Panic disorder and locomotor activity

被引:18
作者
Sakamoto N. [1 ]
Yoshiuchi K. [1 ]
Kikuchi H. [1 ,3 ]
Takimoto Y. [1 ]
Kaiya H. [2 ]
Kumano H. [1 ]
Yamamoto Y. [3 ]
Akabayashi A. [1 ]
机构
[1] Department of Stress Sciences and Psychosomatic Medicine, Graduate School of Medicine, University of Tokyo, Tokyo
[2] Panic Disorder Research Center, Warakukai Medical Corporation, Tokyo
[3] Educational Physiology Laboratory, Graduate School of Education, University of Tokyo, Tokyo
关键词
Locomotor Activity; Panic Disorder; Panic Attack; Agoraphobia; Panic Symptom;
D O I
10.1186/1751-0759-2-23
中图分类号
学科分类号
摘要
Background: Panic disorder is one of the anxiety disorders, and anxiety is associated with some locomotor activity changes such as "restlessness". However, there have been few studies on locomotor activity in panic disorder using actigraphy, although many studies on other psychiatric disorders have been reported using actigraphy. Therefore, the aim of the present study was to investigate the relationship between panic disorder and locomotor activity pattern using a wrist-worn activity monitor. In addition, an ecological momentary assessment technique was used to record panic attacks in natural settings. Methods: Sixteen patients with panic disorder were asked to wear a watch-type computer as an electronic diary for recording panic attacks for two weeks. In addition, locomotor activity was measured and recorded continuously in an accelerometer equipped in the watch-type computer. Locomotor activity data were analyzed using double cosinor analysis to calculate mesor and the amplitude and acrophase of each of the circadian rhythm and 12-hour harmonic component. Correlations between panic disorder symptoms and locomotor activity were investigated. Results: There were significant positive correlations between the frequency of panic attacks and mesor calculated from double cosinor analysis of locomotor activity (r = 0.55) and between HAM-A scores and mesor calculated from double cosinor analysis of locomotor activity (r = 0.62). Conclusion: Panic disorder patients with more panic attacks and more anxiety have greater objectively assessed locomotor activity, which may reflect the "restlessness" of anxiety disorders. © 2008 Sakamoto et al; licensee BioMed Central Ltd.
引用
收藏
相关论文
共 21 条
[1]  
Zigmond A.S., Snaith R.P., The Hospital Anxiety and Depression Scale, Acta Psychiatr Scand, 67, pp. 361-370, (1983)
[2]  
Hamilton M.A., The assessment of anxiety states by rating, Br J Med Psychol, 32, pp. 50-55, (1959)
[3]  
Clark D.B., Taylor C.B., Hayward C., King R., Margraf J., Ehlers A., Roth W.T., Agras W.S., Motor activity and tonic heart rate in panic disorder, Psychiatry Res, 32, pp. 45-53, (1990)
[4]  
Teicher M.H., Glod C.A., Harper D., Magnus E., Brasher C., Wren F., Pahlavan K., Locomotor activity in depressed children and adolescents: I. Circadian dysregulation, J Am Acad Child Adolesc Psychiatry, 32, pp. 760-769, (1993)
[5]  
Teicher M.H., Actigraphy and motion analysis: New tools for psychiatry, Harv Rev Psychiatry, 3, pp. 18-35, (1995)
[6]  
Teicher M.H., Glod C.A., Magnus E., Harper D., Benson G., Krueger K., McGreenery C.E., Circadian rest-activity disturbances in seasonal affective disorder, Arch Gen Psychiatry, 54, pp. 124-130, (1997)
[7]  
Stone A.A., Shiffman S.S., Ecological momentary assessment (EMA) in behavioral medicine, Ann Behav Med, 16, pp. 199-202, (1994)
[8]  
Kikuchi H., Yoshiuchi K., Ohashi K., Yamamoto Y., Akabayashi A., Tension-type headache and physical activity: An actigraphic study, Cephalalgia, 27, pp. 1236-1243, (2007)
[9]  
Yoshiuchi K., Yamamoto Y., Akabayashi A., Application of ecological momentary assessment in stress-related diseases, BioPsychoSoc Med, 2, (2008)
[10]  
McCraty R., Atkinson M., Tomasino D., Stuppy W.P., Analysis of twenty-four hour heart rate variability in patients with panic disorder, Biol Psychol, 56, pp. 131-150, (2001)