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Predictors of panic-fear in asthma
R E Carr1, P M Lehrer, S M Hochron
1Department of Psychiatry, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Piscataway, USA.
Summary
Asthma patients’ fear of symptoms, not asthma severity, predicts panic. Cognitive techniques may help manage panic-fear in asthma, improving patient outcomes.
Area of Science:
- Psychology
- Respiratory Medicine
- Clinical Psychology
Background:
- Panic-fear is a significant concern for individuals with asthma.
- Understanding the relationship between asthma symptoms and panic is crucial for effective treatment.
Purpose of the Study:
- To investigate the relationship between asthma-related variables and panic-fear in asthmatics.
- To examine the role of cognitive factors, such as catastrophic cognitions, in panic-fear.
- To explore the potential of cognitive techniques in managing panic-fear in asthma.
Main Methods:
- Eighty-six asthmatics completed self-report measures assessing illness-specific panic-fear, generalized panic-fear, dyspnea frequency, and catastrophic cognitions (Anxiety Sensitivity Index and Agoraphobic Cognitions Questionnaire).
- Asthma severity was assessed through self-report and pulmonary function tests.
- Regression analyses were conducted to determine the predictive power of asthma and cognitive variables on panic-fear.
Main Results:
- Both asthma variables and cognitive variables were independently associated with illness-specific panic-fear.
- Cognitive variables significantly predicted panic-fear even after controlling for demographic and asthma-related factors.
- Asthma variables did not predict generalized panic-fear when cognitive measures were accounted for.
Conclusions:
- Cognitive factors, particularly catastrophic cognitions, play a substantial role in illness-specific panic-fear among asthmatics.
- Cognitive techniques show promise as an adjunctive treatment for improving asthma outcomes by addressing panic-fear.
- Further research into cognitive interventions for panic-fear in asthma is warranted.