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Respiratory Control in the Treatment of Panic Attacks:

Replication and Extension with Concurrent Measurement of Behaviour and pCO2

Published online by Cambridge University Press:  29 January 2018

Paul M. Salkovskis ,
David R. O. Jones  and
David M. Clark
Paul M. Salkovskis*
Affiliation:
Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford OX3 7JX
David R. O. Jones
Affiliation:
Department of Clinical Psychology, Torbay Health Authority, Belmont Court, Newton Road, Torquay
David M. Clark
Affiliation:
Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford. Wolfson College, Oxford
*
∗Correspondence
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Abstract

A case series is reported in which nine patients who experienced phobic and/or non-phobic panic attacks were given a cognitive-behavioural treatment based on the supposition that catastrophic interpretations of sensations produced by hyperventilation played an important role in their attacks. Large and rapid reductions in panic attack frequency and questionnaire report of fear were observed. Patients' resting pCO2 was significantly lower than controls and rose to normal levels during treatment.

Type
Papers
Information
The British Journal of Psychiatry , Volume 148 , Issue 5 , May 1986 , pp. 526 - 532
Copyright
Copyright © 1986 The Royal College of Psychiatrists 

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References

Balke, B., Ellis, J. P. & Wells, J. G. (1958) Adaptive responses to hyperventilation. Journal of Applied Physiology. 12, 269–277.CrossRefGoogle ScholarPubMed
Beck, A. T. & Beamsdereer, A. (1974). Assessment of depression: the depression inventory. In Modern Problems in Pharmacopsychiairy. (Vol 7) (ed. Pichot, P.) Basel. Switzerland: Karger.Google Scholar
Butler, G. & Mathews, A. (1983) Cognitive processes in anxiety. Advances in Behaviour Research and Therapy. 5, 51–62.Google Scholar
Cambell, E. J. M., & Howell, J. B. L. (1962) Measurement of mixed venous pCO2 . British Medical Journal, ii. 630–633.Google Scholar
Clark, D. M. (1979) Therapeutic Aspects of Increasing pCO2 by Behavioural Means. Unpublished M.Phil, thesis. University of London.Google Scholar
Clark, D. M. & Hemsley, D. R. (1982) Effects of hyperventilation: individual variability and its relation to personality. Journal of Behaviour Therapy & Experimental Psychiatry, 13, 41–47.Google Scholar
Clark, D. M., Salkovskis, P. M. & Chalkley, A. J. (1985) Respiratory control as a treatment for panic attacks. Journal of Behaviour Therapy & Experimental Psychiatry. 16, 23–30.Google Scholar
Dixon, W. J., Brown, M. B., Engelman, L., Frane, J. W., Hill, M. A., Jennrich, R. I. & Toporek, J. D. (1983) BMDP Statistical Software. Berkeley: University of California Press.Google Scholar
Garssen, B., Veenendaal, W. V. & Bloemink, R. (1983) Agoraphobia and the hyperventilation syndrome. Behaviour Research & Therapy, 21, 643–649.Google Scholar
Garssen, B. (1980) Role of stress in the development of the hyperventilation syndrome. Psychotherapy & Psychosomatics, 33, 214–225.Google Scholar
Gledhill, N., Beirne, G. J. & Dempsey, J. A. (1975) Renal response to short-term hypocapnia in man. Kidney International. 8, 376.Google Scholar
Goldstein, A. J. & Chambless, D. L. (1978) A re-analysis of agoraphobia. Behaviour Therapy, 9, 47–59.Google Scholar
Hibbert, G. A. (1984) Hyperventilation as a cause of panic attacks. British Medical Journal, 288, 263–264.Google Scholar
Hardonk, H. J. & Beumer, H. M. (1979) Hyperventilation syndrome. In Handbook of Neurology vol 38. (eds. Vinken, P. J. and Bruyn, G. W.) Amsterdam: Elsevier.Google Scholar
Keselman, H. J. & Rogan, J. C. (1980) Repeated measures F tests and psychophysiological research: controlling the number of false positives. Psychophysiology. 17, 499–503.Google Scholar
Lewis, B. I. (1959). Hyperventilation syndrome: a clinical and physiologic evaluation. Californian Medicine. 91, 121.Google Scholar
Lum, L. C. (1976) The syndrome of habitual chronic hyperventilation. In Modern Trends in Psychosomatic Medicine 3. (ed. Hill, O. W.) London: Butterworths.Google Scholar
Marks, I. M. & Mathews, A. (1979) Brief standard self-rating for phobic patients. Behaviour Research & Therapy. 17, 263–267.CrossRefGoogle ScholarPubMed
Okel, B. B. & Hurst, J. W. (1961) Prolonged hyperventilation in man; associated electrolyte changes and Subjective Symptoms. Archives of Internal Medicine. 108.Google Scholar
Salkovskis, P. M., Clark, D. M. & Jones, D. R. O. (1986) A Psychosomatic mechanism in anxiety attacks: The role of hyperventilation in social anxiety and cardiac neurosis. Paper presented at The 15th European Conference on Psychosomatic Medicine, London 1984 Conference proceedings (eds. Lacey, H. & Sturgeon, J.). In press.Google Scholar
Seuss, W. M., Alexander, A. B., Smith, D. D., Sweeney, H. W. & Marion, R. J. (1980) The effects of psychological stress on respiration: a preliminary study of anxiety and hyperventilation. Psychophysiology. 17, 535–540.Google Scholar
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