Anxiety sensitivity and 35% CO2 reactivity in patients with panic disorder

J Psychosom Res. 2003 Jun;54(6):573-7. doi: 10.1016/s0022-3999(02)00468-3.

Abstract

Objective: The present study examines the possible relationships between anxiety sensitivity (AS) and reactivity to the 35% carbon dioxide (CO(2)) challenge in panic disorder (PD).

Methods: One-hundred eight patients with PD underwent the 35% CO(2) challenge and completed the Anxiety Sensitivity Index (ASI). Multiple regression analyses were applied to evaluate the role of AS as a predictor of CO(2)-induced anxiety.

Results: Fifty-six patients with PD showed high AS scores, whereas 48 showed medium scores and 4 low scores. ASI scores significantly predicted symptomatological reaction to CO(2) but not subjective induced anxiety.

Conclusion: These findings suggest that the fear of anxiety-related bodily sensations was related to the symptomatological reactivity to CO(2) but did not seem to play a crucial role in the modulation of the subjective anxiogenic/panicogenic response to hypercapnia in patients with PD.

MeSH terms

  • Administration, Inhalation
  • Adult
  • Anxiety / chemically induced
  • Anxiety / physiopathology*
  • Carbon Dioxide / administration & dosage
  • Carbon Dioxide / pharmacology*
  • Female
  • Humans
  • Male
  • Panic Disorder / physiopathology*

Substances

  • Carbon Dioxide