Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Cognitive Therapy and Research 2/2006

01-04-2006 | Original Article

Extending an Anxiety Sensitivity Model of Uncued Panic Attack Frequency and Symptom Severity: The Role of Emotion Dysregulation

Auteur: Matthew T. Tull

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 2/2006

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Models of panic disorder are primarily cognitive in nature, and the role of emotion regulation has not been extensively examined. This study investigates the extent to which emotion dysregulation predicts uncued panic attack frequency and symptom severity above and beyond anxiety sensitivity (AS). Participants were 77 undergraduate students reporting a recent history of uncued panic attacks. Emotion dysregulation was not found to significantly predict past year panic attack frequency above and beyond AS dimensions (fear of respiratory symptoms, publicly observable anxiety reactions, cardiovascular symptoms, and cognitive dyscontrol). Fear of respiratory symptoms emerged as the only significant predictor of panic attack frequency. However, emotion dysregulation did significantly predict panic symptom severity above and beyond AS dimensions. Results offer preliminary evidence of the differential influence of emotion dysregulation and AS on panic-related variables and suggest the need to examine emotion dysregulation as it pertains to the development and maintenance of panic-related psychopathology.
Literatuur
go back to reference American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington DC: Author. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington DC: Author.
go back to reference Baker, R., Holloway, J., Thomas, P. W., Thomas, S., & Owens, M. (2004). Emotional processing and panic. Behaviour Research and Therapy, 42, 1271–1287. PubMedCrossRef Baker, R., Holloway, J., Thomas, P. W., Thomas, S., & Owens, M. (2004). Emotional processing and panic. Behaviour Research and Therapy, 42, 1271–1287. PubMedCrossRef
go back to reference Barlow, D. H., Allen, L. B., & Choate, M. L. (2004). Toward a unified treatment for emotional disorders. Behavior Therapy, 35, 205–230. CrossRef Barlow, D. H., Allen, L. B., & Choate, M. L. (2004). Toward a unified treatment for emotional disorders. Behavior Therapy, 35, 205–230. CrossRef
go back to reference Bernstein, A., Zvolensky, M. J., Kotov, R., Arrindell, W. A., Taylor, S., Sandin, B., Cox, B. J., Stewart, S. H., Bouvard, M., Cardenas, S. J., Eifert, G. H., & Schmidt, N. B. (2006). Taxonicity of anxiety sensitivity: A multi-national analysis. Journal of Anxiety Disorders, 20, 1–22 PubMedCrossRef Bernstein, A., Zvolensky, M. J., Kotov, R., Arrindell, W. A., Taylor, S., Sandin, B., Cox, B. J., Stewart, S. H., Bouvard, M., Cardenas, S. J., Eifert, G. H., & Schmidt, N. B. (2006). Taxonicity of anxiety sensitivity: A multi-national analysis. Journal of Anxiety Disorders, 20, 1–22 PubMedCrossRef
go back to reference Bouton, M. E., Mineka, S., & Barlow, D. H. (2001). A modern learning theory perspective on the etiology of panic disorder. Psychological Review, 108, 4–32. PubMedCrossRef Bouton, M. E., Mineka, S., & Barlow, D. H. (2001). A modern learning theory perspective on the etiology of panic disorder. Psychological Review, 108, 4–32. PubMedCrossRef
go back to reference Brown, T. A., Chorpita, B. F., Korotitsch, W., & Barlow, D. H. (1997). Psychometric properties of the Depression Anxiety Stress Scales (DASS) in clinical samples. Behaviour Research and Therapy, 35, 79–89. PubMedCrossRef Brown, T. A., Chorpita, B. F., Korotitsch, W., & Barlow, D. H. (1997). Psychometric properties of the Depression Anxiety Stress Scales (DASS) in clinical samples. Behaviour Research and Therapy, 35, 79–89. PubMedCrossRef
go back to reference Casey, L. M., Oei, T. P. S., Newcombe, P. A., & Kenardy, J. (2004). The role of catastrophic misinterpretation of bodily sensations and panic self-efficacy in predicting panic severity. Journal of Anxiety Disorders, 18, 325–340. PubMedCrossRef Casey, L. M., Oei, T. P. S., Newcombe, P. A., & Kenardy, J. (2004). The role of catastrophic misinterpretation of bodily sensations and panic self-efficacy in predicting panic severity. Journal of Anxiety Disorders, 18, 325–340. PubMedCrossRef
go back to reference Cox, B. J., Borger, S. C., & Enns, M. W. (1999). Anxiety sensitivity and emotional disorders: Psychometric studies and their theoretical implications. In S. Taylor (Ed.), Anxiety sensitivity: Theory, research, and treatment of the fear of anxiety (pp. 115–148). Mahwah, New Jersey: Lawrence Erlbaum. Cox, B. J., Borger, S. C., & Enns, M. W. (1999). Anxiety sensitivity and emotional disorders: Psychometric studies and their theoretical implications. In S. Taylor (Ed.), Anxiety sensitivity: Theory, research, and treatment of the fear of anxiety (pp. 115–148). Mahwah, New Jersey: Lawrence Erlbaum.
go back to reference Cox, B. J., Endler, N. S., & Swinson, R. P. (1991). Clinical and non-clinical panic attacks: An empirical test of a panic-anxiety continuum. Journal of Anxiety Disorders, 5, 21–34. CrossRef Cox, B. J., Endler, N. S., & Swinson, R. P. (1991). Clinical and non-clinical panic attacks: An empirical test of a panic-anxiety continuum. Journal of Anxiety Disorders, 5, 21–34. CrossRef
go back to reference Forsyth, J. P., Eifert, G. H., & Barrios, V., (in press). Fear conditioning in an emotion regulation context: An individual difference perspective. In M. G. Craske, D. Hermans, & D. Vansteenwegen (Eds.), Fear and learning: Basic science to clinical application. Washington, DC: American Psychological Association. Forsyth, J. P., Eifert, G. H., & Barrios, V., (in press). Fear conditioning in an emotion regulation context: An individual difference perspective. In M. G. Craske, D. Hermans, & D. Vansteenwegen (Eds.), Fear and learning: Basic science to clinical application. Washington, DC: American Psychological Association.
go back to reference Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 36, 41–54. CrossRef Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 36, 41–54. CrossRef
go back to reference Karekla, M., & Forsyth, J. P. (2004). A comparison between acceptance enhanced cognitive behavioral and panic control treatment for panic disorder. In S. M. Orsillo (Chair), Acceptance-based behavioral therapies: New directions in treatment development across the diagnostic spectrum. Symposium presented at the 38th annual meeting of the Association for Advancement of Behavior Therapy, New Orleans, LA. Karekla, M., & Forsyth, J. P. (2004). A comparison between acceptance enhanced cognitive behavioral and panic control treatment for panic disorder. In S. M. Orsillo (Chair), Acceptance-based behavioral therapies: New directions in treatment development across the diagnostic spectrum. Symposium presented at the 38th annual meeting of the Association for Advancement of Behavior Therapy, New Orleans, LA.
go back to reference Karekla, M., Forsyth, J. P., & Kelly, M. M. (2004). Emotional avoidance and panicogenic responding to a biological challenge procedure. Behavior Therapy, 35, 725–746. CrossRef Karekla, M., Forsyth, J. P., & Kelly, M. M. (2004). Emotional avoidance and panicogenic responding to a biological challenge procedure. Behavior Therapy, 35, 725–746. CrossRef
go back to reference Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the depression anxiety stress scales (2nd ed.). Syndey, Australia: Psychology Foundation of Australia. Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the depression anxiety stress scales (2nd ed.). Syndey, Australia: Psychology Foundation of Australia.
go back to reference Mennin, D. S., Heimberg, R. G., Turk, C. L., & Fresco, D. M. (2005). Preliminary evidence for an emotion dysregulation model of generalized anxiety disorder. Behaviour Research and Therapy,43, 1281–1310. PubMedCrossRef Mennin, D. S., Heimberg, R. G., Turk, C. L., & Fresco, D. M. (2005). Preliminary evidence for an emotion dysregulation model of generalized anxiety disorder. Behaviour Research and Therapy,43, 1281–1310. PubMedCrossRef
go back to reference Norton, G. R., Dorward, J., & Cox, B. J. (1986). Factors associated with panic attacks in nonclinical subjects. Behavior Therapy, 17, 239–252. CrossRef Norton, G. R., Dorward, J., & Cox, B. J. (1986). Factors associated with panic attacks in nonclinical subjects. Behavior Therapy, 17, 239–252. CrossRef
go back to reference Reiss, S. (1991). Expectancy model of fear, anxiety, and panic. Clinical Psychology Review, 11, 141–153. CrossRef Reiss, S. (1991). Expectancy model of fear, anxiety, and panic. Clinical Psychology Review, 11, 141–153. CrossRef
go back to reference Salters-Pedneault, K., Tull, M. T., & Roemer, L. (2004). The role of avoidance of emotional material in the anxiety disorders. Applied and Preventive Psychology, 11, 95–114. CrossRef Salters-Pedneault, K., Tull, M. T., & Roemer, L. (2004). The role of avoidance of emotional material in the anxiety disorders. Applied and Preventive Psychology, 11, 95–114. CrossRef
go back to reference Schmidt, N. B. (1999). Prospective evaluations of anxiety sensitivity. In S. Taylor (Ed.), Anxiety sensitivity: Theory, research, and treatment of the fear of anxiety (pp. 217–285). Mahwah, New Jersey: Lawrence Erlbaum. Schmidt, N. B. (1999). Prospective evaluations of anxiety sensitivity. In S. Taylor (Ed.), Anxiety sensitivity: Theory, research, and treatment of the fear of anxiety (pp. 217–285). Mahwah, New Jersey: Lawrence Erlbaum.
go back to reference Tabachnick, B. G., & Fidell, L. S. (1996). Using multivariate statistics (3rd ed.). New York, NY: HarperCollins College Publishers. Tabachnick, B. G., & Fidell, L. S. (1996). Using multivariate statistics (3rd ed.). New York, NY: HarperCollins College Publishers.
go back to reference Taylor, S., & Cox, B. J. (1998). An expanded anxiety sensitivity index: Evidence for a hierarchic structure in a clinical sample. Journal of Anxiety Disorders, 12, 463–483. PubMedCrossRef Taylor, S., & Cox, B. J. (1998). An expanded anxiety sensitivity index: Evidence for a hierarchic structure in a clinical sample. Journal of Anxiety Disorders, 12, 463–483. PubMedCrossRef
go back to reference Turk, C. L., Heimberg, R. G., Luterek, J. A., Mennin, D. S., & Fresco, D. M. (2005). Emotion dysregulation in generalized anxiety disorder: A comparison with social anxiety disorder. Cognitive Therapy and Research, 29, 89–106. CrossRef Turk, C. L., Heimberg, R. G., Luterek, J. A., Mennin, D. S., & Fresco, D. M. (2005). Emotion dysregulation in generalized anxiety disorder: A comparison with social anxiety disorder. Cognitive Therapy and Research, 29, 89–106. CrossRef
go back to reference Williams, K. E., Chambless, D. L., & Ahrens, A. (1997). Are emotions frightening? An extension of the fear of fear construct. Behaviour Research and Therapy, 35, 239–248. PubMedCrossRef Williams, K. E., Chambless, D. L., & Ahrens, A. (1997). Are emotions frightening? An extension of the fear of fear construct. Behaviour Research and Therapy, 35, 239–248. PubMedCrossRef
go back to reference Zvolensky, M. J., & Eifert, G. H. (2001). A review of psychological factors/processes affecting anxious responding during voluntary hyperventilation and inhalations of carbon dioxide-enriched air. Clinical Psychology Review, 21, 375–400. PubMedCrossRef Zvolensky, M. J., & Eifert, G. H. (2001). A review of psychological factors/processes affecting anxious responding during voluntary hyperventilation and inhalations of carbon dioxide-enriched air. Clinical Psychology Review, 21, 375–400. PubMedCrossRef
go back to reference Zvolensky, M. J., & Raulin, M. J. (1999). Panic-related fears in persons reporting a family history of panic disorder. Anxiety, Stress, and Coping, 12, 351–362. Zvolensky, M. J., & Raulin, M. J. (1999). Panic-related fears in persons reporting a family history of panic disorder. Anxiety, Stress, and Coping, 12, 351–362.
Metagegevens
Titel
Extending an Anxiety Sensitivity Model of Uncued Panic Attack Frequency and Symptom Severity: The Role of Emotion Dysregulation
Auteur
Matthew T. Tull
Publicatiedatum
01-04-2006
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 2/2006
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-006-9036-7