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An Analysis of Uncued Panic Attacks in Panic Disorder - Part3

RESULTS
Panic Energy Descriptor Analysis

Table 4. summarises the results investigating the description of 'energy' experienced prior and during a panic attack and a limited symptom (anxiety) attack.
PD - Panic Disorder / AD - Other Anxiety Disorder
Table 4. 'Energy' descriptors - experienced by Panic Disorder/ Other Anxiety Disorder participants prior/ during panic attack ... or continually
 'Energy' Descriptors Experience then panic
PD(AD)
 Panic
PD(AD)
Experience without fear
PD(AD)
Anxiety
PD(AD)
Total
PD(AD)
 'Unusual' intense flows of 'energy' throughout the body 33%(3%) 22%(0%) 11%(3%) 17%(6%) 69%(9%)
Rushes of 'energy' shaking the body 22%(6%) 19%(3%) 6%(3%) 11%(0%) 47%(12%)
Electric current moving through the body 28%(6%) 19%(0%) 14%(0%) 11%(0%) 67%(6%)
Tingly sensation moving through the body 8.3%(6%) 8.3%(6%) 14%(19%) 14%(13%) 44%(42%)
Creeping sensation moving through the body 11%(8%) 6%(6%) 8.3%(6%) 19%(19%) 39%(33%)
Hot prickly sensation moving through the body 11%(3%) 25%(3%) 6%(6%) 6%(3%) 50%(11%)
Intense heat or burning pain moving through the body 17%(3%) 17%(6%) 6%(0%) 14%(0%) 42%(8%)
Wave-like motion of energy moving through the body 17%(3%) 11%(3%) 11%(0%) 11%(3%) 50%(8%)
 Vibration moving through the body 22%(6%) 14%(0%) 11%(0%) 3%(0%) 50%(6%)
Rippling sensation through the body 8%(0%) 6%(0%) 6%(3%) 8%(6%) 27%(6%)
Itching sensation through the body 0%(0%) 8%(0%) 6%(3%) 14%(6%) 27%(6%)
White hot flame through the body 14%(0%) 8%(0%) 3%(0%) 6%(0%) 22%(0%)
Ice cold sensation through the body 14%(6%) 11%(3) 3%(0%) 17%(6%) 44%(11%)
 "Ants crawling" sensation over the body 6%(3%) 8%(3%) 14%(3%) 19%(6%) 42%(14%)

The results highlight the inherent differences between the peak of anxiety/fear response of a limited symptom (anxiety) attack and the 'energy' of a panic attack. Analysing the total experience of the energy descriptors, the following energy descriptors show much higher proportions for Panic Disorder participants compared to other Anxiety Disorder participants: electric current (67% vs 6%, P<0.001), 'unusual' intense flows of energy (69% vs 9%, P<0.001), vibration energy (50% vs 6%, P<0.008), wave-like motion of energy (50% vs 8%, P<0.007), hot prickly sensation (50% vs 11%, P<0.05), rushes of energy shaking the body (47% vs12%, P<0.03), intense heat or burning pain (42% vs 8%, P<0.005), ice cold sensation (44% vs 11%, P<0.03), and 'ants crawling' sensation over body (42% vs 14%, P<0.09). Only Panic Disorder participants experienced the energy descriptor white hot flame (22%).
Energy descriptors common to both panic attack and limited symptom (anxiety) attack that may describe the anxiety/fear response energy were a tingly sensation (44% vs 42%) and a creeping sensation (39% vs 33%). Tingly sensation was experienced predominantly without fear and as anxiety by both Panic Disorder and other Anxiety Disorder participants. The creeping sensation was experienced predominantly as anxiety by both groups.

Energy descriptors predominantly categorised by Panic Disorder participants as experienced and then panic were as follows: 'unusual' intense flows of 'energy' throughout the body, electric current moving through the body, vibration moving through the body, rushes of energy shaking the body, intense heat or burning pain moving through the body and less predominantly, ice cold sensation moving through the body. These 'energies' were experienced first then the people panic. Also, the results show clearly that other Anxiety Disorder participants rarely experience these energies then experience a limited symptom (anxiety) attack compared to Panic Disorder participants.
Energy descriptors predominantly categorised by Panic Disorder participants as panic energy were as follows: hot prickly sensation moving through the body, intense heat or burning pain moving through the body, rushes of energy shaking the body, 'unusual' intense flows of energy throughout the body, electric current moving through the body and vibration moving through the body.

Once again, the results show clearly that other Anxiety Disorder participants rarely or never experience these energies as panic/peak of a limited symptom (anxiety) attack compared to Panic Disorder participants.
Interestingly, some energy descriptors categorised as anxiety by Panic Disorder participants are not experienced equally as anxiety by other Anxiety Disorder participants. This highlights that perhaps these energies are experienced on an ongoing basis but are not associated by Panic Disorder participants as related to the panic attack itself. If these energies were in fact anxiety energy, the other Anxiety Disorder participants would have a high probability of experiencing them - as in the tingly and creeping sensations. This indicates further ground for investigation. These energy descriptors are as follows: 'ants crawling' sensation over the body, ice cold sensation through the body, itching sensation through the body and rippling sensation through the body.
Cross correlations were performed on the energy descriptors. Three basic energy correlations emerged:

  • Electric current and vibration (0.52) - Electric current and vibration (0.52); Electric current and vibration and hot prickly (0.45); Electric current and vibration and intense heat or burning pain (0.35); Electric current and vibration and white hot flame (0.22)
  • Electric current and wave-like motion of energy (0.32); Electric current and wave-like motion of energy and vibration (0.45); Electric current and wave-like motion of energy and intense flow of energy (0.3) ; Electric current and wave-like motion of energy and rushes of energy shaking the body (0.33)
  • Tingly sensation and creeping sensation (0.48) ; Tingly sensation and creeping sensation and wave-like motion of energy (0.47)

Energy Descriptor vs Energy Movement

The major difference between a uncued panic attack and a limited symptom (anxiety) attack is that there is no energy movement in a limited symptom attack. Other Anxiety Disorder participants reported no movement of energy, just localised energy eg. tingling in a specific section of the body. Table 5. shows the distribution of energy movement experienced by Panic Disorder participants. Many participants experienced different energy movements on different occasions, and so the results reflect this fact.

Table 5. Distribution of energy movement experienced by Panic Disorder participants
 Energy movement through the body Panic Disorder participants
Energy Movement 1. Energy moves from the base of the spine to the crown of the head 25%
Energy Movement 2. Energy moves from the base of the spine to the crown of the head and then radiates throughout body to fingers and toes  17%
Energy Movement 3. Energy rises from feet through the spine to the crown of the head 31%
 Energy Movement 4. Energy rises from the feet through the spine to the crown of the head and radiates through body terminating in the stomach 25%
 Energy Movement 5. Begins in the stomach region, moves to the base of the spine, through the spine to the crown of the head 56%
 Energy Movement 6. Begins in the stomach region, move to base of spine, through spine to crown of head then radiates down through body to fingers and toes 42%

Space was given for participants to describe other energy movements that they may be experiencing. Only two participants described alternate energy movement. Correlation between 'energy' movement and 'energy' descriptors is as follows:
  • Energy movement 1. had a high correlation to the following energy descriptors: electric current (0.21), hot prickly sensation (0.14), and vibration moving through the body (0.14).
  • Energy movement 2.had a high correlation to the following energy descriptors: electric current (0.2), rushes of energy shaking the body (0.15)
  • Energy movement 3.had a high correlation to the following energy descriptors: electric current (0.27), wave-like motion (0.33) and vibration moving through the body (0.21)
  • Energy movement 4.had a high correlation to the following energy descriptors: electric current (0.3), hot prickly sensation (0.4), intense heat or burning pain (0.37), 'unusual' flows of energy (0.23) and vibration moving through the body (0.23)
  • Energy movement 5.had a high correlation to the following energy descriptors: electric current (0.35), hot prickly sensation (0.22) and vibration moving through the body (0.16)
  • Energy movement 6.had a high correlation to the following energy descriptors: electric current (0.14), rushes of energy shaking the body (0.14) and vibration moving through the body (0.16).

All energy movements within an uncued panic attack encompass the movement of energy from the base of the spine to the crown of the head.

Location where Uncued panic attack 'energy' begins vs 'energy' movement...
Other Anxiety Disorder participants reported these as where they felt localised energy. Many Panic Disorder participants reported experiencing 'energy' beginning from different locations at varying times, the results reflected this fact. Also, many Anxiety Disorder participants experience no localised energy.
Energy descriptor locations that are only experienced by Panic Disorder participants were base of spine (25%) and the stomach (56%). Correlation between locations 'energy' begins and energy movements for Panic Disorder participants showed location where energy begins is linked to particular energy movements. Energy movements defined above had correlations with locations as follows:

  • Energy movement 1: base of spine(0.41), crown of head(0.2)
  • Energy movement 2: base of spine(0.26), fingers(0.18)
  • Energy movement 3:legs(0.63), toe (0.42), feet(0.25)
  • Energy movement 4: crown of head(0.33), feet(0.36), toe(0.32), fingers(0.45)
  • Energy movement 5: stomach(0.36), heart(0.34), shoulders/upper back(0.29), abdomen(0.28)
  • Energy movement 6: simultaneously(0.31), stomach(0.21), abdomen(0.23)

All locations (where energy begins) correlate logically with the actual physical energy movement models giving a high degree of confidence in the correlation results.

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