathing exercises in patients’ environment. Preliminary results from 4 patients indicate that the therapy was successful in reducing panic symptoms and other psychological characteristics associated with panic disorder. Physiological data obtained from home training, 24-hour ambulatory monitoring pretherapy and posttherapy, and laboratory assessment at follow-up indicate that patients started out with low resting PCO<jats:sub>2</jats:sub> levels, increased those levels during therapy, and maintained those levels at posttherapy and/or follow-up. Partial dissociation between PCO<jats:sub>2</jats:sub> and respiratory rate questions whether respiratory rate should be the main focus of breathing training in panic disorder. </jats:p>

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