Skip to main content
Top
Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment 1/2013

01-03-2013

The Interactive Contributions of Perceived Control and Anxiety Sensitivity in Panic Disorder: A Triple Vulnerabilities Perspective

Auteurs: Kate H. Bentley, Matthew W. Gallagher, James F. Boswell, Jack M. Gorman, M. Katherine Shear, Scott W. Woods, David H. Barlow

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 1/2013

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

Within the triple vulnerabilities model of anxiety disorders, a genetic contribution to the development of anxiety and negative affect (i.e., generalized biological vulnerability), a diminished sense of perceived control over aversive events and emotional experiences (i.e., generalized psychological vulnerability), and elevated levels of anxiety sensitivity (i.e., specific psychological vulnerability) are posited to increase the risk of developing and maintaining panic disorder (Barlow American Psychologist 55(11):1247–1263, 2000). The purpose of the present study was to investigate the direct and interactive effects of perceived control and anxiety sensitivity on panic disorder symptom severity. Structural equation models (SEM) were conducted in data derived from a sample of 379 adults with panic disorder participating in a multi-site randomized controlled trial. Findings indicated that both perceived control and anxiety sensitivity uniquely predicted panic disorder symptoms. A moderation model examining the interactive effects of perceived control and anxiety sensitivity on panic symptoms indicated that the effect of anxiety sensitivity on panic symptoms increased with greater deficits in perceived control. The present findings suggest that deficits in perceived control and elevated levels of anxiety sensitivity exert unique and shared effects on panic disorder symptoms, thereby illustrating the relationship between putative vulnerability factors and panic disorder symptoms as predicted by the triple vulnerabilities model.
Literatuur
go back to reference Aaronson, C. J., Shear, M. K., Goetz, R. R., Allen, L. B., Barlow, D. H., White, K. S., et al. (2008). Predictors and time course of response among panic disorder patients treated with cognitive-behavioral therapy. The Journal of Clinical Psychiatry, 69, 418–424.PubMedCrossRef Aaronson, C. J., Shear, M. K., Goetz, R. R., Allen, L. B., Barlow, D. H., White, K. S., et al. (2008). Predictors and time course of response among panic disorder patients treated with cognitive-behavioral therapy. The Journal of Clinical Psychiatry, 69, 418–424.PubMedCrossRef
go back to reference Alloy, L. B., Kelly, K. A., Mineka, S., & Clements, C. M. (1990). Comorbidity of anxiety and depressive disorders: A helplessness-hopelessness perspective. In J. D. Maser & C. R. Cloninger (Eds.), Comorbidity of mood and anxiety disorders (pp. 499–543). Washington, DC: American Psychiatric Press. Alloy, L. B., Kelly, K. A., Mineka, S., & Clements, C. M. (1990). Comorbidity of anxiety and depressive disorders: A helplessness-hopelessness perspective. In J. D. Maser & C. R. Cloninger (Eds.), Comorbidity of mood and anxiety disorders (pp. 499–543). Washington, DC: American Psychiatric Press.
go back to reference Barlow, D. H. (1991). Disorders of emotion. Psychological Inquiry, 2(1), 58–71.CrossRef Barlow, D. H. (1991). Disorders of emotion. Psychological Inquiry, 2(1), 58–71.CrossRef
go back to reference Barlow, D. H. (2000). Unraveling the mysteries of anxiety and its disorders from the perspective of emotion theory. American Psychologist, 55(11), 1247–1263.PubMedCrossRef Barlow, D. H. (2000). Unraveling the mysteries of anxiety and its disorders from the perspective of emotion theory. American Psychologist, 55(11), 1247–1263.PubMedCrossRef
go back to reference Barlow, D. H. (2002). Anxiety and its disorders. The nature and treatment of anxiety and panic (2nd ed.). New York: Guilford Press. Barlow, D. H. (2002). Anxiety and its disorders. The nature and treatment of anxiety and panic (2nd ed.). New York: Guilford Press.
go back to reference Barlow, D. H., & Craske, M. G. (2007). Mastery of your anxiety and panic (4th ed.). New York: Oxford University Press. Barlow, D. H., & Craske, M. G. (2007). Mastery of your anxiety and panic (4th ed.). New York: Oxford University Press.
go back to reference Brown, T. A., White, K. S., Forsyth, J. P., & Barlow, D. H. (2004). The structure of perceived emotional control: psychometric properties of a revised anxiety control questionnaire. Behavior Therapy, 35, 75–99.CrossRef Brown, T. A., White, K. S., Forsyth, J. P., & Barlow, D. H. (2004). The structure of perceived emotional control: psychometric properties of a revised anxiety control questionnaire. Behavior Therapy, 35, 75–99.CrossRef
go back to reference Chorpita, B. F., & Barlow, D. H. (1998). The development of anxiety: the role of control in the early environment. Psychological Bulletin, 124, 3–21.PubMedCrossRef Chorpita, B. F., & Barlow, D. H. (1998). The development of anxiety: the role of control in the early environment. Psychological Bulletin, 124, 3–21.PubMedCrossRef
go back to reference Ehlers, A. (1993). Somatic symptoms and panic attacks: a retrospective study of learning experiences. Behaviour Research and Therapy, 31, 269–278.PubMedCrossRef Ehlers, A. (1993). Somatic symptoms and panic attacks: a retrospective study of learning experiences. Behaviour Research and Therapy, 31, 269–278.PubMedCrossRef
go back to reference Gregor, K. L., & Zvolensky, M. J. (2008). Evaluating the singular and interactive effects in the prediction of anxious and fearful responding to bodily sensations. Behaviour Research and Therapy, 46, 1017–1025.PubMedCrossRef Gregor, K. L., & Zvolensky, M. J. (2008). Evaluating the singular and interactive effects in the prediction of anxious and fearful responding to bodily sensations. Behaviour Research and Therapy, 46, 1017–1025.PubMedCrossRef
go back to reference Houck, P. R., Speigel, D. A., Shear, M. K., & Rucci, P. (2002). Reliability of the self-report version of the panic disorder severity scale. Depression and Anxiety, 15, 183–185.PubMedCrossRef Houck, P. R., Speigel, D. A., Shear, M. K., & Rucci, P. (2002). Reliability of the self-report version of the panic disorder severity scale. Depression and Anxiety, 15, 183–185.PubMedCrossRef
go back to reference Klein, A. G., & Muthén, B. O. (2002). Quasi maximum likelihood estimation of structural equation models with multiple interaction and quadratic effects. Unpublished manuscript, Graduate School of Education, University of California, Los Angeles. Klein, A. G., & Muthén, B. O. (2002). Quasi maximum likelihood estimation of structural equation models with multiple interaction and quadratic effects. Unpublished manuscript, Graduate School of Education, University of California, Los Angeles.
go back to reference Lewis, A. R., Zinbarg, R. E., Mineka, S., Craske, M. G., Epstein, A., & Griffith, J. W. (2010). The relationship between anxiety sensitivity and latent symptoms of emotional problems: a structural equation modeling approach. Behavior Research & Therapy. doi:10.1016/j.brat.2010.05.001. Lewis, A. R., Zinbarg, R. E., Mineka, S., Craske, M. G., Epstein, A., & Griffith, J. W. (2010). The relationship between anxiety sensitivity and latent symptoms of emotional problems: a structural equation modeling approach. Behavior Research & Therapy. doi:10.​1016/​j.​brat.​2010.​05.​001.
go back to reference Little, T. D., Cunningham, W. A., Shahar, G., & Widaman, K. F. (2002). To parcel or not to parcel: exploring the question, weighing the merits. Structural Equation Modeling, 9(2), 151–173.CrossRef Little, T. D., Cunningham, W. A., Shahar, G., & Widaman, K. F. (2002). To parcel or not to parcel: exploring the question, weighing the merits. Structural Equation Modeling, 9(2), 151–173.CrossRef
go back to reference Maller, R. G., & Reiss, S. (1992). Anxiety sensitivity in 1984 and panic attacks in 1987. Journal of Anxiety Disorders, 6, 241–247.CrossRef Maller, R. G., & Reiss, S. (1992). Anxiety sensitivity in 1984 and panic attacks in 1987. Journal of Anxiety Disorders, 6, 241–247.CrossRef
go back to reference McNally, R. J. (2002). Anxiety sensitivity and panic disorder. Biological Psychiatry, 52, 938–946.PubMedCrossRef McNally, R. J. (2002). Anxiety sensitivity and panic disorder. Biological Psychiatry, 52, 938–946.PubMedCrossRef
go back to reference McNally, R. J., & Eke, M. (1996). Anxiety sensitivity, suffocation fear, and breath-holding duration as predictors of response to carbon dioxide challenge. Journal of Abnormal Psychology, 105, 146–149.PubMedCrossRef McNally, R. J., & Eke, M. (1996). Anxiety sensitivity, suffocation fear, and breath-holding duration as predictors of response to carbon dioxide challenge. Journal of Abnormal Psychology, 105, 146–149.PubMedCrossRef
go back to reference Muthén, L. K., & Muthén, B. O. (2007). Mplus user’s guide (6th ed.). Los Angeles: Muthén & Muthén. Muthén, L. K., & Muthén, B. O. (2007). Mplus user’s guide (6th ed.). Los Angeles: Muthén & Muthén.
go back to reference Naragon-Gainey, K. (2010). Meta-analysis of the relations of anxiety sensitivity to the depressive and anxiety disorders. Psychological Bulletin, 136(1), 128–150.PubMedCrossRef Naragon-Gainey, K. (2010). Meta-analysis of the relations of anxiety sensitivity to the depressive and anxiety disorders. Psychological Bulletin, 136(1), 128–150.PubMedCrossRef
go back to reference Peterson, R. A., & Reiss, S. (1987). Anxiety sensitivity index manual. Worthington: International Diagnostic Systems. Peterson, R. A., & Reiss, S. (1987). Anxiety sensitivity index manual. Worthington: International Diagnostic Systems.
go back to reference Plehn, K., & Peterson, R. A. (2002). Anxiety sensitivity as a predictor of the development of panic symptoms, panic attacks, and panic disorder: a prospective study. Journal of Anxiety Disorders, 16, 455–474.PubMedCrossRef Plehn, K., & Peterson, R. A. (2002). Anxiety sensitivity as a predictor of the development of panic symptoms, panic attacks, and panic disorder: a prospective study. Journal of Anxiety Disorders, 16, 455–474.PubMedCrossRef
go back to reference Rapee, R., Mattick, R., & Murrell, E. (1986). Cognitive mediation in the affective component of spontaneous panic attacks. Journal of Behavior Therapy and Experimental Psychology, 17, 245–253.CrossRef Rapee, R., Mattick, R., & Murrell, E. (1986). Cognitive mediation in the affective component of spontaneous panic attacks. Journal of Behavior Therapy and Experimental Psychology, 17, 245–253.CrossRef
go back to reference Rapee, R. M., Craske, M. G., Brown, T. A., & Barlow, D. H. (1996). Measurement of perceived control over anxiety related events. Behavior Therapy, 27, 279–293.CrossRef Rapee, R. M., Craske, M. G., Brown, T. A., & Barlow, D. H. (1996). Measurement of perceived control over anxiety related events. Behavior Therapy, 27, 279–293.CrossRef
go back to reference Reiss, S. (1980). Pavlovian conditioning and human fear—An expectancy model. Behavior Therapy, 11, 380–396.CrossRef Reiss, S. (1980). Pavlovian conditioning and human fear—An expectancy model. Behavior Therapy, 11, 380–396.CrossRef
go back to reference Reiss, S., Peterson, R. A., Gursky, D. M., & McNally, R. J. (1986). Anxiety sensitivity, anxiety frequency, and the prediction of fearfulness. Behaviour Research and Therapy, 24, 1–8.PubMedCrossRef Reiss, S., Peterson, R. A., Gursky, D. M., & McNally, R. J. (1986). Anxiety sensitivity, anxiety frequency, and the prediction of fearfulness. Behaviour Research and Therapy, 24, 1–8.PubMedCrossRef
go back to reference Sanderson, W. C., Rapee, R. M., & Barlow, D. H. (1989). The influence of an illusion of control on panic attacks via inhalation of 5.5 % carbon dioxide-enriched air. Archives of General Psychiatry, 46, 157–162.PubMedCrossRef Sanderson, W. C., Rapee, R. M., & Barlow, D. H. (1989). The influence of an illusion of control on panic attacks via inhalation of 5.5 % carbon dioxide-enriched air. Archives of General Psychiatry, 46, 157–162.PubMedCrossRef
go back to reference Schmidt, N. B., Trakowski, J. H., & Staab, J. P. (1997). Extinction of panicogenic effects of a 35 % CO-sub-2 challenge in patients with panic disorder. Journal of Abnormal Psychology, 106, 630–638.PubMedCrossRef Schmidt, N. B., Trakowski, J. H., & Staab, J. P. (1997). Extinction of panicogenic effects of a 35 % CO-sub-2 challenge in patients with panic disorder. Journal of Abnormal Psychology, 106, 630–638.PubMedCrossRef
go back to reference Schmidt, N. B., Lerew, D. R., & Jackson, R. J. (1999). Prospective evaluation of anxiety sensitivity in the pathogenesis of panic: replication and extension. Journal of Abnormal Psychology, 108, 532–537.PubMedCrossRef Schmidt, N. B., Lerew, D. R., & Jackson, R. J. (1999). Prospective evaluation of anxiety sensitivity in the pathogenesis of panic: replication and extension. Journal of Abnormal Psychology, 108, 532–537.PubMedCrossRef
go back to reference Schmit, 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(4), 207–214.CrossRef Schmit, 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(4), 207–214.CrossRef
go back to reference Schneewind, K. A. (1995). Impact of family processes on control beliefs. In A. Bandura (Ed.), Self-efficacy in changing societies (pp. 114–148). New York: Cambridge University Press.CrossRef Schneewind, K. A. (1995). Impact of family processes on control beliefs. In A. Bandura (Ed.), Self-efficacy in changing societies (pp. 114–148). New York: Cambridge University Press.CrossRef
go back to reference Shear, M. K., Rucci, P., Williams, J., Frank, E., Grochocinski, V., Vander Bilt, J., Houck, P., & Wang, T. (2001). Reliability and validity of the panic disorder severity scale: replication and extension. Journal of Psychiatry Research, 35, 293–296.CrossRef Shear, M. K., Rucci, P., Williams, J., Frank, E., Grochocinski, V., Vander Bilt, J., Houck, P., & Wang, T. (2001). Reliability and validity of the panic disorder severity scale: replication and extension. Journal of Psychiatry Research, 35, 293–296.CrossRef
go back to reference Smits, J. A. J., Berry, A. C., Tart, C. D., & Powers, M. B. (2008). The efficacy of cognitive-behavioral interventions for reducing anxiety sensitivity: a meta-analytic review. Behaviour Research and Therapy, 46, 1047–1054.PubMedCrossRef Smits, J. A. J., Berry, A. C., Tart, C. D., & Powers, M. B. (2008). The efficacy of cognitive-behavioral interventions for reducing anxiety sensitivity: a meta-analytic review. Behaviour Research and Therapy, 46, 1047–1054.PubMedCrossRef
go back to reference Taylor, S., & Fedoroff, I. C. (1999). The expectancy theory of fear, anxiety, and panic: A conceptual and empirical analysis. In S. Taylor (Ed.), Anxiety sensitivity: Theory, research, and treatment of the fear of anxiety (pp. 17–31). Hillsdale: Erlbaum. Taylor, S., & Fedoroff, I. C. (1999). The expectancy theory of fear, anxiety, and panic: A conceptual and empirical analysis. In S. Taylor (Ed.), Anxiety sensitivity: Theory, research, and treatment of the fear of anxiety (pp. 17–31). Hillsdale: Erlbaum.
go back to reference Telch, M. J., Lucas, J. A., Schmidt, N. B., Hanna, H. H., LaNae Jaimez, T., & Lucas, R. A. (1993). Group cognitive-behavioral treatment of panic disorder. Behaviour Research and Therapy, 31, 279–287.PubMedCrossRef Telch, M. J., Lucas, J. A., Schmidt, N. B., Hanna, H. H., LaNae Jaimez, T., & Lucas, R. A. (1993). Group cognitive-behavioral treatment of panic disorder. Behaviour Research and Therapy, 31, 279–287.PubMedCrossRef
go back to reference 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(1), 21–35.CrossRef 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(1), 21–35.CrossRef
go back to reference White, K. S., & Barlow, D. H. (2002). Panic disorder and agoraphobia. In D. H. Barlow (Ed.), Anxiety and its disorders (2nd ed.). New York: Guilford Press. White, K. S., & Barlow, D. H. (2002). Panic disorder and agoraphobia. In D. H. Barlow (Ed.), Anxiety and its disorders (2nd ed.). New York: Guilford Press.
go back to reference White, K. S., Brown, T. A., Somers, T. J., & Barlow, D. H. (2006). Avoidance behavior in panic disorder: the moderating influence of perceived control. Behavior Research and Therapy, 44, 147–157.CrossRef White, K. S., Brown, T. A., Somers, T. J., & Barlow, D. H. (2006). Avoidance behavior in panic disorder: the moderating influence of perceived control. Behavior Research and Therapy, 44, 147–157.CrossRef
go back to reference White, K. S., Allen, L. B., Barlow, D. H., Gorman, J. M., Shear, M. K., & Woods, S. W. (2010). Attrition in a multicenter clinical trial for panic disorder. The Journal of Nervous and Mental Disease, 198, 665–671.PubMedCrossRef White, K. S., Allen, L. B., Barlow, D. H., Gorman, J. M., Shear, M. K., & Woods, S. W. (2010). Attrition in a multicenter clinical trial for panic disorder. The Journal of Nervous and Mental Disease, 198, 665–671.PubMedCrossRef
go back to reference Wolpe, J., & Rowan, V. (1988). Panic disorder: a product of classical conditioning. Behaviour Research and Therapy, 26, 441–450.PubMedCrossRef Wolpe, J., & Rowan, V. (1988). Panic disorder: a product of classical conditioning. Behaviour Research and Therapy, 26, 441–450.PubMedCrossRef
go back to reference Zinbarg, R. E., Brown, T. A., Barlow, D. H., & Rapee, R. M. (2001). Anxiety sensitivity, panic, and depressed mood: a re-analysis teasing apart the contributions of the two levels in the hierarchical structure of the anxiety sensitivity index. Journal of Abnormal Psychology, 110, 372–377.PubMedCrossRef Zinbarg, R. E., Brown, T. A., Barlow, D. H., & Rapee, R. M. (2001). Anxiety sensitivity, panic, and depressed mood: a re-analysis teasing apart the contributions of the two levels in the hierarchical structure of the anxiety sensitivity index. Journal of Abnormal Psychology, 110, 372–377.PubMedCrossRef
go back to reference Zvolensky, M. J., Eifert, G. H., Lejuez, C. W., & McNeil, D. W. (1999). The effects of offset control over 20 % carbon dioxide-enriched air on anxious responding. Journal of Abnormal Psychology, 108, 624–632.PubMedCrossRef Zvolensky, M. J., Eifert, G. H., Lejuez, C. W., & McNeil, D. W. (1999). The effects of offset control over 20 % carbon dioxide-enriched air on anxious responding. Journal of Abnormal Psychology, 108, 624–632.PubMedCrossRef
go back to reference Zvolensky, M. J., Eifert, G. H., & Lejuez, C. W. (2001a). Offset control during recurrent 20 % carbon dioxide-enriched air induction: relation to individual difference variables. Emotion, 1, 148–165.CrossRef Zvolensky, M. J., Eifert, G. H., & Lejuez, C. W. (2001a). Offset control during recurrent 20 % carbon dioxide-enriched air induction: relation to individual difference variables. Emotion, 1, 148–165.CrossRef
go back to reference Zvolensky, M. J., Feldner, M. T., Eifert, G. H., & Stewart, S. H. (2001b). Evaluating differential predictions of emotional reactivity during repeated 20 % carbon dioxide-enriched air challenge. Cognition Emotion, 15, 767–786.CrossRef Zvolensky, M. J., Feldner, M. T., Eifert, G. H., & Stewart, S. H. (2001b). Evaluating differential predictions of emotional reactivity during repeated 20 % carbon dioxide-enriched air challenge. Cognition Emotion, 15, 767–786.CrossRef
Metagegevens
Titel
The Interactive Contributions of Perceived Control and Anxiety Sensitivity in Panic Disorder: A Triple Vulnerabilities Perspective
Auteurs
Kate H. Bentley
Matthew W. Gallagher
James F. Boswell
Jack M. Gorman
M. Katherine Shear
Scott W. Woods
David H. Barlow
Publicatiedatum
01-03-2013
Uitgeverij
Springer US
Gepubliceerd in
Journal of Psychopathology and Behavioral Assessment / Uitgave 1/2013
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI
https://doi.org/10.1007/s10862-012-9311-8

Andere artikelen Uitgave 1/2013

Journal of Psychopathology and Behavioral Assessment 1/2013 Naar de uitgave