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Palpitations, cardiac awareness, and panic disorder.

A J Barsky1

  • 1Department of Psychiatry, Harvard Medical School, Massachusetts General Hospital, Boston 02114.

The American Journal of Medicine
|January 24, 1992
PubMed
Summary

This review explores panic disorder, visceral sensitivity, and cardiac disease, highlighting the role of palpitations. It proposes future research on cardiac sensation in various clinical conditions.

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Area of Science:

  • Psychiatry and Cardiology
  • Psychophysiology
  • Clinical Psychology

Background:

  • Panic disorder is often associated with cardiac symptoms.
  • Visceral sensitivity, particularly to cardiac sensations, may play a role in panic anxiety.
  • Existing literature presents diverse findings on the link between panic, visceral sensitivity, and cardiac disease.

Purpose of the Study:

  • To review and appraise existing studies on panic disorder, visceral sensitivity, and cardiac disease.
  • To propose a future investigation examining the role of palpitations in panic anxiety.
  • To explore the significance of cardiac sensation sensitivity in other clinical conditions.

Main Methods:

  • Literature review encompassing descriptive surveys, experimental manipulations, and clinical interventions.
  • Utilized structured diagnostic interviews, clinical observation, self-report inventories, perceptual sensitivity measures, and cognitive tests.
  • Included diverse subject populations, from community residents to patients with psychiatric or cardiac conditions.

Main Results:

  • The reviewed literature shows varied approaches and findings regarding panic disorder, visceral sensitivity, and cardiac disease.
  • A need for prospective research is identified to clarify the prominence of palpitations in panic anxiety.
  • Sensitivity to cardiac sensations may be relevant in conditions with discrepancies between cardiac activity and symptoms.

Conclusions:

  • Further research is warranted to understand the complex relationship between panic disorder, visceral sensitivity, and cardiac symptoms.
  • Investigating cardiac sensation sensitivity could offer new insights into various clinical presentations.
  • Prospective studies are crucial for elucidating the role of palpitations in panic anxiety.

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