{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:16:49Z","timestamp":1790295409252,"version":"4.1.0"},"reference-count":65,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,11,29]],"date-time":"2021-11-29T00:00:00Z","timestamp":1638144000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Brain and Behavior"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Several studies have shown an association between panic disorder (PD) and reduced balance abilities, mainly based on functional balance scales.<\/jats:p>\n                    <jats:p>This pilot study aims to demonstrate the feasibility of studying balance abilities of persons with PD (PwPD) using computerized static and, for the first time, dynamic balance measurements in order to characterize balance control strategies employed by PwPD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twelve PwPD and 11 healthy controls were recruited. PD diagnosis was confirmed using the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM\u2010IV), and the severity of symptoms was evaluated using the Hamilton Anxiety Scale (HAM\u2010A), PD Severity Scales (PDSS), and Panic and Agoraphobia Scale (PAS). Balance was clinically assessed using the Activities\u2010Specific Balance Confidence (ABC) scale and physically by the Mini\u2010Balance Evaluation Systems Test (Mini\u2010BESTest). Dizziness was evaluated using the Dizziness Handicap Inventory (DHI) scale. Postural control was evaluated statically by measuring body sway and dynamically by measuring body responses to rapid unexpected physical perturbations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      PwPD had higher scores on the HAM\u2010A (17.6 \u00b1 10.3\u00a0vs. 3.0 \u00b1 2.9;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a0.001), PDSS (11.3 \u00b1 5.1 vs. 0;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a0.001), and PAS (20.3 \u00b1 8.7\u00a0vs. 0;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a0.001) questionnaires and lower scores on the balance scales compared to the controls (ABC scale: 156.2 \u00b1 5.9\u00a0vs. 160 \u00b1 0.0,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a0.016; Mini\u2010BESTest: 29.4 \u00b1 2.1\u00a0vs. 31.4 \u00b1 0.9,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a0.014; DHI: 5.3 \u00b1 4.4\u00a0vs. 0.09 \u00b1 0.3,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a0.001). In the static balance tests, PwPD showed a not\u2010significantly smaller ellipse area of center of pressure trajectory (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a0.36) and higher body sway velocity (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a0.46), whereas in the dynamic balance tests, PwPD had shorter recovery time from physical perturbations in comparison to controls (2.1 \u00b1 1.2s vs. 1.6 \u00b1 0.9 s,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a0.018).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The computerized balance tests results point to an adoption of a \u2018\u2018postural rigidity\u2019\u2019 strategy by the PwPD, that is, reduced dynamic adaptations in the face of postural challenges. This may reflect a nonsecure compensatory behavior. Further research is needed to delineate this strategy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/brb3.2411","type":"journal-article","created":{"date-parts":[[2021,11,29]],"date-time":"2021-11-29T11:36:51Z","timestamp":1638185811000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Responses to balance challenges in persons with panic disorder: A pilot study of computerized static and dynamic balance measurements"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9744-4625","authenticated-orcid":false,"given":"Revital","family":"Amiaz","sequence":"first","affiliation":[{"name":"Psychiatry Department The Chaim Sheba Medical Center  Tel Hashomer Israel"},{"name":"Sackler Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shani","family":"Kimel Naor","sequence":"additional","affiliation":[{"name":"The Center of Advanced Technologies in Rehabilitation The Chaim Sheba Medical Center  Tel Hashomer Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asaf","family":"Caspi","sequence":"additional","affiliation":[{"name":"Psychiatry Department The Chaim Sheba Medical Center  Tel Hashomer Israel"},{"name":"Sackler Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Efrat","family":"Czerniak","sequence":"additional","affiliation":[{"name":"Psychiatry Department The Chaim Sheba Medical Center  Tel Hashomer Israel"},{"name":"Sackler Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shlomo","family":"Noy","sequence":"additional","affiliation":[{"name":"Psychiatry Department The Chaim Sheba Medical Center  Tel Hashomer Israel"},{"name":"Sackler Faculty of Medicine Tel Aviv 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