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pubmed-article:11530717pubmed:abstractTextThe authors describe a new methodologically improved behavioral treatment for panic patients using respiratory biofeedback from a handheld capnometry device. The treatment rationale is based on the assumption that sustained hypocapnia resulting from hyperventilation is a key mechanism in the production and maintenance of panic. The brief 4-week biofeedback therapy is aimed at voluntarily increasing self-monitored end-tidal partial pressure of carbon dioxide (PCO2) and reducing respiratory rate and instability through breathing exercises in patients' environment. Preliminary results from 4 patients indicate that the therapy was successful in reducing panic symptoms and other psychological characteristics associated with panic disorder. Physiological data obtained from home training, 24-hour ambulatory monitoring pretherapy and posttherapy, and laboratory assessment at follow-up indicate that patients started out with low resting PCO2 levels, increased those levels during therapy, and maintained those levels at posttherapy and/or follow-up. Partial dissociation between PCO2 and respiratory rate questions whether respiratory rate should be the main focus of breathing training in panic disorder.lld:pubmed
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pubmed-article:11530717pubmed:authorpubmed-author:RothW TWTlld:pubmed
pubmed-article:11530717pubmed:authorpubmed-author:WilhelmF HFHlld:pubmed
pubmed-article:11530717pubmed:authorpubmed-author:MeuretA EAElld:pubmed
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pubmed-article:11530717pubmed:pagination584-605lld:pubmed
pubmed-article:11530717pubmed:dateRevised2009-11-19lld:pubmed
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pubmed-article:11530717pubmed:year2001lld:pubmed
pubmed-article:11530717pubmed:articleTitleRespiratory biofeedback-assisted therapy in panic disorder.lld:pubmed
pubmed-article:11530717pubmed:affiliationStanford University, Palo Alto, USA. alicia.meuret@stanford.edulld:pubmed
pubmed-article:11530717pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:11530717pubmed:publicationTypeClinical Triallld:pubmed
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