Abstract

Purpose: This study attempted to understand the life, pain, and barriers to physical activity in the daily life of patients with panic disorder (PD). It aimed to provide specific evidence to promote physical activity for patients, suggesting that suitable physical activity strategies for patients with PD would be of value. Methods: Seven patients were invited to participate in a photovoice study. Photovoice is one example of participatory action research. Results: This study inductively identified two main themes: the life and pain of patients with PD and perceived barriers to participate in physical activity by patients with panic disorder. Conclusion: Based on a specific understanding of the population, this study attempted to provide evidence why patients with panic disorder need appropriate physical-activity-promoting strategies.

Highlights

  • Panic disorder (PD) is a type of anxiety disorder accompanied by the physical symptoms of sympathetic nervousness and anxiety about dying, beginning with unexpected and repetitive panic attacks [1]

  • It has been reported that physical activity can be an important treatment for PD in terms of its relatively low cost compared to long-term medication treatment and cognitive–behavioral treatment

  • Photovoice reveals the life and pain perceived through the eyes of patients with PD

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Summary

Introduction

Panic disorder (PD) is a type of anxiety disorder accompanied by the physical symptoms of sympathetic nervousness and anxiety about dying, beginning with unexpected and repetitive panic attacks [1]. Cognitive behavioral therapy is one of the non-medication treatments that has been proven to be effective [11,12]. A typical cognitive–behavioral treatment is cognitive restructuring, which focuses on correcting the distorted interpretation of body responses caused by anxiety. Another preferred non-medical treatment is breath retraining, because the most common symptom of PD patients is similar to hyperventilation. In other words, this treatment is focused on breath control [13]. In Korea, most patients still prefer to be treated in hospitals using their National Health Insurance because it costs less. The affordable medical treatments in Korea are different from those in North

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