hiperventilação. a terapia cognitivo-comportamental e a técnica dos exercícios de indução dos sintomas no transtorno de pânico

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ID: 247146
2008
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Abstract
Resumo: O transtorno de pânico (TP) caracteriza-se por ataques agudos de ansiedade frequentes e recorrentes. A actual concepção para o TP realça o medo das sensações corporais a partir do momento em que o indivíduo associa de forma equivocada as sensações físicas que se apresentam como sendo prenúncio de uma doença grave e/ou morte iminente, não conseguindo interpretá-las como mecanismos fisiológicos naturais. Relatamos três casos graves de TP do subtipo respiratório, com agorafobia, cujos sintomas de hiperventilação predominavam sobre os demais. O tratamento consistiu na prescrição de antidepressivos tricíclicos e no encaminhamento para sessões de terapia cognitivo-comportamental (TCC). O objectivo do relato dos casos é demonstrar a evolução satisfatória do tratamento com a técnica dos exercícios de indução de sintomas (EIS) em ambiente de laboratório para a redução e/ou extinção dos sintomas hiperventilatórios, entre outros. Esse procedimento foi considerado fundamental na evolução do tratamento e permitiu preparar os doentes para enfrentarem situações agorafóbicas subsequentes.Rev Port Pneumol 2007; XIV (2): 303-308 Abstract: Panic disorder (PD) is characterized by frequent and recurrent acute panic attacks. The current cognitive conception for PD enhances the fear of corporal sensations, when the individual define his physical sensations as being related to a serious disease or imminent death, not interpreting them as natural physiologic mechanisms. We reported three severe cases of PD of the respiratory subtype, with agoraphobia, whose symptoms of hyperventilation predominated on clinical picture. The treatment consisted on tricycles antidepressant and cognitive-behavior therapy (CBT) sessions. The objective of reporting the cases is to demonstrate the satisfactory evolution of the treatment with the technique of panic symptoms induction exercises (SIE) in controlled laboratory environment. On that way, reducing or extinguishing hyperventilation symptoms. This procedure was considered very important in the evolution of the treatment and allowed us to prepare the patients to face subsequent agoraphobic situations.Rev Port Pneumol 2007; XIV (2): 303-308 Palavras-chave: Terapia cognitivo-comportamental, ansiedade, respiração, transtorno de pânico, Key-words: Cognitive-behavior therapy, anxiety, breathing, panic disorder
Reference Key
king2008revistahiperventila§£o. Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Anna Lucia Spear King;Alexandre Martins Valença;António Egídio Nardi
Journal the journal of applied psychology
Year 2008
DOI
DOI not found
URL
http://www.sciencedirect.com/science/article/pii/S0873215915302397
Keywords
diseases of the respiratory system

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