Biological challenge response and subsequent panic attacks
Analysis group | Author (year) | n | Challenge | Response index | Median follow-up (years) | Effect size (r) (95% CI) |
Panic attack symptoms | Coryell et al (2006)19 | 87 | 35% CO2 | Dichotomised panic attack symptoms | 4.0 | 0.005 (−0.277 to 0.286) |
Harrington et al (1996)21 | 62 | 35% CO2 | Dichotomised panic attack symptoms | 1.0 | 0.159 (−0.236 to 0.508) | |
Schmidt (2007)15 | 295 | 20% CO2 | Panic attack symptom severity | 1.5 | 0.470 (0.376 to 0.554) | |
Subjective anxiety or distress | Coryell et al (2006)19 | 87 | 35% CO2 | VAS-A change prechallenge to postchallenge | 4.0 | −0.093 (−0.294 to 0.115) |
Perna et al (1999)22 | 31 | 35% CO2 | Dichotomised VAS-A % change prechallenge to postchallenge | 3.5 | 0.006 (−0.328 to 0.338) | |
Schmidt (2007)16 | 295 | 20% CO2 | Subjective units of distress prechallenge to postchallenge | 1.5 | 0.550 (0.465 to 0.625) | |
Objective physiological response | Coryell et al (2006)19 | 81 | 5% CO2 | Dichotomised abnormal minute ventilation slope | 4.0 | 0.211 (−0.066 to 0.457) |
VAS-A, visual analogue scale-anxiety.