Swipe om te navigeren naar een ander artikel
In the present vulnerability study individuals with high (n = 35) and low (n = 124) anxiety sensitivity (AS) made ratings of anticipated distress, catastrophic misinterpretations and benign more realistic alternative explanations to 24 hypothetical scenarios involving physical sensations. The physical sensation scenarios were a modification of the Body Sensations Interpretation Questionnaire (Clark et al. in J Consult Clin Psychol 65:203–213, 1997) and varied in level of expectedness across panic-related and nonpanic-related scenarios. Group comparisons revealed that the high AS group reported significantly higher levels of distress and more catastrophic misinterpretations to all physical sensation scenarios, although no group differences were found in ratings of realistic interpretations. A significant Group × Expectedness interaction indicated that high AS individuals generated more catastrophic misinterpretations to all unexpected physical sensation scenarios. The findings support the centrality of catastrophic misinterpretation as the key cognitive construct in panic disorder as well as aspects of Telch et al.’s (J Anxiety Disor 25: 645–653, 2011) context-sensitivity perspective on panic.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Beck, A. T. (1988). Cognitive approaches to panic: Theory and therapy. In S. Rachman & J. Maser (Eds.), Panic: Psychological perspectives. Hillsdale, NJ: Erlbaum.
Beck, A. T., Emery, G., & Greenberg, R. L. (1985). Anxiety disorders and phobias: A cognitive perspective. New York, NY US: Basic Books.
Beck, A. T., & Greenberg, R. L. (1988). Cognitive therapy of panic disorder. In R. E. Hales & A. J. Frances (Eds.), Review of psychiatry (Vol. 7). Washington, DC: American Psychiatric Press.
Clark, D. A., & Beck, A. T. (2010). Cognitive therapy of anxiety disorders: Science and practice. New York, NY US: Guilford Press.
Dixon, L. J., Sy, J. T., Kemp, J. J., & Deacon, B. J. (2013). Does anxiety sensitivity cause panic symptoms? An experimental investigation. Journal of Experimental Psychopathology, 4, 208–223.
Olthuis, J. V., Stewart, S. H., Watt, M. C., Sabourin, B. C., & Keogh, E. (2012). Anxiety sensitivity and negative interpretation biases: Their shared and unique associations with anxiety symptoms. Journal of Psychopathology and Behavioural Assessment,34, 332–342. CrossRef
Reiss, S. (1991). Expectancy model of fear, anxiety, and panic. Clinical Psychology Review,11, 141–153. CrossRef
Schmidt, N. B., & Lerew, D. R. (2002). Prospective evaluation of perceived control, predictability, and anxiety sensitivity in the pathogenesis of panic. Journal of Psychopathology and Behavioral Assessment,24, 207–214. CrossRef
Schmidt, N. B., & Trakowski, J. H, Jr. (1999). Attentional focus and fearful responding in patients with panic disorder during a 35% CO 2 challenge. Behavior Therapy,30, 623–640. CrossRef
Taylor, S. (1999). Anxiety sensitivity: Theory, research, and treatment of the fear of anxiety. Mahwah, NJ: Erlbaum.
Telch, M. J., Silverman, A., & Schmidt, N. B. (1996). Effects of anxiety sensitivity and perceived control on emotional responding to caffeine challenge. Journal of Anxiety Disorders,10, 21–35. CrossRef
Telch, M. J., Smits, J. A. J., Brown, M., Dement, M., Powers, M. B., Lee, H., et al. (2010). Effects of threat context and cardiac sensitivity on fear responding to a 35% CO 2 challenge: A test of the context-sensitivity panic vulnerability model. Journal of Behavior Therapy and Experimental Psychiatry,41, 365–372. CrossRefPubMed
- Context in Anxiety Sensitivity: The Role of Expectancy, Catastrophic Misinterpretations and Diminished Reappraisal in Response to Hypothetical Physical Arousal Scenarios
Catherine A. Hilchey
David A. Clark
- Springer US