Differential sensitivity of the three ASI factors in predicting panic disorder patients’ subjective and behavioral response to hyperventilation challenge

Brown, M. D.; Smits, Jasper A.J.; Powers, Mark B.; Telch, Michael J.

doi:10.1016/s0887-6185(02)00231-1

Cited by 70 publications

(56 citation statements)

References 36 publications

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“…NJREs might also be considered (and investigated) as a putative marker for OCD, in the same way in which the construct Anxiety Sensitivity (AS) is deemed a psychological marker of anxiety disorders in general and panic disorder in particular (e.g., Brown, Smits, Powers, & Telch, 2003;Rapee & Medoro, 1994;Schmidt, Lerew, & Jackson, 1997;Smits, Powers, Cho, & Telch, 2004; see literature on endophenotypes, Chamberlain et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

In search of specificity: “Not just right experiences” and obsessive–compulsive symptoms in non-clinical and clinical Italian individuals

Ghisi

Chiri

Marchetti

et al. 2010

Journal of Anxiety Disorders

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The cognitive model of OCD proposes that certain beliefs may contribute to the development and maintenance of this disorder. To date, however, it is not yet clear which beliefs are more relevant for explaining OCD symptomatology; moreover, their causal status is yet to be clearly established. In the effort to identify other constructs and processes related to OCD, the phenomenon labeled "not just right experiences" (NJREs) has received increasing attention. In this study, measures of NJREs (the NJRE-Q-R), OCD symptoms, general distress (i.e., anxiety, and depression), and perfectionism were administered to a large sample of college students and a small sample of OCD and non-OCD patients. The clinical sample completed also a measure of OC beliefs. Results showed that NJREs could be reliably measured through a self-report format in non-clinical and clinical Italian individuals. A specific association between NJREs severity and OCD symptoms was found in the non-clinical sample, after controlling for anxiety, depression and perfectionism. The NJRE-Q-R Severity scale clearly discriminated OCD patients from patients with other anxiety disorders or depression. Lastly, the NJREs measure differentiated the clinical groups when OC beliefs were controlled, whereas OC beliefs did not discriminate among the groups after NJREs severity was controlled. The concept of NJREs may contribute to improve current psychological and biological model of OCD.

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Section: Discussionmentioning

confidence: 99%

In search of specificity: “Not just right experiences” and obsessive–compulsive symptoms in non-clinical and clinical Italian individuals

Ghisi

Chiri

Marchetti

et al. 2010

Journal of Anxiety Disorders

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“…Segundo, estudios de laboratorio donde se observan los síntomas de ansiedad inducidos artificialmente (hiperventilación voluntaria o inhalación de aire enriquecido con CO2), muestran que los pacientes con TP responden con mayores niveles de ansiedad comparados con controles psiquiátricos y no psiquiátricos (Gorman et al, 1994;Papp et al, 1997;Telch et al, 2003). Además, la SA es un predictor del nivel de respuesta emocional, aquellos que obtienen mayores puntuaciones en el ASI presentan mayores niveles de ansiedad y pánico (Brown, et al, 2003;Rapee et al, 1992). Tercero, el éxito en el tratamiento del TP se asocia con el descenso de las puntuaciones del ASI (Penava, anales de psicología, 2014, vol.…”

Section: Sensibilidad a La Ansiedadunclassified

“…Los datos parecen apoyar la base genética relacionada con el desarrollo de psicopatología internalizante (Brown y Barlow, 2009). Con respecto a la SA, un número importante de estudios desde distintas aproximaciones han mostrado evidencia empírica de su relación con el TP (Brown et al, 2003;Penava et al, 1998;Plehn y Peterson, 2002;Simon et al, 2004;. Respecto a la PCA, a pesar de ser una línea de investigación más reciente, ya parece contar con evidencias empíricas sobre su influencia, su efecto modulador o su valor predictivo respecto a variables clínicas en el TP como la evitación agorafóbica, el miedo a las sensaciones físicas y el ajuste psicológico (Gregor y Zvolensky, 2008;Sokolowski e Israel, 2008;White, et al, 2006).…”

Section: Conclusionesunclassified

“…Desde enfoques biológicos, los factores identificados más estudiados hasta el momento han sido la Sensibilidad a la Ansiedad (Brown, Smits, Powers y Telch, 2003;Reiss, Peterson, Gursky y McNally, 1986;Plehn y Peterson, 2002;Rapee, Brown, Anthony y Barlow, 1992;Weems, Hayward, Killen y Taylor, 2002) y la Inhibición Conductual (Rosenbaum et al, 2000;Segui et al, 1999). Más recientemente, desde enfoques cognitivos, se investiga la posible influencia de la Percepción de Control de la Ansiedad como factor de riesgo en el TP (Baker, Holloway, Thomas, Thomas y Owens, 2004;Barlow, 2002;White y Barlow, 2002).…”

Section: Introductionunclassified

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Personalidad y Trastorno de Pánico: Un estudio de revisión

2014

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Resumen: A través de este trabajo ofreceremos una revisión exhaustiva de las aportaciones científicas que se han realizado en las últimas tres décadas sobre la influencia de la personalidad en aspectos clínicos y psicopatológi-cos del Trastorno de pánico (TP), con o sin agorafobia (AG). Los resultados que expondremos serán representativos de dos modelos distintos de evaluación y estudio de la personalidad, el modelo de personalidad clínico y el modelo de personalidad normal. Desde ambas perspectivas, parece existir suficiente evidencia para asociar las dimensiones y rasgos patológicos de personalidad más relacionados con la emocionabilidad negativa y la desregulación emocional con el TP, con o sin AG. Entre las variables de vulnerabilidad identificadas en relación a la mayor probabilidad de inicio y mantenimiento del TP destacan: patrones familiares específicos de educación y crianza, la inhibición conductual, la sensibilididad a la ansiedad, y, más recientemente, la percepción de control de la ansiedad. Desde una perspectiva clínica es muy relevante la identificación de estos factores de vulnerabilidad psicopatológica puesto que abren la puerta al diseño e implementación de programas de promoción, prevención y tratamiento que se dirijan específicamente a los procesos psicológicos alterados y mitiguen, con mayor rapidez y eficacia, el sufrimiento de las personas que padecen estas patologías. Palabras clave: Personalidad; trastorno de pánico; revisión; agorafobia; trastornos de la personalidad; factores de riesgo.Title: Personality and panic disorder: a review. Abstract: In this work we offer a comprehensive review of the scientific contributions that have been made in the last three decades on the influence of personality in the psychopathology of panic disorder (PD) with or without agoraphobia (AG). The findings that are discussed are representative of two different theoretical models in the assessment and the study of personality, the clinical approach to personality and the dimensional approach to personality. From both perspectives, there is sufficient evidence to associate the personality factors and the pathological personality traits more related to negative emotionality and emotional dysregulation with PD, with or without AG. Among the vulnerability factors identified in relation to the onset of PD and the maintenance of its symptoms are: specific family and education patterns, behavioral inhibition, anxiety sensitivity, and, more recently, the perception of anxiety control. From a clinical perspective it is very important to identify these psychopathological vulnerabilities in order to design and implement promotion, prevention and treatment programs that specifically target the disordered psychological processes and reduce, more quickly and effectively, the suffering of people with these conditions.

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“…It has also been shown that anxiety sensitivity scores predict the maintenance of PD among untreated patients, the future emergence of panic attacks among nonclinical panickers and the appearance of panic among individuals free from a history of panic attacks (Ehlers, 1995;Taylor & Cox, 1998). More specifically, several studies indicate that a high anxiety sensitivity physical concerns score (rather than the other two dimensions of anxiety sensitivity known as cognitive concerns and social concerns, or the total score of the three dimensions altogether) not only predicts panic symptoms when an individual is exposed to his/her own physiological arousal but is also associated with a higher risk for PD (Brown, Smits, Powers, & Telch, 2003;Grant, Beck, & Davila, 2007). In other words, physical concerns seem to mediate the relation between physiological anxiety and PD as the occurrence of a stressproduced isolated panic attack should not lead to PD if one does not become anxious or scared about it happening again.…”

Section: Introductionmentioning

confidence: 99%

A multi-factor model of panic disorder: Results of a preliminary study integrating the role of perfectionism, stress, physiological anxiety and anxiety sensitivity

2015

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Título: Modelo multifactorial del trastorno de pánico: resultados de un estudio preliminar sobre el papel del perfeccionismo, estrés, ansiedad fisioló-gica y sensibilidad a la ansiedad. Resumen: Antecedentes: el trastorno de pánico (TP) es un desorden mental altamente prevalente e incapacitante asociado a diferentes factores como el perfeccionismo, estrés, ansiedad fisiológica, y sensibilidad a la ansiedad referente a preocupaciones físicas; sin embargo, no existen estudios que hayan analizado conjuntamente la relación entre dichos factores y el TP en un modelo multifactorial utilizando ecuaciones estructurales. Método: con el objetivo de recoger información sobre estos factores y síntomas autoinformados de TP en el último año según criterios DSM-IV, se llevó a cabo un estudio transversal en una amplia muestra de la población general (N=936). Resultados: el estrés percibido tuvo un efecto significativo a la hora de incrementar la ansiedad fisiológica, que a su vez se asoció de modo importante con las preocupaciones físicas. El perfeccionismo y el estrés percibido se relacionaron indirectamente con el TP durante el último año a través del efecto mediador de la ansiedad fisiológica y las preocupaciones físicas. Las preocupaciones físicas, por un lado, parece ser que mediaron el impacto entre el perfeccionismo y el TP y, por otro lado, mediaron parcialmente la relación entre ansiedad fisiológica y TP. Conclusiones: a pesar de la evidencia existente acerca de la relación entre cada uno de estos factores y el TP, se puede considerar este modelo como un marco teórico que recoge la investigación de forma conjunta y productiva sobre la naturaleza y tratamiento del TP. Palabras clave: Sensibilidad a la ansiedad; trastorno de pánico; perfeccionismo; ansiedad fisiológica; estrés. Abstract:Background: Panic disorder (PD) is a highly prevalent and disabling mental health problem associated with different factors including perfectionism, stress, physiological anxiety, and anxiety sensitivity regarding physical concerns; however, no studies have analyzed the joint relationship between these factors and PD in a multi-factor model using structural equation modeling. Method: A cross-sectional study was carried out to collect data on these factors and self-reported DSM-IV past-year PD symptoms in a large sample of the general population (N=936). Results: Perceived stress had a significant effect in increasing physiological anxiety, which in turn had an important association with physical concerns. Perfectionism and perceived stress had an indirect relation with past year PD via the mediator role of physiological anxiety and physical concerns. Physical concerns, on one hand, seemed to mediate the impact between perfectionism and PD and, on the other, partially mediated the role between physiological anxiety and PD. Conclusions: Although there is considerable evidence on the association between each of these factors and PD, this model can be considered a broader and productive framework of research on the nature and treatment of PD.

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Differential sensitivity of the three ASI factors in predicting panic disorder patients’ subjective and behavioral response to hyperventilation challenge

Cited by 70 publications

References 36 publications

In search of specificity: “Not just right experiences” and obsessive–compulsive symptoms in non-clinical and clinical Italian individuals

In search of specificity: “Not just right experiences” and obsessive–compulsive symptoms in non-clinical and clinical Italian individuals

Personalidad y Trastorno de Pánico: Un estudio de revisión

A multi-factor model of panic disorder: Results of a preliminary study integrating the role of perfectionism, stress, physiological anxiety and anxiety sensitivity

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