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Panic attacks: new approaches to an old problem.

M G Gelder

    The British Journal of Psychiatry : the Journal of Mental Science
    |September 1, 1986
    PubMed
    Summary
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    Panic attacks, once considered part of anxiety neurosis, may characterize a distinct disorder. Current theories suggest biochemical, hyperventilation, or cognitive causes, with cognitive factors warranting further investigation for panic disorder.

    Area of Science:

    • Psychiatry
    • Clinical Psychology
    • Neuroscience

    Background:

    • Panic attacks were initially described within anxiety neurosis.
    • Recent perspectives propose panic attacks as indicative of a distinct disorder: panic disorder.
    • Theories suggest panic attacks stem from biochemical imbalances, necessitating pharmacological interventions.

    Purpose of the Study:

    • To review evidence supporting the biochemical basis of panic attacks.
    • To examine alternative explanations for panic attacks, including hyperventilation and cognitive disorders.
    • To evaluate the current understanding of panic attack etiology and treatment.

    Main Methods:

    • Review of existing literature and evidence.
    • Analysis of proposed etiological theories for panic attacks.

    Related Experiment Videos

  • Comparative assessment of biochemical, hyperventilation, and cognitive models.
  • Main Results:

    • Evidence for a distinct panic disorder and its biochemical underpinnings is presented.
    • Hyperventilation and cognitive disorder theories are reviewed as alternative explanations.
    • The study highlights the difficulty in definitively choosing between the three theories based on current evidence.

    Conclusions:

    • While a definitive cause remains elusive, there is significant indirect support for the cognitive theory of panic attacks.
    • Further research into cognitive factors is strongly recommended.
    • Future research on biochemical causes and pharmacological treatments should integrate cognitive perspectives.