Why the study?
Do sedative drugs alter peripheral autonomic responses in normal individuals and anxiety reaction patients compared to placebo?
Do sedative drugs alter peripheral autonomic responses in normal individuals and anxiety reaction patients compared to placebo?
This monograph review highlights the use of standardized autonomic measurement procedures to assess the effects of sedative drugs on anxiety, while noting methodological weaknesses in psychiatric rating scales.
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Caution against sole reliance on flawed psychiatric scales in sedative-anxiety trials; leaves open validation of standardized autonomic measures.
Lader and Wing's monograph contains a description of five studies on peripheral automatic responses of normals and anxiety reaction patients in placebo and drug conditions. The authors developed a standardized 30-minute autonomic measurement procedure consisting of galvanic skin response, (GSR) pulse, and electromyographic (EMG) reactions during a 10-minute rest period and a 20-minute stimulation period. The stimuli were a series of 1000 cps tones. Adaptation, or habituation (author's term), to the successive tones constituted an important measurement variable. The studies also used the Maudsley Personality Inventory and psychiatric ratings of anxiety and other symptoms. There was considerably less sophistication in the rating methodology than in the autonomic measurement. The scales are crude and undefined and no reliability estimates are provided. The second chapter of the book is a review of the anxiety construct, the related constructs of orientation reaction, arousal, vigilance, habituation, physiological methods of measurement related to these constructs,
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Marvin Zuckerman (1966) studied this question.
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