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Cited by 47Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesAsthma and respiratory diseasesChild and Adolescent Psychosocial and Emotional Development

Is It Asthma or a Panic Attack? A Case Study of Asthma and Anxiety in an Adolescent Male

Tien, Karen J., Goodie, Jeffrey L., Duncan, Christina L., Szabo, Margo M., Larson, Nicholas A.·2014·Clinical Practice in Pediatric Psychology
DOI 10.1037/cpp0000057
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Abstract

Because respiratory complications arising from common anxiety medications may contraindicate pharmacological intervention in patients with asthma, behavioral intervention is a vital component of treating anxiety successfully in these patients. Previous research suggests behavioral treatment may reduce panic symptoms and asthma medication use while subsequently increasing quality of life in patients with asthma and panic disorder; however, research assessing treatment outcomes of this population remains limited. A 16-year-old male, “Mark,” was referred for psychological services regarding concerns about a high frequency of asthma attacks and anxiety surrounding these attacks. Mark met diagnostic criteria for the Diagnostic and Statistical Manual for Mental Disorders-Fourth Edition ( DSM–IV ) panic disorder without agoraphobia, mental disorder (panic disorder) affecting asthma, and generalized anxiety disorder. Treatment consisted of psychoeducation, progressive muscle relaxation, guided imagery, cognitive restructuring, problem-solving training, interoceptive exposure, and relapse prevention training. At treatment termination and 2-year follow-up, Mark displayed clinically significant reductions in depressive and anxious symptoms, reported no further occurrences of panic attacks, and no longer required routine psychotropic or asthmatic medications. Therefore, Mark’s posttreatment diagnosis was panic disorder without agoraphobia, in full remission; he no longer met criteria for diagnoses of mental disorder (panic disorder) affecting asthma or generalized anxiety disorder. These findings support the claim that behavioral treatment effectively reduces anxiety and asthma symptoms in patients with panic disorder and asthma, and suggests that targeting psychological concerns can significantly impact physical health.

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Crossref · 10.1037/cpp0000057

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  • Other studies have confirmed that mood disorders and quality of life are improved due to a significant reduction in symptom complaints, improved mood quality, and reduced hospitalization.

    “This hypothesis has been confirmed by other studies, in which mood disorders and QOL were improved due to a significant reduction in symptom complaints, improved mood quality, and reduced hospitalization (46, 47).”

    From The Effect of Group Acceptance and Commitment Therapy on the Management of Asthma: A Randomized Clinical Trial (2022) · cites this paper as [46]

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Authors
Tien, K. J., Goodie, J. L., Duncan, C. L., Szabo, M. M., & Larson, N. A.
Affiliations
  • University Hospitals of Cleveland (US)
  • Uniformed Services University of the Health Sciences (US)
  • West Virginia University (US)
ORCID
Venue
Clinical Practice in Pediatric Psychology
Publisher
SAGE Publications
Published
2014-06
Volume
2
Issue
2
Pages
142-152
ISSN
  • 2169-4826 (ISSN-L)
  • 2169-4834
DOI
10.1037/cpp0000057
OpenAlex
W2103459318
Cited by
47
References
20
Citations by year
2025: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 39 · 2019: 1 · 2016: 1 · 2014: 1
FWCI
0.93
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
Clinical Practice in Pediatric Psychology (publishedVersion)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
asthma, panic disorder, generalized anxiety disorder, behavior therapy, interoceptive exposure, cognitive restructuring, progressive muscle relaxation, guided imagery, psychoeducation, problem-solving training, relapse prevention, asthma medication use, depressive symptoms

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