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Titolo:
Classic conditioning and dysfunctional cognitions in patients with panic disorder and agoraphobia treated with an implantable cardioverter/defibrillator
Autore:
Godemann, F; Ahrens, B; Behrens, S; Berthold, R; Gandor, C; Lampe, F; Linden, M;
Indirizzi:
Free Univ Berlin, Dept Psychiat, Berlin, Germany Free Univ Berlin BerlinGermany Berlin, Dept Psychiat, Berlin, Germany Free Univ Berlin, Dept Cardiol, Berlin, Germany Free Univ Berlin Berlin Germany v Berlin, Dept Cardiol, Berlin, Germany
Titolo Testata:
PSYCHOSOMATIC MEDICINE
fascicolo: 2, volume: 63, anno: 2001,
pagine: 231 - 238
SICI:
0033-3174(200103/04)63:2<231:CCADCI>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTERNAL CARDIOVERTER-DEFIBRILLATOR; HEART-RATE-VARIABILITY; QUALITY-OF-LIFE; VENTRICULAR TACHYARRHYTHMIAS; PSYCHIATRIC MORBIDITY; ANXIETY DISORDERS; DISEASE; PSYCHOPATHOLOGY; EPIDEMIOLOGY; ARRHYTHMIAS;
Keywords:
implantable cardioverter/defibrillator; panic disorder; agoraphobia;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Life Sciences
Citazioni:
55
Recensione:
Indirizzi per estratti:
Indirizzo: Godemann, F Hindenburgdamm 30, D-12200 Berlin, Germany Hindenburgdamm 30 Berlin Germany D-12200 200 Berlin, Germany
Citazione:
F. Godemann et al., "Classic conditioning and dysfunctional cognitions in patients with panic disorder and agoraphobia treated with an implantable cardioverter/defibrillator", PSYCHOS MED, 63(2), 2001, pp. 231-238

Abstract

Objective: A model for the development of anxiety disorders (panic disorder with or without agoraphobia) is needed. Patients with an implantable cardioverter/defibrillator (ICD) are exposed to repeated electric shocks. If the theory of anxiety development by aversive classic conditioning processes is valid, these repeated shocks should lead to an increased risk of anxietydisorders. To study this hypothesis, we retrospectively studied 72 patients after implantation of an automatic ICD. Methods: Patients were assessed with the semistructured Diagnostic Interview of Psychiatric Disease 1 to 6 years after implantation of an automatic ICD. Panic disorder and/or agoraphobia was diagnosed in patients who fulfilled all DSM-III-R criteria for those conditions. Results: Anxiety disorder developed in 15.9% of patients after ICD implantation. This was significantly related to the frequency of repeated defibrillation (shocks) to stop malignant ventricular arrhythmias. Dysfunctional cognitions are an additional vulnerability factor. Conclusions: The data support both the conditioning hypothesis and the cognitive model of anxiety development. These findings suggest that ICD patients are an appropriate risk population for a prospective study of the development of anxiety disorders.

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Documento generato il 22/10/20 alle ore 06:43:29