Caso Clínico/Clinical Case
Hiperventilação. A terapia cognitivo-comportamental e a técnica dos exercícios de indução dos sintomas no transtorno de pânico
Hyperventilation. The cognitive-behavior-therapy and the technique of the exercises in the induction of panic disorder symptoms
Anna Lucia Spear King1,
, Alexandre Martins Valença2, António Egídio Nardi3
Corresponding author
annaluciaking@gmail.com
Endereço para correspondência: Anna Lucia Spear King, Rua Almirante Gomes Pereira, 8 (casa), Urca. Cep 22291-170, Rio de Janeiro – RJ Brasil. Tel. (21)22954477, (21)92191233. Fax. (21) 2523-6839.
Endereço para correspondência: Anna Lucia Spear King, Rua Almirante Gomes Pereira, 8 (casa), Urca. Cep 22291-170, Rio de Janeiro – RJ Brasil. Tel. (21)22954477, (21)92191233. Fax. (21) 2523-6839.
1 Psicóloga, aluna do Programa de Pós-Graduação em Psiquiatria e Saúde Mental do Instituto de Psiquiatria, nível mestrado, Universidade Federal do Rio de Janeiro (UFRJ).
2 Professor Adjunto em Psiquiatria do Centro de Ciências Médicas – UFF. Pesquisador do Laboratório de Pânico & Respiração, Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro (IPUB-UFRJ).
3 Livre Docente e Professor Associado, Instituto de Psiquiatria, Faculdade de Medicina, Universidade Federal do Rio de Janeiro (UFRJ).
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"etiqueta" => "1" "identificador" => "af0005" ] 1 => array:3 [ "entidad" => "Professor Adjunto em Psiquiatria do Centro de Ciências Médicas – UFF. Pesquisador do Laboratório de Pânico & Respiração, Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro (IPUB-UFRJ)." "etiqueta" => "2" "identificador" => "af0010" ] 2 => array:3 [ "entidad" => "Livre Docente e Professor Associado, Instituto de Psiquiatria, Faculdade de Medicina, Universidade Federal do Rio de Janeiro (UFRJ)." "etiqueta" => "3" "identificador" => "af0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cr0005" "etiqueta" => "*" "correspondencia" => "<span class="elsevierStyleBold">Endereço para correspondência:</span> Anna Lucia Spear King, Rua Almirante Gomes Pereira, 8 (casa), Urca. Cep 22291-170, Rio de Janeiro – RJ Brasil. Tel. (21)22954477, (21)92191233. Fax. (21) 2523-6839." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Hyperventilation. The cognitive-behavior-therapy and the technique of the exercises in the induction of panic disorder symptoms" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-07-24" "fechaAceptado" => "2007-11-02" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570417" "palabras" => array:4 [ 0 => "Terapia cognitivo-comportamental" 1 => "ansiedade" 2 => "respiração" 3 => "transtorno de pânico" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570418" "palabras" => array:4 [ 0 => "Cognitive-behavior therapy" 1 => "anxiety" 2 => "breathing" 3 => "panic disorder" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">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.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2007; XIV (2): 303-308</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">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.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2007; XIV (2): 303-308</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:20 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." 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Article information
ISSN: 08732159Original language: Portuguese
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