Autonomic characteristics of nonclinical panic and blood phobia.

Abstract:

:Autonomic characteristics of nonclinical panic and blood phobia were compared using spectral analysis of the electrocardiogram (EKG), as well as more conventional cardiovascular measures. The cardiovascular responses of 11 subjects who reported recent occurrence of frequent severe panic attacks, and 10 subjects who reported intense somatic reactions to the sight of blood (including episodes of syncope) were recorded during a variety of laboratory tasks (quiet rest, reaction time/shock avoidance, face immersion, and combined reaction time/face immersion). Results suggest distinct autonomic patterns in the groups. Panickers showed (a) higher heart rate and reduced heart-rate variability (b) aberrant associations among cardiovascular measures, and (c) dominant sympathetic control of heart rate coupled with diminished vagal tone. Blood phobics generally displayed an opposite pattern. The relevance of these findings to the etiology of panic and blood phobia, as well as to biological models of anxiety disorders in general, is discussed.

journal_name

Biol Psychiatry

journal_title

Biological psychiatry

authors

Friedman BH,Thayer JF,Borkovec TD,Tyrrell RA,Johnson BH,Columbo R

doi

10.1016/0006-3223(93)90087-t

subject

Has Abstract

pub_date

1993-09-01 00:00:00

pages

298-310

issue

5

eissn

0006-3223

issn

1873-2402

pii

0006-3223(93)90087-T

journal_volume

34

pub_type

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