Medicação antipânico e função pulmonar em pacientes com transtorno de pânico

Nascimento, Isabella; de-Melo-Neto, Valfrido L.; Valença, Alexandre Martins; Lopes, Fabiana L.; Freire, Rafael C.; Cassabian, Laura Andréa; Garcia, Cristiane Sousa Nascimento Baez; Zin, Walter A.; Nardi, Antônio Egídio

doi:10.1590/s0101-60832009000400001

Cited by 3 publications

(2 citation statements)

References 30 publications

(31 reference statements)

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“…Paroxetine decreases respiratory irregularity in patients with PD 95 . Respiratory function (forced expiratory volume in 1 second [FEV1], oxygen partial pressure [PaO 2 ], and PaCO 2 ) and dyspnea improve in patients with chronic obstructive pulmonary disease treated with citalopram 96 or sertraline 97 as well as in patients with PD treated with antipanic medications 98 . Paroxetine may be useful in the treatment of obstructive sleep apnea 99 .…”

Section: Are Successful Treatments Of Panic Disorder Specifically Actmentioning

confidence: 99%

Is panic disorder a disorder of physical fitness? A heuristic proposal

Perna

Caldirola²

2018

F1000Res

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Currently, panic disorder (PD) is considered a mental disorder based on the assumptions that panic attacks (PAs) are “false alarms” that arise from abnormally sensitive defense systems in the central nervous system and that PD is treated with therapies specifically acting on anxiety or fear mechanisms. This article aims to propose an alternative perspective based on the results of some experimental studies. Our heuristic proposal suggests not only that PD may be a mental disorder but also that patients with PD have real abnormal body functioning, mainly involving cardiorespiratory and balance systems, leading to a decline in global physical fitness. PAs, as well as physical symptoms or discomfort in some environmental situations, may be “real alarms” signaling that the adaptability resources of an organism are insufficient to respond appropriately to some internal or external changes, thus representing the transient conscious awareness of an imbalance in body functioning. The antipanic properties of several modern treatments for PD may include their beneficial effects on body functions. Although anxiety or fear mechanisms are evidently involved in PD, we hypothesize that a reduction of physical fitness is the “primum movens” of PD, while anxiety or fear is induced and sustained by repeated signals of impaired body functioning. We propose considering panic in a broader perspective that offers a central role to the body and to contemplate the possible role of somatic treatments in PD.

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Section: Are Successful Treatments Of Panic Disorder Specifically Actmentioning

confidence: 99%

Is panic disorder a disorder of physical fitness? A heuristic proposal

Perna

Caldirola²

2018

F1000Res

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“…During the patient's treatment, the techniques of IE and IVE are intended to interact to assist in the remission of the components of cognitive dysfunctions that are linked to agora phobic avoidance and to autonomic symptoms verified in PD. According to Rangé 8 , CBT is very efficient when compared to placebo, psychopharmacological treatments 9,10 , and other forms of psychotherapy. However, some studies 11,12 have shown a good clinical response of panic disorder only to psychopharmacological treatment.…”

Section: Introductionmentioning

confidence: 99%

Cardio-respiratory symptoms in panic disorder: a contribution from cognitive-behaviour therapy

King

Silva²,

Valencça³

et al. 2011

J. bras. psiquiatr.

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rESUMo objetivo: Comparar pacientes com transtorno de pânico com agorafobia, tratados com terapia cognitivo-comportamental (TCC) e medicação, com pacientes com o mesmo diagnóstico, tratados apenas com medicação, e verificar o comportamento dos sintomas cardiorrespiratórios em ambos os grupos. Métodos: Amostra randomizada com 50 voluntários diagnosticados no Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro, dividida em dois grupos de 25 pacientes: o grupo 1 realizou 10 sessões semanais e individuais de TCC com uma hora de duração combinada com medicação. O grupo 2, controle, foi tratado apenas com medicação. A medicação para ambos os grupos consistiu de antidepressivos tricícli-cos e inibidores seletivos de recaptação da serotonina. Instrumentos de avaliação foram aplicados no início e ao final das intervenções. resultados: De acordo com as escalas aplicadas, o grupo 1 apresentou resultados estatisticamente mais significativos do que o grupo 2, com redução dos ataques de pânico, dos sintomas cardiorrespiratórios, ansiedade antecipatória, esquiva agorafobia e medo das sensações corporais. Conclusão: As exposições (in vivo e interoceptivas) e os exercícios de indução dos sintomas e de relaxamento foram considerados essenciais para os pacientes aprenderem a lidar com o transtorno de pânico, com os ataques e com as possíveis situações agorafóbicas futuras.

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