title: Psychological treatment of comorbid asthma and panic disorder: a pilot study.
abstract: We evaluated two protocols for treating adults with comorbid asthma and panic disorder. The protocols included elements of Barlow's panic control therapy and elements of Barlow's "panic control therapy" and several asthma education programs, as well as modules designed to teach participants how to differentiate asthma and panic symptoms, and how to apply specific home management strategies for each. Fifty percent of subjects dropped out of a 14-session protocol by the eighth session; however, 83% of patients were retained in an eight-session protocol. Clinical results were mostly equivalent: significant decreases of >50% in panic symptoms, clinically significant decreases in asthma symptoms, improvement in asthma quality of life, and maintenance of clinical stability in asthma. Albuterol use decreased significantly in the 14-session protocol and at a borderline level I the 8-session protocol, while pulmonary function was maintained. A controlled evaluation of this procedure is warranted.
authors: UMDNJ - Robert Wood Johnson Medical School, Piscataway, NJ 08854, USA. Lehrer@umdnj.edu
authors: Paul M
authors: PM
authors: Lehrer
authors: Maria Katsamanis
authors: MK
authors: Karavidas
authors: Shou-En
authors: SE
authors: Lu
authors: Jonathan
authors: J
authors: Feldman
authors: Linda
authors: L
authors: Kranitz
authors: Smrithy
authors: S
authors: Abraham
authors: William
authors: W
authors: Sanderson
authors: Russ
authors: R
authors: Reynolds
mesh_terms: D000328:Adult; D000368:Aged; D001242:Assertiveness; D001249:Asthma / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D001521:Behavior Therapy / Q000379:methods; D001945:Breathing Exercises; D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D015897:Comorbidity; D003469:Culture; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016584:Panic Disorder / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D010353:Patient Education as Topic; D010865:Pilot Projects; D012064:Relaxation Therapy; D012648:Self Care / Q000523:psychology; D016540:Smoking Cessation / Q000523:psychology
references: Allergy. 2001 Jan;56(1):65-8
references: 11167354
references: Thorax. 1992 Feb;47(2):76-83
references: 1549827
references: N Engl J Med. 1991 Aug 29;325(9):606-12
references: 1713648
references: BMJ. 1994 Feb 26;308(6928):559-64
references: 8148678
references: Arch Gen Psychiatry. 1994 Jan;51(1):8-19
references: 8279933
references: Arch Fam Med. 1997 Jan-Feb;6(1):20-3
references: 9003165
references: Am J Respir Crit Care Med. 2001 Oct 15;164(8 Pt 1):1392-7
references: 11704584
references: J Asthma Res. 1975 Jun;12(4):199-206
references: 1219014
references: Behav Res Ther. 1992 May;30(3):251-61
references: 1586362
references: Am J Respir Crit Care Med. 2005 Jun 1;171(11):1197-8
references: 15914565
references: Med J Aust. 1988 Sep 5;149(5):246-9
references: 3412214
references: Arch Gen Psychiatry. 2003 Nov;60(11):1125-30
references: 14609888
references: JAMA. 2000 May 17;283(19):2529-36
references: 10815116
references: Appl Psychophysiol Biofeedback. 1997 Sep;22(3):183-91
references: 9428968
references: J Psychosom Res. 2003 Sep;55(3):215-9
references: 12932794
references: Acta Psychiatr Scand. 2005 Apr;111(4):272-85
references: 15740463
references: Arch Gen Psychiatry. 2004 Sep;61(9):913-21
references: 15351770
references: Am J Psychiatry. 1994 Mar;151(3):413-20
references: 8109651
references: J Asthma. 1996;33(6):407-15
references: 8968295
references: J Asthma. 2005 Apr;42(3):179-84
references: 15962874
references: Psychoneuroendocrinology. 2001 May;26(4):411-20
references: 11259860
references: Respir Med. 2002 Dec;96(12):993-8
references: 12477214
references: J Consult Clin Psychol. 1988 Dec;56(6):893-7
references: 3204199
references: Psychiatry Res. 2002 May 15;110(1):73-80
references: 12007595
references: Clin Nurs Res. 2005 May;14(2):131-57
references: 15793272
references: Am J Respir Crit Care Med. 2005 Jun 1;171(11):1224-30
references: 15764721
references: Thorax. 1979 Oct;34(5):582-6
references: 515978
references: J Allergy Clin Immunol. 2002 Nov;110(5 Suppl):S141-219
references: 12542074
references: J Asthma. 2005 Sep;42(7):577-81
references: 16169792
references: Respir Med. 2005 Oct;99(10):1249-57
references: 16140225
references: Behav Res Ther. 1994 May;32(4):411-8
references: 8192640
references: Psychosom Med. 2005 Nov-Dec;67(6):989-96
references: 16314605
references: Am J Psychiatry. 1997 Nov;154(11):1571-5
references: 9356566
references: Am J Respir Crit Care Med. 2005 Oct 15;172(8):1055-6; author reply 1056
references: 16216837
references: Am J Med. 2002 Jul;113(1):7-14
references: 12106617
references: J Interferon Cytokine Res. 1997 Aug;17(8):481-7
references: 9282829
references: Thorax. 1998 Jan;53(1):63-72
references: 9577525
references: Psychosom Med. 1973 May-Jun;35(3):250-67
references: 4710144
references: J Consult Clin Psychol. 1984 Dec;52(6):1090-7
references: 6520279
references: J Consult Clin Psychol. 2002 Jun;70(3):691-711
references: 12090377
references: Gen Hosp Psychiatry. 1992 Nov;14(6):420-3
references: 1473713
references: Drugs. 2005;65(12):1595-610
references: 16060696
references: Psychosom Med. 1989 Jan-Feb;51(1):102-8
references: 2928458
references: J Allergy Clin Immunol. 1977 Nov;60(5):295-300
references: 915146
references: J Psychosom Res. 1993 Jul;37(5):515-21
references: 8350293
references: Behav Res Ther. 1996 Apr;34(4):333-40
references: 8871365
references: Am J Respir Crit Care Med. 2005 Feb 1;171(3):238-41
references: 15542794
references: Psychother Psychosom. 2003 Jan-Feb;72(1):34-42
references: 12466636
references: Ann Allergy Asthma Immunol. 2003 Jun;90(6 Suppl 3):34-40
references: 12839111
references: Eur Neuropsychopharmacol. 1997 Aug;7(3):241-2
references: 9213085
references: Am J Respir Crit Care Med. 2002 Apr 15;165(8):1062-7
references: 11956045