Cardiophobia: A Critical Analysis

Transcultural Psychiatry

Volumn 45, Issue 2, 2008, Pages 230-252

  Zvolensky, Michael J ^a   Feldner, Matthew T ^b   Eifert, Georg H ^c   Vujanovic, Anka A ^a   Solomon, Sondra E ^a  

^a UNIVERSITY OF VERMONT   (United States)

^b UNIVERSITY OF ARKANSAS   (United States)

^c CHAPMAN UNIVERSITY   (United States)

Author keywords

cardiophobia; chest pain; heart focused anxiety; review

Indexed keywords

ARTICLE; ASSOCIATION; ASSOCIATIVE MEMORY; CARDIAC ANXIETY; CLINICAL FEATURE; CONDITIONING; CULTURAL FACTOR; DIFFERENTIAL DIAGNOSIS; DISTRESS SYNDROME; EMOTIONAL STABILITY; EMOTIONALITY; HUMAN; INCIDENCE; INHERITANCE; ISCHEMIC HEART DISEASE; NONCARDIAC CHEST PAIN; PANIC; PSYCHOSOMATIC DISORDER; RISK FACTOR; SOMATIZATION; STRESS; THORAX PAIN; UNITED STATES; WORD RECOGNITION;

AFFECT; CHEST PAIN; CULTURE; HEALTH STATUS; HEART; HUMANS; LANGUAGE; LEARNING; PANIC DISORDER; PHOBIC DISORDERS;

EID: 45349085184     PISSN: 13634615     EISSN: None     Source Type: Journal    
DOI: 10.1177/1363461508089766     Document Type: Article

References (79)

1. Aikens, J.E., Michael, E., Levin, T., & Lowry, E. (1999). The role of cardio-protective avoidance beliefs in noncardiac chest pain and associated emergency room department utilization. Journal of Clinical Psychology in Medical Settings, 6, 317-332.
2. Aikens, J.E., Wagner, L.I., Lickerman, A.J., Chin, M.H., & Smith, A. (1998). Primary care physician responses to a panic disorder vignette: Diagnostic suspicion levels and pharmacological management strategies. International Journal of Psychiatry in Medicine, 28, 179-188.
3. Aikens, J.E., Wagner, L.I., Setzer, N.S., & Smith, A. (1997). Panic disorder recognition and management by primary care physicians. Annals of Behavioral Medicine, 19, 172.
4. Albertsson, P., Emanuelsson, H., Karlsson, T., Lamm, C., Sanden, W., Lagerberg, G. et al. (1997). Morbidity and use of medical resources in patients with chest pain and normal or near-normal coronary arteries. American Journal of Cardiology, 79, 299-304.
5. American College of Emergency Physicians. (1995). Clinical policy for the initial approach to adults presenting with a chief complaint of chest pain, with no history of trauma. Annals of Emergency Medicine, 25, 274-299.
6. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed. rev.). Washington, DC: Author.
7. Barlow, D.H. (1991). Disorders of emotion. Psychological Inquiry, 2, 58-71.
8. Barlow, D.H. (2002). Anxiety and its disorders (2nd ed.). New York: Guilford Press.
9. Barlow, D.H., Chorpita, B.F., & Turovsky, J. (1996). Fear, panic, anxiety, and disorders of emotion. In D. Hope (Ed.), Nebraska symposium on motivation (pp. 251–328). Lincoln, NE: University of Nebraska Press.
10. Bass, C.M. (1990). Functional and cardiorespiratory symptoms. In C. M. Bass (Ed.), Somatization: Physiological and psychological illness (pp. 171–206). London: Blackwell.
11. Bass, C.M., Wade, C., Hand, D., & Jackson, G. (1983). Patients with angina with normal and near normal coronary arteries: Clinical and psychosocial state 12 months after angiography. British Medical Journal, 287, 1505-1507.
12. Beitman, B.D., Basha, I., Flaker, G., DeRosear, L., Mukerji, V., & Lamberti, J. (1987). Non-fearful panic disorder: Panic attacks without fear. Behavior Research & Therapy, 25(6), 487-492.
13. Beitman, B.D., Mukerji, V., Lamberti, J.W., Schmid, L., DeRosear, L., Kushner, M. et al. (1989). Panic disorder in patients with chest pain and angiographically normal coronary arteries. American Journal of Cardiology, 63, 1399-1403.
14. Bouton, M.E., Mineka, S., & Barlow, D.H. (2001). A modern learning theory perspective on the etiology of panic disorder. Psychological Review, 108, 4-32.
15. Brown, G. W., & Harris, T. O. (Eds.). (1989). Life events and illness. New York: Guilford Press.
16. Carter, M.M., Hollon, S.D., Carson, R., & Shelton, R.C. (1995). Effects of a safe person on induced distress following a biological challenge in panic disorder with agoraphobia. Journal of Abnormal Psychology, 104, 156-163.
17. Carter, C., Maddock, R., Amsterdam, E., McCormick, S., Waters, C., & Billett, J. (1992). Panic disorder and chest pain in the coronary care unit. Psychosomatics, 33, 302-309.
18. Chambers, J.B., & Bass, C. (1990). Chest pain with normal coronary anatomy: A review of natural history and possible aetiological factors. Progress in Cardiovascular Diseases, 33, 161-184.
19. Chorpita, B.F., Brown, T.A., & Barlow, D.H. (1998). Diagnostic reliability of the DSM-III-R anxiety disorders: Mediating effects of patient and diagnostician characteristics. Behavior Modification, 22, 307-320.
20. Craske, M.G. (1991). Phobic fear and panic attacks: The same emotional states triggered by different cues? Clinical Psychology Review, 11, 599-620.
21. Craske, M.G., Glover, D., & DeCola, J. (1995). Predicted versus unpredicted panic attacks: Acute versus general distress. Journal of Abnormal Psychology, 104, 214-223.
22. Derryberry, D., & Rothbart, M.K. (1988). Arousal, affect, and attention as components of temperament. Journal of Personality and Social Psychology, 55, 958-966.
23. Eifert, G.H. (1987). Language conditioning: Clinical issues and applications in behavior therapy. In H. J. Eysenck & I. M. Martin (Eds.), Theoretical foundations of behavior therapy (pp. 167–193). New York: Plenum Press.
24. Eifert, G.H. (1992). Heart-focused anxiety: A paradigmatic behavioral model of heart-focused anxiety and non-anginal chest pain. Behaviour Research and Therapy, 30, 299-345.
25. Eifert, G.H., Bouman, T.K., & Lejuez, C.W. (1998). Somatoform disorders. In A. S. Bellack, M. Hersen, & P. M. Salkovskis (Eds.), Comprehensive clinical psychology: Vol. 6. Adult disorders: Clinical formulation and treatment (pp. 543–565). New York: Elsevier.
26. Eifert, G.H., & Forsyth, J.F. (1996). Heart-focused and general illness fears in relation to parental medical history and separation experiences. Behaviour Research and Therapy, 34, 735-739.
27. Eifert, G.H., & Hickey, A.R. (1990). Incidence rates of atypical chest pain at the accident and emergency department of the Townsville General Hospital. Unpublished manuscript, James Cook University, Townsville, Australia.
28. Eifert, G.H., Hodson, S.E., Tracey, D.R., Seville, J.L., & Gunawardane, K. (1996). Cardiac anxiety, illness beliefs, psychological impairment: Comparing healthy heart-anxious patients with cardiac and surgical patients. Journal of Behavioral Medicine, 19, 385-399.
29. Eifert, G.H., & Lau, A.W. (2001). Using behavioral experiments in the treatment of cardiophobia: A case study. Cognitive and Behavioral Practice, 8, 305-316.
30. Eifert, G.H., Thompson, R.N., Zvolensky, M.J., Edwards, K., Frazer, N.L., Haddad, J.H. et al. (2000). The Cardiac Anxiety Questionnaire: Development and preliminary validity. Behaviour Research and Therapy, 38, 1039-1053.
31. Eifert, G.H., Zvolensky, M.J., & Lejuez, C.W. (2000). Heart-focused anxiety and chest pain: A review. Clinical Psychology: Science and Practice, 7, 403-417.
32. Feldner, M.T., Zvolensky, M.J., & Schmidt, N.B. (2004). Prevention of anxiety psychopathology: A critical review of the empirical literature. Clinical Psychology: Science and Practice, 11, 405-424.
33. Fleet, R.P., & Beitman, B.D. (1998). Cardiovascular death from panic disorder and panic-like anxiety: A critical review of the literature. Journal of Psychosomatic Research, 44, 71-80.
34. Fleet, R.P., Dupuis, G., Marchand, A., Burelle, D., & Beitman, B.D. (1997). Detecting panic disorder in emergency department chest pain patients: A validated model to improve recognition. Annals of Behavioral Medicine, 19, 124-131.
35. Fleet, R.P., Dupuis, G., Marchand, A., Kaczorowski, J., Burelle, D., Arsenault, A. et al. (1998). Panic disorder in coronary artery disease patients with noncardiac chest pain. Journal of Psychosomatic Research, 44, 81-90.
36. Flor, H., Birbaumer, N., & Turk, D.C. (1990). The psychobiology of pain. Advances in Behaviour Research and Therapy, 12, 47-84.
37. Forsyth, J.P., & Eifert, G.H. (1996). The language of feeling and the feeling of anxiety: Contributions of the behaviorisms toward understanding the function-altering effects of language. The Psychological Record, 46, 607-649.
38. Forsyth, J.P., & Eifert, G.H. (1998). Intensity of systemic alarms in contentspecific fear conditioning: Comparing 20% versus 13% CO2-enriched air as a UCS. Journal of Abnormal Psychology, 107, 291-304.
39. Gibler, W.B., Runyon, J.P., Levy, R.C., Sayre, M.R., Kacich, R., Hattemer, C.R. et al. (1995). A rapid diagnostic and treatment center for patients with chest pain in the emergency department. Annals of Emergency Medicine, 25, 1-8.
40. Gotto, A.M. (1992). Risk factors for atherosclerosis. In A. Gotto (Ed.), Atherosclerosis (pp. 33–50). Kalamazoo, MI: Upjohn.
41. Gray, J., & McNaughton, N. (1996). The neuropsychology of anxiety: Reprise. In D. A. Hope (Ed.), Nebraska symposium on motivation, 1995: Perspectives on anxiety, panic, and fear. Current theory and research in motivation (pp. 61–134). Lincoln, NE: University of Nebraska Press.
42. Greenberg, P.E., Sisitsky, T., Kessler, R.C., Finkelstein, S.N., Berndt, E.R., Davidson, J.R.T. et al. (1999). The economic burden of anxiety disorders in the 1990s. Journal of Clinical Psychiatry, 3, 1-9.
43. Hayes, S.C., & Hayes, L.J. (1989). The verbal action of the listener as a basis for rule-governance. In S. C. Hayes (Ed.), Rule-governed behavior: Cognition, contingencies, and instructional control (pp. 153–190). New York: Plenum Press.
44. Horwath, E., & Weissman, M.M. (1997). Epidemiology of anxiety disorders across cultural groups. In S. Friedman (Ed.), Cultural issues in the treatment of anxiety (pp. 21–39). New York: Guilford Press.
45. Kagan, J. (1989). Temperamental contributions to social behavior. American Psychologist, 44, 668-674.
46. Kagan, J., Snidman, N., & Arcus, D.M. (1992). Initial reactions to unfamiliarity. Current Directions in Psychological Science, 1, 171-174.
47. Katon, W. (1996). Panic disorder: Relationship to high medical utilization, unexplained physical symptoms, and medical costs. Journal of Clinical Psychiatry, 57, 11-22.
48. Katon, W., Hall, M.L., & Russo, J. (1988). Chest pain: Relationship of psychiatric illness to coronary angiographic results. American Journal of Medicine, 84, 1-9.
49. Kendler, K.S., Neale, M.C., Kessler, M.C., Heath, R.C., & Eaves, A.C. (1992). Major depression and generalized anxiety disorder: Same genes, (partly) different environments? Archives of General Psychiatry, 49, 716-722.
50. Kendler, K.S., Walters, E.E., Truett, K.R., & Heath, A.C. (1995). A twin-family study of self-report symptoms of panic, phobia, and somatization. Behavior Genetics, 25, 499-515.
51. Kennedy, B.L., & Schwab, J.J. (1997). Utilization of medical specialists by anxiety disorder patients. Psychosomatics, 38, 109-112.
52. Kroenke, K., Arrington, M.E., & Mangelsdorff, A.D. (1990). The prevalence of symptoms in medical outpatients and the adequacy of therapy. Archives of Internal Medicine, 159, 1685-1689.
53. Kushner, M.G., & Beitman, B.D. (1990). Panic attacks without fear: An overview. Behaviour Research and Therapy, 28, 469-479.
54. Lejuez, C.W., Eifert, G.H., Zvolensky, M.J., & Richards, J.B. (2000). Preference between onset predictable and unpredictable administrations of 20% carbon dioxide-enriched air: Implications for better understanding the etiology and treatment of panic disorder. Journal of Experimental Psychology: Applied, 6, 349-358.
55. Martin, I., & Levey, A.B. (1987). Learning what will happen next: Conditioning, evaluation, and cognitive processes. In G. Davey (Ed.), Cognitive processes and Pavlovian conditioning in humans (pp. 57–81). New York: Wiley.
56. Mineka, S., Gunnar, M., & Champoux, M. (1986). Control and early socio-emotional development: Infant rhesus monkeys reared in controllable versus uncontrollable environments. Child Development, 57, 1241-1256.
57. Nerenz, D.R., & Leventhal, H. (1983). Self regulation theory in chronic illness. In T. Burish & L. A. Bradley (Eds.), Coping with chronic illness (pp. 13–37). Orlando, FL: Academic Press.
58. Ockene, J.S., Shay, M.J., Alpert, J.S., Weiner, B.H., & Dalen, J.E. (1980). Unexplained chest pain in patients with normal coronary artery arteriograms. A follow up study of functional status. New England Journal of Medicine, 303, 1249-1252.
59. Rapee, R.M., Telfer, L.A., & Barlow, D.H. (1991). The role of safety cues in mediating the response to inhalations of CO2 in agoraphobics. Behaviour Research and Therapy, 29, 353-355.
60. Razran, G. (1961). The observable and the inferable conscious in current Soviet psychophysiology: Interoceptive conditioning, semantic conditioning, and the orienting reflex. Psychological Review, 68, 81-147.
61. Richards, S.D. (1992). Atypical chest pain: Differentiation from coronary artery disease. Postgraduate Medicine, 91, 257-258.
62. Richter, J.E., Bradley, L.A., & Castell, D.O. (1989). Esophageal chest pain: Current controversies in pathogenesis, diagnosis, and therapy. Annals of Internal Medicine, 110, 66-78.
63. Rosen, J.B., & Schulkin, J. (1998). From normal fear to pathological anxiety. Psychological Review, 105, 325-350.
64. Rothbart, M.K. (1989). Temperament and development. In G. Kohnstamm, J. Bates, & M. K. Rothbart (Eds.), Temperament in childhood (pp. 187–248). Chichester, UK: Wiley.
65. Rothbart, M.K., Ziaie, H., & O'Boyle, C.G. (1992). Self-regulation and emotion in infancy. In N. Eisenberg & R. A. Fabes (Eds.), Emotion and its regulation in early development: New directions for child development (No. 55, pp. 7–24). San Francisco: Jossey-Bass.
66. Schmidt, N.B., & Telch, M.J. (1994). Role of fear and safety information in moderating the effects of voluntary hyperventilation. Behavior Therapy, 25, 197-208.
67. Seligman, M.E.P., & Binik, Y. (1977). The safety signal hypothesis. In H. Davis & H. Hurwitz (Eds.), Pavlovian-operant interactions (pp. 165–187). Hillsdale, NJ: Erlbaum.
68. Staats, A. (1972). Language behavior therapy: A derivative of social behaviorism. Behavior Therapy, 3, 165-193.
69. Staats, A. (1996). Behavior and personality. New York: Springer.
70. Staats, A.W., & Eifert, G.H. (1990). A paradigmatic behaviorism theory of emotion: Basis for unification. Clinical Psychology Review, 10, 539-566.
71. Tew, R., Guthried, E.A., Creed, F.H., & Cotter, J.L. (1995). A long-term follow-up of patients with ischemic heart disease versus patients with nonspecific chest pain. Journal of Psychosomatic Research, 39, 977-985.
72. Wilson, K.G., Sandler, L.S., & Asmundson, G.J.G. (1993). Fearful and non-fearful panic attacks in a student population. Behaviour Research and Therapy, 31, 407-411.
73. Wulsin, L.R., Arnold, L.M., & Hillard, J.R. (1991). Axis I disorders in ER patients with atypical chest pain. International Journal of Psychiatry in Medicine, 21, 37-46.
74. Wulsin, L.R., Hillard, R.J., Geier, P., Hissa, D., & Rouan, G.W. (1988). Screening emergency room patients with atypical chest pain for depression and panic disorder. International Journal of Psychiatry in Medicine, 18, 315-323.
75. Zvolensky, M.J., & Eifert, G.H. (2000). A review of psychological factors/processes affecting anxious responding during voluntary hyperventilation and inhalations of carbon dioxide-enriched air. Clinical Psychology Review, 21, 375-400.
76. Zvolensky, M.J., Eifert, G.H., & Lejuez, C.W. (2001). Offset control during recurrent 20% carbon dioxide-enriched air induction: Relation to individual difference variables. Emotion, 1, 148-165.
77. Zvolensky, M.J., Eifert, G.H., Lejuez, C.W., Hopko, D., & Forsyth, J.P. (2000). Assessing the perceived predictability of anxiety-related events: A report on the Perceived Predictability Index. Journal of Behavior Therapy and Experimental Psychiatry, 31, 201-218.
78. Zvolensky, M.J., Eifert, G.H., Lejuez, C.W., & McNeil, D.W. (1999). The effects of offset control over 20% CO2-enriched air on anxious responding. Journal of Abnormal Psychology, 108, 624-632.
79. Zvolensky, M.J., Lejuez, C.W., & Eifert, G.H. (1998). The role of control in anxious responding: An experimental test using repeated administrations of 20% CO2-enriched air. Behavior Therapy, 29, 193-209.