Asthma and Panic in Young Adults
Open accessAbstract
Rationale Psychologic factors are increasingly recognized to influence the onset and course of asthma. Previous cross-sectional community-based studies have provided evidence for a relatively specific association between asthma and panic. Objectives To examine concurrent and longitudinal associations between asthma and panic in young adults. Measurements and main results Prospective community-based cohort study of young adults (n = 591) followed between ages 19 and 40. Information was derived from six subsequent semistructured diagnostic interviews conducted by professionals. Cross-sectionally (over the whole study period), asthma was more strongly associated with panic disorder (odds ratio [OR] = 4.0; 95% confidence interval [CI], 1.7, 9.3) than with any panic, which included panic disorder and panic attacks (OR = 2.1; 95% CI, 1.1, 4.5). Longitudinally, after adjusting for potentially confounding variables, active asthma predicted subsequent panic disorder (OR = 4.5; 95% CI, 1.1, 20.1), and the presence of panic disorder predicted subsequent asthma activity (OR = 6.3; 95% CI, 2.8, 14.0). Asthma predicted any panic (OR = 2.7; 95% CI, 1.1, 7.1), whereas any panic did not predict subsequent asthma activity. Associations were stronger in smokers than in nonsmokers, and stronger in women than in men. Smoking, early-childhood anxiety, and a family history of allergy were important confounders of the asthma-panic association. Conclusions This is the first long-term follow-up study…
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There is an extensive body of research that implicates respiratory processes and particularly hyperventilation in panic disorder.
“There is an extensive body of research that implicates respiratory processes and particularly hyperventilation in panic disorder [21, 22].”
From Dysfunctional breathing: a review of the literature and proposal for classification (2016) · cites this paper as [22]
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- Authors
- Hasler, G., Gergen, P. J., Kleinbaum, D. G., Ajdacic, V., Gamma, A., Eich, D., Rössler, W., & Angst, J.
- Affiliations
- National Institutes of Health (US)
- Mood and Anxiety Disorders Program, Intramural Research Program, National Institute of Mental Health, and Asthma, Allergy, Inflammation Branch, Division of Allergy, Immunology, Transplantation, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland; Psychiatric University Hospital, Zurich, Switzerland; and Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia
- Venue
- American Journal of Respiratory and Critical Care Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2005-06-01
- Volume
- 171
- Issue
- 11
- Pages
- 1224-1230
- ISSN
- 1073-449X (ISSN-L)
- 1535-4970
- PMC
- PMC2718460
- OpenAlex
- W2032368198
- Cited by
- 248
- References
- 4
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 5 · 2023: 7 · 2022: 8 · 2021: 7 · 2020: 8 · 2019: 7 · 2018: 11 · 2017: 10 · 2016: 17 · 2015: 10 · 2014: 14 · 2013: 8 · 2012: 10
- FWCI
- 13.24
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Respiratory and Critical Care Medicine (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- asthma, panic disorder, panic attacks, young adults, bidirectional relationship, psychosomatic factors, smoking, family history of allergy, early childhood anxiety, shared etiology, dose-response relationship
- MeSH terms
- Adult, Asthma, Cross-Sectional Studies, Female, Humans, Longitudinal Studies, Male, Panic, Prospective Studies, Switzerland, Cohort Studies, Comorbidity, Prevalence, Multivariate Analysis, Odds Ratio, Panic Disorder
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