Respiratory Medicine
Volume 104, Issue 9 , Pages 1246-1253 , September 2010

Panic attacks and panic disorder in chronic obstructive pulmonary disease: A cognitive behavioral perspective

  • Nicole Livermore

      Affiliations

    • Department of Liaison Psychiatry, Prince of Wales Hospital, Sydney, Australia
    • School of Psychology, University of Sydney, Sydney, Australia
    • Corresponding Author InformationCorresponding author. Department of Liaison Psychiatry, Prince of Wales Hospital, Barker St., Randwick 2031 NSW, Australia. Tel.: +61 2 9382 2731; fax: +61 2 9382 2177.
    • ,
  • Louise Sharpe

      Affiliations

    • School of Psychology, University of Sydney, Sydney, Australia
    • ,
  • David McKenzie

      Affiliations

    • Department of Respiratory Medicine, Prince of Wales Hospital, Sydney, Australia
    • Faculty of Medicine, University of New South Wales, Sydney, Australia

Received 11 September 2009 ,Accepted 15 April 2010.

References 

  1. Rabe K, Hurd S, Anzueto A, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2007;176:532–555
  2. Weaver T, Narsavage G. Physiological and psychological variables related to functional status in chronic obstructive pulmonary disease. Nurs Res. 1992;41:286–291
  3. Engstrom C, Persson L, Larsson S, Ryden A, Sullivan M. Functional status and well being in chronic obstructive pulmonary disease with regard to clinical parameters and smoking: a descriptive and comparative study. Thorax. 1996;51:825–830
  4. Yohannes A, Roomi J, Waters K, Connolly M. Quality of life in elderly patients with COPD: measurement and predictive factors. Respir Med. 1998;92:1231–1236
  5. Hajiro T, Nishimurra K, Tsukino M, Ikeda A, Oga T. Stages of disease severity and factors that affect the health status of patients with chronic obstructive pulmonary disease. Respir Med. 2000;94:841–846
  6. Kim F, Kunik M, Molinari V, et al. Functional impairment in COPD patients: the impact of anxiety and depression. Psychosomatics. 2000;41:465–471
  7. Peruzza S, Sergi G, Vianello A, et al. Chronic obstructive pulmonary disease (COPD) in elderly subjects: impact on functional status and quality of life. Respir Med. 2003;97:612–617
  8. Kunik M, Roundy K, Veazey C, et al. Surprisingly high prevalence of anxiety and depression in chronic breathing disorders. Chest. 2005;127:1205–1211
  9. Yohannes A, Baldwin R, Conolly M. Predictors of 1-year mortality in patients discharged from hospital following acute exacerbation of chronic obstructive pulmonary disease. Age Ageing. 2005;34:491–496
  10. Cully J, Graham D, Stanley M, et al. Quality of life in patients with chronic obstructive pulmonary disease and comorbid anxiety or depression. Psychosomatics. 2006;47:312–318
  11. American Psychiatric Association . Diagnostic and statistical manual of mental disorders. 4th ed.. Washington, DC: American Psychiatric Association; 1994;
  12. Smoller J, Pollack M, Otto M, Rosenbaum J, Kradin R. Panic anxiety, dyspnea, and respiratory disease. Am J Respir Crit Care Med. 1996;154:6–17
  13. Zvolensky M, Schmidt N, Bernstein A, Keough M. Risk-factor research and prevention programs for anxiety disorders: a translational research framework. Behav Res Ther. 2006;44:1219–1239
  14. Yellowlees P, Alpers J, Bowden J, Bryant G, Ruffin R. Psychiatric morbidity in patients with chronic airflow obstruction. Med J Australia. 1987;146:305–307
  15. Candilis P, Pollack M. The hidden costs of untreated anxiety disorders. Harvard Rev Psychiat. 1997;5:40–42
  16. Simon N, Fischmann D. The implications of medical and psychiatric comorbidity with panic disorder. J Clin Psychiat. 2005;66(Suppl.):8–15
  17. Katon W, Lin E, Kroenke K. The association of depression and anxiety with medical symptom burden in patients with chronic medical illness. Gen Hosp Psychiat. 2007;29:147–155
  18. Smoller J, Simon N, Pollack M, Kradin R, Stern T. Anxiety in patients with pulmonary disease: comorbidity and treatment. Semin Clin Neuropsychiat. 1999;4:84–97
  19. Kessler R, Chiu W, Jin R, Ruscio A, Shear K, Walters E. The epidemiology of panic attacks, panic disorder, and agoraphobia in the national comorbidity survey replication. Arch Gen Psychiat. 2006;63:415–424
  20. Smoller J, Pollack M, Wassertheil-Smoller S, et al. Prevalence and correlates of panic attacks in postmenopausal women. Arch Intern Med. 2003;163:2041–2050
  21. Porzelius J, Vest M, Nochomovitz M. Respiratory function, cognitions, and panic in chronic obstructive pulmonary patients. Behav Res Ther. 1992;30:75–77
  22. Howard C, Hallas C, Wray J, Carby M. The relationship between illness perceptions and panic in chronic obstructive pulmonary disease. Behav Res Ther. 2009;47:71–76
  23. Pollack M, Kradin R, Otto M, et al. Prevalence of panic in patients referred for pulmonary function testing at a major medical centre. Am J Psychiat. 1996;153:110–113
  24. Karajgi B, Rifkin A, Doddi S, Kolli R. The prevalence of anxiety disorders in patients with chronic obstructive pulmonary disease. Am J Psychiat. 1990;147:200–201
  25. Moore M, Zebb B. The catastrophic misinterpretation of physiological distress. Behav Res Ther. 1999;37:1105–1118
  26. Vogele C, Leupoldt A. Mental disorders in chronic obstructive pulmonary disease. Respir Med. 2008;102:764–773
  27. Goodwin R, Faravelli C, Rosi S, et al. The epidemiology of panic disorder and agoraphobia in Europe. Eur Neuropharm. 2005;15:435–443
  28. Sheikh J, Salzman C. Anxiety in the elderly: course and treatment. Psychiat Clin N Am. 1995;18:871–883
  29. Segui J, Salvador-Carulla L, Marquez M, Garcia L, Canet J, Oritz M. Differential clinical features of late onset panic disorder. J Affect Disorders. 2000;57:115–124
  30. Pollack M, Smoller J. The longitudinal course and outcome of panic disorder. Psychiat Clin N Am. 1995;18:785–801
  31. Hybels C, Blazer D. Epidemiology of mental disorders in older adults. In:  Levin B,  Petrila J,  Hennessy K editor. Mental health services: a public health perspective. 2nd ed.. New York: Oxford University Press; 2004;p. 211–231
  32. Ashutosh K, Haldipur C, Boucher M. Clinical and personality profiles and survival in patients with COPD. Chest. 1997;111:95–98
  33. Crockett A, Cranston J, Moss J, Alpers J. The impact of anxiety, depression and living alone in chronic obstructive pulmonary disease. Qual Life Res. 2002;11:309–316
  34. Dowson C, Town I, Frampton C, Mulder R. Psychopathology and illness beliefs influence COPD self-management. J Psychosom Res. 2004;56:333–340
  35. Celli B, Cote C, Lareau S, Meek P. Predictors of survival in COPD: more than just the FEV1. J Respir Med. 2008;102(Suppl.):27–35
  36. Ballenger J. Unrecognised prevalence of panic disorder in primary care, internal medicine, and cardiology. Am J Cardiol. 1987;60:39–47
  37. Katon W, Von Korff M, Lin E, et al. Distressed high utilizers of medical care: DSM-III-R diagnoses and treatment needs. Gen Hosp Psychiat. 1990;12:355–362
  38. Dahlen I, Janson C. Anxiety and depression are related to the outcome of emergency treatment in patients with obstructive pulmonary disease. Chest. 2002;122:1633–1637
  39. Gudmundsson G, Gislason T, Janson C, et al. Risk factors for rehospitalisation in COPD: the role of health status, anxiety and depression. Eur Respir J. 2005;26:414–419
  40. Xu W, Collet J, Shapiro S, et al. Independent effect of depression and anxiety on chronic obstructive pulmonary disease exacerbations and hospitalizations. Am J Respir Crit Care Med. 2008;178:913–920
  41. Livermore N, Sharpe L, McKenzie D. Prevention of panic attacks and panic disorder in chronic obstructive pulmonary disease. Eur Respir J. 2010;35:557–563
  42. Ley R. Agoraphobia, the panic attack and the hyperventilation syndrome. Behav Res Ther. 1985;23:79–81
  43. Klein D. False suffocation alarms, spontaneous panics, and related conditions. An integrative hypothesis. Arch Gen Psychiat. 1993;50:306–317
  44. Gorman J, Kent J, Sullivan G, Coplan J. Neuroanatomical hypothesis of panic disorder, revised. Am J Psychiat. 2000;157:493–505
  45. Perna G, Caldirola D, Bellodi L. Panic disorder: from respiration to the homeostatic brain. Acta Neuropsychiatr. 2004;16:57–67
  46. Van den Hout M, Hoekstra R, Arntz A, Christiaanse M, Ranschaert W, Schouten E. Hyperventilation is not diagnostically specific to panic patients. Psychosom Med. 1992;54:182–191
  47. Vickers K, McNally R. Respiratory symptoms and panic in the National Comorbidity Survey: a test of Klein’s suffocation false alarm theory. Behav Res Ther. 2005;43:1011–1018
  48. Meuret A, Ritz T, Wilhelm F, Roth W. Voluntary hyperventilation in the treatment of panic disorder: functions of hyperventilation, their implications for breathing training, and recommendations for standardization. Clin Psychol Rev. 2005;25:285–306
  49. McNally R. Psychological approaches to panic disorder: a review. Psychol Bull. 1990;108:403–419
  50. Salkovskis P, Clark D. Affective responses to hyperventilation: a test of the cognitive model of panic. Behav Res Ther. 1990;28:51–61
  51. Clark D. A cognitive approach to panic. Behav Res Ther. 1986;24:461–470
  52. Salkovskis P. The importance of behaviour in the maintenance of anxiety and panic: a cognitive account. Behavioural Psychotherapy. 1991;19:6–19
  53. Beck A. Cognitive therapy and the emotional disorders. New York: International Universities Press; 1976;
  54. Clark D, Salkovskis P, Gelder M, et al. Tests of a cognitive theory of panic. In:  Hand I,  Wittchen H editor. Panic and phobias. New York: Springer-Verlag; 1988;p. 149–158
  55. Stoler L, McNally R. Cognitive bias in symptomatic and recovered agoraphobics. Behav Res Ther. 1991;29:539–545
  56. Westling B, Ost L. Cognitive bias in panic disorder patients and changes after cognitive behavioral treatments. Behav Res Ther. 1995;33:585–588
  57. Richards J, Austin D, Alvarenga M. Interpretation of ambiguous interoceptive stimuli in panic disorder and nonclinical panic. Cognitive Ther Res. 2001;25:235–246
  58. Casey L, Oei T, Newcombe P, Kenardy J. The role of catastrophic misinterpretation of bodily sensations and panic self-efficacy in predicting panic severity. Anxiety Disorders. 2004;18:325–340
  59. Austin D, Richards J. A test of core assumptions of the catastrophic misinterpretation model of panic disorder. Cognitive Ther Res. 2006;30:53–68
  60. Hofmann S, Meuret A, Rosenfield D, et al. Preliminary evidence for cognitive mediation during cognitive-behavioral therapy of panic disorder. J Consult Clin Psych. 2007;75:374–379
  61. Gould R, Otto M, Pollack M. A meta-analysis of treatment outcome for panic disorder. Clin Psychol Rev. 1995;15:819–844
  62. Westen D, Morrison K. A multidimensional meta-analysis of treatments for depression, panic, and generalized anxiety disorder: an empirical examination of the status of empirically supported therapies. J Consult Clin Psych. 2001;69:875–899
  63. Mitte KA. meta-analysis of the efficacy of psycho- and pharmacotherapy in panic disorder with and without agoraphobia. J Affect Disorders. 2005;88:27–45
  64. Salkovskis P, Hackmann A, Wells A, Gelder M, Clark D. Belief disconfirmation versus habituation approaches to situational exposure in panic disorder with agoraphobia: a pilot study. Behav Res Ther. 2007;45:877–885
  65. McNally R, Riemann B, Kim E. Selective processing of threat cues in panic disorder. Behav Res Ther. 1990;28:407–412
  66. Lundh L, Wikstrom J, Westerlund J, Ost L. Preattentive bias for emotional information in panic disorder with agoraphobia. J Abnorm Psychol. 1999;108:222–232
  67. Van den Heuvel O, Veltman D, Groenewegen H, et al. Disorder-specific neuroanatomical correlates of attentional bias in obsessive–compulsive disorder, panic disorder, and hypochondriasis. Arch Gen Psychiat. 2005;62:922–933
  68. Livermore N, Butler J, Sharpe L, McBain R, Gandevia S, McKenzie D. Panic attacks and perception of inspiratory resistive loads in chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2008;178:7–12
  69. Umezawa A. A respiratory control method based on psychophysiological studies. Proceedings of the 11th annual meeting of the international society for the advancement of respiratory psychophysiology (ISARP), Princeton, NJ, October 17–19, 2004. Biol Psychiat. 2006;(72):222–238
  70. O’Donnell D, Banzett R, Carrieri-Kohlman V, et al. Pathophysiology of dyspnea in chronic obstructive pulmonary disease: a roundtable. Proc Am Thorac Soc. 2007;4:145–168
  71. Smoller J, Otto M. Panic, dyspnea, and asthma. Curr Opin Pulm Med. 1998;4:40–45
  72. McKenzie D, Butler J, Gandevia S. Respiratory muscle function and activation in chronic obstructive pulmonary disease. J Appl Physiol. 2009;107:621–629
  73. Spruit M, Troosters T, Trappenburg J, Decramer M, Gosselink R. Exercise training during rehabilitation of patients with COPD: a current perspective. Patient Educ Couns. 2004;52:243–248
  74. Emery C, Schein R, Hauck E, MacIntyre N. Psychological and cognitive outcomes of a randomised trial of exercise among patients with chronic obstructive pulmonary disease. Health Psychol. 1998;17:232–240
  75. Kunik M, Braun U, Stanley M, et al. One session cognitive behavioural therapy for elderly patients with chronic obstructive pulmonary disease. Psychol Med. 2001;31:717–723
  76. de Godoy D, de Godoy R. A randomized controlled trial of the effect of psychotherapy on anxiety and depression in chronic obstructive pulmonary disease. Arch Phys Med Rehab. 2003;84:1154–1157
  77. Kunik M, Veazey C, Cully J, et al. Group education and cognitive behavioral therapy group treatment for clinically significant symptoms of depression and anxiety in COPD patients: a randomised controlled trial. Psychol Med. 2007;9:1–12
  78. Nici L. Mechanisms and measures of exercise intolerance in chronic obstructive pulmonary disease. Clin Chest Med. 2000;21:693–704
  79. Livermore N, Sharpe L, McKenzie D. Cognitive behaviour therapy for panic disorder in chronic obstructive pulmonary disease: two case studies. Behav Cogn Psychoth. 2008;36:625–630
  80. Coventry P, Gellatly J. Improving outcomes for COPD patients with mild-to-moderate anxiety and depression: a systematic review of cognitive behavioural therapy. Brit J Health Psych. 2008;13:381–400
  81. Coventry P. Does pulmonary rehabilitation reduce anxiety and depression in chronic obstructive pulmonary disease?. Curr Opin Pulm Med. 2009;15:143–149
  82. Coventry P, Hind D. Comprehensive pulmonary rehabilitation for anxiety and depression in adults with chronic obstructive pulmonary disease: systematic review and meta-analysis. J Psychosom Res. 2007;63:551–565
  83. Guell R, Resqueti V, Sangenis M. Impact of pulmonary rehabilitation on psychosocial morbidity in patients with severe COPD. Chest. 2006;129:899–904
  84. Griffiths T, Burr M, Campbell I. Results at 1 year of outpatient multidisciplinary pulmonary rehabilitation: a randomised controlled trial. Lancet. 2000;355:362–368
  85. Lacasse Y, Goldstein R, Lasserson T, Martin S. Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database Syst Rev. 2006;4:No.CD003793
  86. von Leupoldt A, Dahme B. Differentiation between the sensory and affective dimension of dyspnea during resistive load breathing in normal subjects. Chest. 2005;128:3345–3349
  87. Duranti R. Dyspnea: the importance of a psychological approach. Respiration. 2006;73:739–740
  88. von Leupoldt A, Seemann N, Gugleva T, Dahme B. Attentional distraction reduces the affective but not the sensory dimension of perceived dyspnea. Resp Med. 2007;101:839–844
  89. Banzett R, Pedersen S, Schwartzstein R, Lansing R. The affective dimension of laboratory dyspnea. Am J Respir Crit Care Med. 2008;177:1384–1390
  90. Thornby M, Haas F, Axen K. Effect of distractive auditory stimuli on exercise tolerance in patients with COPD. Chest. 1995;107:1213–1217
  91. Carrieri-Kohlman V, Gormley J, Douglas M, Paul S, Stulbarg M. Differentiation between dyspnea and its affective components. Western J Nurs Res. 1996;18:626–642
  92. Meek P, Lareau S, Hu J. Are self-reports of breathing effort and breathing distress stable and valid measures among persons with asthma, persons with COPD, and healthy persons?. Heart Lung. 2003;32:335–346
  93. von Leupoldt A, Taube K, Schubert-Heukeshoven S, Magnussen H, Dahme B. Distractive auditory stimuli reduce the unpleasantness of dyspnea during exercise in patients with COPD. Chest. 2007;132:1506–1512
  94. Lansing R, Gracely R, Banzett R. The multiple dimensions of dyspnea. Respir Physiol Neurobiol. 2009;167:53–60
  95. Craske M, Barlow D. Panic disorder and agoraphobia. In:  Barlow D editors. Clinical handbook of psychological disorders. 4th ed.. New York: Guilford Press; 2008;p. 1–63
  96. Brenes G. Anxiety and chronic obstructive pulmonary disease: prevalence, impact, and treatment. Psychosom Med. 2003;65:963–970

PII: S0954-6111(10)00190-3

doi: 10.1016/j.rmed.2010.04.011

Respiratory Medicine
Volume 104, Issue 9 , Pages 1246-1253 , September 2010

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