Further exploration of treatment response in Latinos with comorbid asthma and panic disorder: A brief report of HRV and ETCO2 as potential mediators of treatment response article
dc.contributor.author | Feldman, Jonathan | |
dc.contributor.author | Nelson, Krista L. | |
dc.contributor.author | Lu, Shou-En | |
dc.contributor.author | Oken, Tanya | |
dc.contributor.author | Lehrer, Paul M. | |
dc.contributor.orcid | 0000-0002-7326-3026 | |
dc.date.accessioned | 2024-02-15T22:30:10Z | |
dc.date.available | 2024-02-15T22:30:10Z | |
dc.date.issued | 2020-06 | |
dc.description | Research article / Open access | en_US |
dc.description.abstract | Heart rate variability (HRV) and End Tidal CO2 (ETCO2) in relation to treatment response have not been studied in Latino populations or in comorbid asthma and panic disorder (PD). An extension of previously published research, the current study explored psychophysiological variables as possible mediators of treatment response. Latino treatment completers (N = 32) in the Bronx with asthma-PD received either Cognitive-Behavioral Psychophysiological Therapy (CBPT) or Music Relaxation Therapy (MRT). CBPT included HRV-biofeedback (HRVB); in-the-moment heart rate data to help an individual learn to influence his/her own heart rate. The sample was primarily female (93.8%) and Puerto Rican (81.25%). Treatment groups did not differ on demographics, except for less education in CBPT. The Panic Disorder Severity Scale (PDSS) and Asthma Control Questionnaire (ACQ) assessed changes in symptoms. HRV and ETCO2 were measured at four of eight therapy sessions. Baseline ETCO2 and changes in HRV from first to last of psychophysiology sessions were investigated as mediators of change on ACQ and PDSS. Mixed model analyses indicated in the CPBT group, changes in both asthma control and PD severity were not mediated by changes in HRV. In the CBPT and MRT groups combined, changes in PD severity were not mediated by baseline ETCO2. These findings may be due to the brevity of HRVB in CBPT, multiple treatment components, ETCO2 not directly targeted, and/or unique physiological pathways in Latinos with asthma-PD | en_US |
dc.description.sponsorship | Funding for this study was provided by the National Institute of Mental Health: 1R34MH087679, PI: Jonathan M. Feldman, Ph.D. Spanish translation of measures was funded by the Einstein-Montefiore ICTR 5UL-1TR00107-02. Special thanks to Dr. Melissa D. McKee, Ms. Claudia Lechuga, and the New York City Research and Improvement Networking Group for their assistance with recruitment of participants. Special thanks also for the cooperation from the New York City Health and Hospitals Corporation, Jacobi Medical Center, and Montefiore Medical Center. | en_US |
dc.identifier.citation | Nelson, K. L., Lu, S.-E., Oken, T., Lehrer, P. M., & Feldman, J. M. (2020). Further Exploration of treatment response in Latinos with comorbid asthma and panic disorder: A brief report of HRV and ETCO2 as potential mediators of treatment response. Applied Psychophysiology and Biofeedback, 45(2), 67. | en_US |
dc.identifier.doi | 10.1007/s10484-020-09454-3 | en_US |
dc.identifier.issn | 1090-0586 | |
dc.identifier.uri | https://ezproxy.yu.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&AuthType=ip,sso&db=edsgao&AN=edsgcl.712215387&site=eds-live&scope=site | en_US |
dc.identifier.uri | https://hdl.handle.net/20.500.12202/9825 | |
dc.language.iso | en_US | en_US |
dc.publisher | Springer | en_US |
dc.relation.ispartofseries | Applied Psychophysiology and Biofeedback;45(2) | |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 United States | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | * |
dc.subject | HRV | en_US |
dc.subject | ETCO2 | en_US |
dc.subject | asthma | en_US |
dc.subject | panic | en_US |
dc.subject | Latino | en_US |
dc.subject | cognitive behavior therapy (CBT) | en_US |
dc.subject | Diseases | en_US |
dc.subject | Research | en_US |
dc.subject | reports | en_US |
dc.subject | Psychophysiology -- Reports -- Research | en_US |
dc.subject | Heart rate -- Research -- Reports | en_US |
dc.subject | Panic disorder -- Research | en_US |
dc.subject | Biofeedback -- Research -- Reports | en_US |
dc.subject | Relaxation techniques (Psychology) -- Research -- Reports | en_US |
dc.subject | Comorbidity -- Research | en_US |
dc.subject | Hispanic Americans -- Research -- Reports | en_US |
dc.subject | Heart beat -- Research -- Reports | en_US |
dc.subject | Biofeedback training -- Research -- Reports | en_US |
dc.title | Further exploration of treatment response in Latinos with comorbid asthma and panic disorder: A brief report of HRV and ETCO2 as potential mediators of treatment response article | en_US |
dc.type | Article | en_US |
local.yu.facultypage | https://www.yu.edu/faculty/pages/feldman-jonathan | en_US |
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