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The Implications of the Diving Response in Reducing Panic Symptoms

Bibliographic Data

ID15522120
AuthorsPeter Kyriakoulis (0000-0002-6424-6179, Swinburne University of Technology, corresponding author), Michael Kyrios (0000-0001-9438-9616, Flinders University), Antonio Egidio Nardi (0000-0002-2152-4669, Universidade Federal do Rio de Janeiro), Rafael C Freire (0000-0003-3875-4601, Universidade Federal do Rio de Janeiro), Mark Schier (0000-0001-9187-2979, Swinburne University of Technology)
Year2021
Volume12
Pages784884-784884
Publication date2021-11-29
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2021.784884
PMID34912254
OpenAlexW3215684376
LanguageEN
Citations received1
References cited4

Increased CO 2 sensitivity is common in panic disorder (PD) patients. Free divers who are known for their exceptional breathing control have lower CO 2 sensitivity due to training effects. This study aimed to investigate the immediate effects of cold facial immersion (CFI), breath holding and CO 2 challenges on panic symptoms. Healthy participants and patients with PD were subjected to four experimental conditions in a randomly assigned order. The four conditions were (a) breath-holding (BH), (b) CFI for 30 s, (c) CO 2 challenge, and (d) CO 2 challenge followed by CFI. Participants completed a battery of psychological measures, and physiological data (heart rate and respiration rate) were collected following each experimental condition. Participants with PD were unable to hold their breath for as long as normal controls; however, this finding was not significant, potentially due to a small sample size. Significant reductions in both physiological and cognitive symptoms of panic were noted in the clinical group following the CFI task. As hypothesized, the CFI task exerted demonstrable anxiolytic effects in the clinical group in this study by reducing heart rate significantly and lessening self-reported symptoms of anxiety and panic. This outcome demonstrates the promise of the CFI task for clinical applications

Anesthesia · Anxiety · Anxiety sensitivity · Anxiolytic · Audiology · Blood pressure · Breathing · Heart rate · Panic · Panic disorder · Physical therapy · Psychiatry · Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes · Clinical Psychology · Medicine · Olfactory and Sensory Function Studies · Psychology · Stress Responses and Cortisol · Internal Medicine

  • The implications of the diving response in altering carbon dioxide sensitivity as measured by changes in heart rate, respiration rate and psychological measures in panic disorder patients

    Open Access•Peter Kyriakoulis, Carla Caballero et al.•Frontiers in Psychiatry•2025

  • The validity of the Mini International Neuropsychiatric Interview (Mini) according to the SCID-P and its reliability

    Open Access•David V Sheehan, DV Sheehan et al.•European Psychiatry•1997

  • The Diving Women of Korea and Japan

    Suk Ki Hong, Hermann Rabn•Scientific American•1967

  • Mechanism of the human diving response

    Open Access•Brett A Gooden, Brett Gooden•Integrative Psychological and…•1994

Citations per year1
Citation span2025 - 2025 (1)
Highly citedNo

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Open DOIOpen Access
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