Psychological treatment of comorbid asthma and panic disorder: a pilot study
Open accessAbstract
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.
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Most trials of CBT for asthma and anxiety have specifically studied asthma patients with a comorbid panic disorder using an established panic disorder protocol.
“Most trials have specifically studied asthma patients with a comorbid panic disorder (Feldman et al., 2016; Lehrer et al., 2008; Parry et al., 2012; Ross et al., 2005) using an established panic disorder protocol (Barlow & Barlow and Craske, 2000).”
From Targeting excessive avoidance behavior to reduce anxiety related to asthma: A feasibility study of an exposure-based treatment delivered online (2021) · cites this paper as Lehrer et al., 2008
The CBT investigated have mainly targeted panic disorder and do not address the broader range of increased anxiety related to asthma.
“Furthermore, the CBT investigated have mainly targeted panic disorder and does not address the broader range of increased anxiety related to asthma (Feldman, Matte, Interian et al., 2016;Lehrer, Karavidas, Lu et al., 2008;Ross, Davis & Macdonald, 2005), which has been suggested to be important (Thoren & Petermann, 2000).”
From Exposure‐based cognitive behavior therapy for anxiety related to asthma: A feasibility study with multivariate baseline design. (2020) · cites this paper as Lehrer, Karavidas, Lu et al., 2008
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“Most trials have specifically studied asthma patients with a comorbid panic disorder (Feldman et al., 2016; Lehrer et al., 2008; Parry et al., 2012; Ross et al., 2005) using an established panic disorder protocol (Barlow & Barlow and Craske, 2000).”
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- Authors
- Lehrer, P. M., Karavidas, M. K., Lu, S.-E., Feldman, J., Kranitz, L., Abraham, S., Sanderson, W., & Reynolds, R.
- Affiliations
- Yeshiva University (US)
- Rutgers, The State University of New Jersey (US)
- Hofstra University (US)
- Corresponding author
- Lehrer, Paul M.
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2008-05
- Volume
- 22
- Issue
- 4
- Pages
- 671-683
- ISSN
- 0887-6185 (ISSN-L)
- PMC
- PMC2517172
- OpenAlex
- W1970642005
- Cited by
- 77
- References
- 73
- Citations by year
- 2025: 1 · 2024: 4 · 2023: 3 · 2022: 8 · 2021: 6 · 2020: 5 · 2019: 3 · 2018: 1 · 2017: 8 · 2016: 5 · 2015: 2 · 2014: 6 · 2013: 5 · 2012: 5
- FWCI
- 4.28
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Anxiety Disorders (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R21MH058196, R21MH58196)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- asthma, panic disorder, comorbidities, asthma education, symptom differentiation, treatment retention, asthma quality of life, albuterol use, lung function
- MeSH terms
- Adult, Aged, Assertiveness, Asthma, Behavior Therapy, Breathing Exercises, Combined Modality Therapy, Culture, Diagnosis, Differential, Female, Humans, Male, Middle Aged, Patient Education as Topic, Pilot Projects, Relaxation Therapy, Self Care, Comorbidity, Cognitive Behavioral Therapy, Smoking Cessation, Panic Disorder
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