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Gepubliceerd in:

06-01-2016 | Original Article

Changes in Anxiety Sensitivity Following Group Cognitive-Behavior Therapy for Social Anxiety Disorder and Panic Disorder

Auteurs: Matilda E. Nowakowski, Karen Rowa, Martin M. Antony, Randi McCabe

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 4/2016

Abstract

The current study examined changes in anxiety sensitivity following cognitive behavior therapy as a predictor of treatment outcome in patients with social anxiety disorder (SAD) and patients with panic disorder (PD). One-hundred ninety-seven patients with a principal diagnosis of SAD (n = 108) or PD (n = 89) completed the Anxiety Sensitivity Index (ASI; Reiss et al in Behav Res Ther 24:1–8, 1986), Depression Anxiety Stress Scales (DASS-21; Lovibond and Lovibond in Behav Res Ther 33:335–343, 1995), Social Phobia Inventory (SPIN; Connor et al in Br J Psychiatry 176:379–386, 2000) and Panic Disorder Severity Scale-Self Report (PDSS-SR; Houck et al in Depress Anxiety 15:183–185, 2002; Shear et al in Am J Psychiatry 154:1571–1575, 1997) pre and post disorder specific treatment. For the SAD group, changes on ASI Physical and ASI Social subscales made significant contributions to the prediction of posttreatment social anxiety symptoms over and above pretreatment social anxiety symptoms and changes in depression scores. For the PD group, changes on the ASI Physical subscale made a significant contribution to the prediction of posttreatment panic symptoms over and above pretreatment panic symptoms and changes in depression scores. The present study provides further support that, while the global construct of anxiety sensitivity is a transdiagnostic factor across the anxiety disorders, the lower-order dimensions of anxiety sensitivity have specificity for particular anxiety disorders.

vorige artikel The Impact of Thought Speed and Variability on Psychological State and Threat Perception: Further Exploration of the Theory of Mental Motion

volgende artikel The Effect of Negative, Positive, and Neutral Self-imagery on Symptoms and Processes in Social Anxiety Disorder

Given the unexpected finding that scores on the ASI Physical subscale only explained 7 % of the variance in panic symptoms at posttreatment, we reran the linear regression analysis with ASI Physical, Cognitive, and Social subscales in Step 1, pretreatment PDSS-SR in Step 2, and changes in DASS-21 Depression in Step 3 with posttreatment PDSS-SR as the outcome variable. In Step 1 of the model ASI Physical was a significant predictor of posttreatment PDSS-SR, explaining 28 % of the variance, F(3, 85) = 11.06, p < .01. The addition of pretreatment PDSS-SR scores in Step 2 resulted in an increase of 24 % in explaining the variance, ∆ F(1, 84) = 41.62, p < .01. Both ASI Physical and PDSS-SR pretreatment scores were significant predictors of posttreatment PDSS-SR scores and the overall model was statistically significant, F(4, 84) = 22.67, p < .01. The addition of DASS-21 Depression scores in Step 3 resulted in an increase of 11 % in explaining the variance, ∆ F(1, 83) = 24.82, p < .01. ASI Physical, pretreatment PDSS-SR, and DASS-21 were all significant predictors of posttreatment PDSS-SR scores and the overall model was statistically significant, F(5, 83) = 28.24, p < .01.

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Titel: Changes in Anxiety Sensitivity Following Group Cognitive-Behavior Therapy for Social Anxiety Disorder and Panic Disorder
Auteurs: Matilda E. Nowakowski
Karen Rowa
Martin M. Antony
Randi McCabe
Publicatiedatum: 06-01-2016
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 4/2016
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-015-9750-0

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