Specific sensitivity of patients with panic attacks to carbon dioxide inhalation.

Abstract:

:One inhalation of 35% CO2 in oxygen was administered to 36 patients with anxiety disorders and 14 healthy controls. Eighteen patients had a diagnosis of panic disorder (PD) and 18 of obsessive-compulsive disorder (OCD). As a placebo control for CO2, compressed air was administered in a double-blind design. Immediately before and after the inhalation, levels of anxiety and DSM-III-R symptoms of panic were assessed. CO2 elicited high levels of subjective anxiety in the PD group. Patients with OCD were hardly affected by the inhalation, and did not differ from healthy controls. These results suggest that CO2 challenge should be considered as a specific probe for subjects with panic-anxiety. It is speculated that CO2 may trigger some as yet undefined mechanisms, possibly linked to ventilation control, which demarcate panic from other types of pathological anxiety.

journal_name

Psychiatry Res

journal_title

Psychiatry research

authors

Griez E,de Loof C,Pols H,Zandbergen J,Lousberg H

doi

10.1016/0165-1781(90)90121-k

subject

Has Abstract

pub_date

1990-02-01 00:00:00

pages

193-9

issue

2

eissn

0165-1781

issn

1872-7123

pii

0165-1781(90)90121-K

journal_volume

31

pub_type

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