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25-04-2020 | Original Article | Uitgave 4/2020

Cognitive Therapy and Research 4/2020

Cognitive Vulnerability in the Context of Panic: Assessment of Panic-Related Associations and Interpretations in Individuals with Varying Levels of Anxiety Sensitivity

Tijdschrift:
Cognitive Therapy and Research > Uitgave 4/2020
Auteurs:
Lisa Zahler, Katharina Sommer, Andrea Reinecke, Frank H. Wilhelm, Jürgen Margraf, Marcella L. Woud
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Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1007/​s10608-020-10103-6) contains supplementary material, which is available to authorized users.

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Abstract

Background

Cognitive models of panic disorder (PD) highlight the role of panic-related associations and interpretations. However, results are mixed and rely on specific measures. This study examined panic-related associations and interpretations using established and new paradigms in individuals varying on anxiety sensitivity (AS).

Methods

Associations were measured using a priming task and a novel Single Target Implicit Association Test (STIAT); interpretations were assessed using the Interpretation Bias Questionnaire (IBQ) and a novel Scrambled Sentences Task (SST). Symptoms were assessed via a provocation task (Straw Breathing Task, SBT).

Results

Panic-related interpretations correlated with AS and other PD-related measures. Of the association tasks, only the priming task correlated with one of the other PD-related measures. Panic-related interpretations assessed via the SST, but not priming, STIAT, and IBQ, predicted SBT reactivity. The relationship between AS and SBT reactivity was mediated by panic-related interpretations.

Conclusions

Our data provide support for panic-related interpretations as an important cognitive mechanism.

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