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Biomedical subjects

G M van der Molen

Publications and source records attributed to G M van der Molen.

12 recordsLinked to original sources

The effect of hypocapnia on extinction of conditioned fear responses.

Conditioning models have been very helpful in the understanding of the etiology and maintenance of anxiety. Such laboratory models, however, leave unexplained why in many cases of naturally occurring anxiety, as in the case of agoraphobia, the fear responses do not extinguish. Literature on experimental anxiety provocation suggests that a systemic alkalosis might play a role in the maintenance of phobic fear. It was hypothesized that a subject in a state of respiratory alkalosis would show delayed extinction to classical conditioned anxiety. In a differential classical conditioning paradigm, consisting of a habituation-, an acquisition-, and an extinction-phase, slides and electric shocks were used as conditioned stimuli (CS) and unconditioned stimuli (US) respectively. The skin conductance response was taken as (U)CR. Subjects were randomly assigned to two groups: hyperventilation or control. It was shown that the extinction was not delayed when subjects were hypocapnic during the extinction. These data support the view that a respiratory alkalosis per se is not a sufficient condition for the maintenance of neurotic fears. The data of the present study are discussed in the context of existing literature on a psychological interpretation of the maintenance of anxiety.

Adult↗

Rebreathing to cope with hyperventilation: experimental tests of the paper bag method.

To explore if and how the common rebreathing (paper bag) approach to hyperventilation works, two experiments were carried out. In the first experiment, 12 normal volunteers, aware of the common physiological rebreathing rationale, were twice asked to overbreath intensely and then either to rebreath or to restart normal ventilation. Alveolar CO2 increased more quickly and physical symptoms disappeared earlier in the rebreathing condition. The second experiment had a similar design; however, this time the subjects were led to believe that, after both hyperventilation provocation tests, they were rebreathing in a semiclosed tube system. On one of the occasions, the tube system was, in fact, open. The CO2 restoration again differed in the two conditions. In this second experiment, the moment of symptom disappearance was not significantly earlier in the rebreathing condition. The combined results of the studies suggest that expectation and suggestion play a role in the effects of rebreathing approaches on hyperventilation.

Adult↗

The possible relation of the menstrual cycle to susceptibility to fear acquisition.

Biological changes due to the menstrual cycle may account for the fact that fears are not equally distributed between the sexes. In a differential, classical conditioning paradigm, women in premenstrual phase of their menstrual cycles were compared with a control group of women at other points in their cycles except within seven days before menstruation. Electric shock and pictures of natural scenes were used as UCS and CS respectively. Premenstrual women showed an enhanced susceptibility to the acquisition of a conditioned skin conductance response and to delayed extinction, while control women did not. The possible role of an altered physiological state during the premenstrual phase in the acquisition of fear responses is discussed.

Adolescent↗

Pulmonary carbon dioxide and panic-arousing sensations after 35% carbon dioxide inhalation: hypercapnia/hyperoxia versus hypercapnia/normoxia.

Experimental research has demonstrated that CO2 inhalation provides a valid laboratory model for acute panic. Earlier studies employed CO2/O2 mixtures that were not only hypercapnic but also hyperoxic, raising the question of the relative contribution of the hyperoxidity. A comparison between a hypercapnic/hyperoxic mixture (35% CO2/65% O2) and a hypercapnic/normoxic mixture (35% CO2/20% O2/45% N2) revealed no differences on self-reported panic symptoms or end tidal pCO2. It is concluded that findings from previous CO2/O2 inhalation studies should be attributed to the hypercapnic, rather than to the hyperoxic, nature of the mixtures.

Adult↗

CO2 vulnerability in panic disorder.

The immediate effects of a single inhalation of a 35% CO2 mixture in oxygen were examined in 12 patients with panic disorders and 11 normal control subjects. Compared to a placebo air inhalation, the CO2 inhalation provoked short-lived autonomic panic symptoms in both patients and normals; it also elicited high subjective anxiety in patients with panic disorders. The latter rated the overall CO2-induced state as very similar to a real-life panic attack.

Adult↗

Reduction of CO2-induced anxiety in patients with panic attacks after repeated CO2 exposure.

The authors compared the subjective reaction of 13 panic patients and eight control subjects to a 35% CO2 challenge, a treatment known to produce physical symptoms comparable to those of natural or lactate-induced panic, and to placebo treatment (inhalation of air). They found that patients had higher placebo scores than control subjects, patients tended to get highly anxious on CO2 and control subjects did not, and CO2-induced subjective anxiety in patients decreased as the number of CO2-induced exposures to interoceptive anxiety symptoms increased. The data support a behavioral account of the effects of anxiogenics.

Adolescent↗

Differential reactions of type A and type B males to negative feedback about performance.

Psychological and physiological reactions to a failure experience were studied in type A males and type B males both during task and no-task periods. Before failure was induced, no difference in sympathetic reactivity was found, neither during task nor during no-task periods. After an experience of failure type A subjects showed higher sympathetic activation and effort to perform well, compared to type B subjects. The higher activation in type A subjects was even more prominent during no-task periods. The results are related to differences in coping strategy between type A and type B individuals, and the situational dependency of increased activation in type A subjects is discussed.

Adult↗

Changes in electromyogram power spectra of facial and jaw-elevator muscles during fatigue.

Endurance and changes in electromyogram (EMG) power spectra were investigated during a fatiguing static contraction at 50% of the maximum EMG amplitude in two jaw-elevator muscles (masseter and temporalis) and five facial muscles (frontalis, corrugator supercilii, zygomaticus major, orbicularis oris, and buccinator). Relatively high endurance was found in orbicularis oris, frontalis, and corrugator supercilii muscles; intermediate endurance was found in zygomaticus major, buccinator, and temporalis muscles; and low endurance was found in the masseter muscle. The last muscle showed a relatively fast linear decrease of the median frequency of the power spectrum. The other muscles showed a much slower, exponential decrease. The median frequency appeared to reflect reliably the changes in the shape of the power spectra during fatigue. Large differences between the shape of power spectra of different muscles in the unfatigued state were found. These, however, were unrelated to endurance and degree of spectral shift during fatigue.

Adolescent↗

Expectancy effects on respiration during lactate infusion.

The effect of lactate infusion on pCO2 and respiration rate was studied in two differently instructed groups of healthy volunteers in a double-blind, placebo-controlled, cross-over study. Both groups showed a significant decrease in alveolar pCO2 after lactate but not after placebo. This was accompanied by an increase in respiration rate in those subjects who had expected to become anxious and by a decrease in respiration rate in those who had expected to experience pleasant excitement.

Adult↗

No evidence of interference of hypocapnia/respiratory alkalosis with classical conditioning of electrodermal responses.

Most phobias can be traced to aversive experiences relating to the phobic cue, but most aversive experiences do not result in phobias. Why is it that only sometimes these experiences result in classical conditioning of fear? It was hypothesized that if the subject is in a state of hypocapnia/respiratory alkalosis, classical conditioning of fear is facilitated, while extinction of fear responses is inhibited. Thirty-two healthy volunteers underwent a classical conditioning procedure with slides as conditioned stimulus, electric shocks as unconditioned stimulus, and electrodermal responding as (un) conditioned response. During conditioning, half of the subjects hyperventilated and were hypocapnic/alkalotic, while the other half was not. In both groups clear conditioning occurred, but there was no effect of hypocapnia. Results are critically discussed.

Acid-Base Equilibrium↗