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The 20 panic patients underwent a psychophysiological test battery which included a cold pressor test, mental arithmetic task, and 5.5% CO<jats:sub>2<\/jats:sub> inhalation. More patients than controls reported thoughts centred on fears of losing control and shame when anxious. Panic patients rated their thoughts as stronger and clearer than did controls and they had more difficulty excluding them from their minds. A feeling of anxiety preceded anxious thoughts in patients. This suggests that \u2018faulty cognitions' are not the initial event in a panic attack, although anxious thoughts may exacerbate or maintain them. Significant correlations were found between the intensity of anxiety-related thoughts in anticipation of mental arithmetic and changes in diastolic blood pressure and heart rate during mental arithmetic.<\/jats:p>","DOI":"10.1192\/bjp.155.1.86","type":"journal-article","created":{"date-parts":[[2008,8,13]],"date-time":"2008-08-13T00:01:46Z","timestamp":1218585706000},"page":"86-91","source":"Crossref","is-referenced-by-count":30,"title":["Cognitive Aspects of Panic Attacks"],"prefix":"10.1192","volume":"155","author":[{"given":"D.","family":"Zucker","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. 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