Misinterpretation of ambiguous stimuli in panic disorder

Harvey, James C.; Richards, Jeffrey Colin; Dziadosz, Tania; Swindell, Alison

doi:10.1007/bf01172948

Cited by 86 publications

(80 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…"), of loss of control or insanity ("Am I having a nervous breakdown? "), of humiliation or embarrassment ("People will think I am crazy")-that contribute to the escalation of anxiety symptoms into panic in individuals with panic disorder (Clark, 1986(Clark, , 1996Harvey, Richards, Dziadosz, & Swindell, 1993). Such catastrophic thinking-whether based on Wind or other catastrophic explanations of symptoms -causes increased anxiety (Hedley, Hoffart, Dammen, Ekeberg, & Friis, 2000).…”

Section: An Ethnophysiology Of Wind: the Cambodian Understanding Of Amentioning

confidence: 99%

Symptom Presentation and Symptom Meaning Among Traumatized Cambodian Refugees: Relevance to a Somatically Focused Cognitive-Behavior Therapy

Hinton

Otto

2006

Cognitive and Behavioral Practice

View full text Add to dashboard Cite

Among psychologically distressed Cambodian refugees, somatic complaints are particularly prominent. Cambodians interpret anxiety-related somatic sensations in terms of "Wind" (khyâl), an ethnophysiology that gives rise to multiple catastrophic interpretations; and they have prominent trauma-memory associations to anxiety-related somatic symptoms. In this article, we detail some of the common sensation-related dysphoric networks of Cambodian refugees, focusing on catastrophic cognitions and trauma associations. We argue that delineating symptom-related dysphoric networks is crucial to successfully adapt cognitive-behavioral interventions to treat panic disorder and posttraumatic stress disorder among Cambodian refugees, and that such an approach may be useful for the culturally sensitive adaptation of cognitive-behavior therapy for other traumatized nonWestern groups.The Current Article discusses how a somatic-focused cognitive-behavior therapy can be applied to the treatment of traumatized Cambodian refugees and, more generally, to nonEnglish-speaking traumatized refugees. The article demonstrates that such a treatment approach must be based on a complex model of the generation of somatic symptoms among trauma victims.

show abstract

Section: An Ethnophysiology Of Wind: the Cambodian Understanding Of Amentioning

confidence: 99%

Symptom Presentation and Symptom Meaning Among Traumatized Cambodian Refugees: Relevance to a Somatically Focused Cognitive-Behavior Therapy

Hinton

Otto

2006

Cognitive and Behavioral Practice

View full text Add to dashboard Cite

show abstract

“…A similar question has been raised in studies employing selfreport questionnaires (e.g. Harvey, 1993;McNally & Foa, 1987), which led to the conclusion that panic patients rate negative interpretations of panic body sensations as more likely to come to mind, and as more believable, than patients with other anxiety disorders, and thus seems to represent a specific feature of panic disorder (Clark et al, 1997, p. 209). The present studies further support the idea of selective and spontaneous negative interpretations.…”

Section: Discussionmentioning

confidence: 81%

“…This issue has received extensive attention in studies employing self-report measures (e.g. Clark et al, 1997;Harvey, Richards, Dziadosz, & Swindell, 1993), where 'anxious control groups' were included (i.e. patients suffering from anxiety disorders other than panic disorder).…”

mentioning

confidence: 99%

Priming associations between bodily sensations and catastrophic misinterpretations: Specific for panic disorder?

Hermans

Cort

Noortman

et al. 2010

Behaviour Research and Therapy

View full text Add to dashboard Cite

“…Los resultados de nuestro estudio referidos a las tendencias interpretativas de los pacientes con trastorno por angustia se encuentran en la línea de los hallados en algunos trabajos previos (McNally y Foa, 1987;Clark eí ai, 1988;Clark et al, 1997;Harvey et al, 1993). McNally y Foa (1987) aplicaron una versión del cuestionario de Butler y Mathews (1983) a pacientes con diagnóstico de agorafobia con ataques de pánico (criterios DSM-III; APA, 1980) y a controles normales.…”

Section: Discussionunclassified

“…Según Salkovskis y Clark (1993) estas diferencias se refieren al tipo de síntomas físicos mal interpretados, al curso temporal asignado a la enfermedad temida, a las conductas disfuncionales asociadas a las interpretaciones, y a las creencias negativas sobre la salud, la enfermedad y las actuaciones médicas. En los últimos años se han llevado a cabo diversas investigaciones con el propósito de analizar el patrón interpretativo tanto de la hipocondría como del trastorno por angustia (p.ej., Ahmad, Wardle y Hayward, 1992;Clark, Salkovskis, Gelder, Koehler, Martin, Anastasiades, Hackmann, Middleton y Jeavons, 1988;Clark, Salkovskis, Óst, Breitholtz, Koehler, Westling, Jeavons y Gelder, 1997;Harvey, Richards, Dziadosz y Swindell, 1993;Hitchcock y Mathews, 1992;Kamieniecki, Wade y Tsourtos, 1997;MacLeod et al, 1998;Marcus, 1999;Martínez et al, 1995;McNally y Foa, 1987;Salkovskis, 1990). No obstante, los resultados obtenidos en estos estudios no siempre han coincidido.…”

Section: Introductionunclassified

Tendencias atribucionales en la Hipocondria : caracterización y cambios con el tratamiento

Vaca¹,

Belloch²,

Arbona³

2001

RPPC

View full text Add to dashboard Cite

El enfoque cognitivo plantea que la hipocondría y el trastorno de pánico se caracterizan por la interpretación errónea de las sensaciones corporales como señal de enfermedad. Las propuestas terapéuticas más efectivas para estos trastornos se centran en la modificación de dichos sesgos interpretativos. Para analizar estas cuestiones se han realizado dos estudios. En el primer estudio se examinan algunas diferencias entre las interpretaciones características de la hipocondría y aquéllas típicas del trastorno de pánico. Se administró el Cuestionario de Acontecimientos Ambiguos (CAÁ) y el Cuestionario de Interpretación de Sensaciones Corporales (CISC) a 17 pacientes con hipocondría, 17 pacientes con trastorno por angustia y 17 sujetos normales. Los resultados mostraron que los grupos clínicos difirieron en el tipo de sensaciones corporales que consideraban señal de enfermedad y en el curso temporal de la amenaza percibida, sin embargo mostraron las mismas conductas disfuncionales. En el segundo estudio se analizan los cambios producidos por un tratamiento cognitivo-conductual en el grupo de hipocondría. Se administró el CAÁ antes y después del tratamiento y a los 2 y 6 meses de seguimiento. Los resultados revelaron que la terapia consiguió mejorías en la tendencia de los pacientes a atribuir consecuencias negativas a los síntomas.Palabras clave: Hipocondría, trastorno por angustia, sensación corporal, interpretación errónea, conducta disfuncional, tratamiento cognitivo-conductual. Attributional tendencies in hypochondríasis: characterístics and changes with treatmentThe cognitive approach proposes that both hypochondríasis and panic disorder are characterized by the misinterpretation of bodily sensations as sign of diseeise. The more eSective therapeutic proposals for these disorders are focused on the modification of such interpretative bias. In order to analyse these topics two studies were carried out. The first study examined some differences between the interpretations characteristic of hypochondríasis and those typical of panic disorder. The Ambiguous Events Questionnaire (AEQ) and the Bodily Sensations Interpretation Questionnaire (BSIQ) were administered to 17 patients with hypochondríasis, 17 patients with panic disorder and 17 normal subjects. The results showed that the clinical groups differed in the type of bodily sensations that are considered as sign of disease and in the time course of perceived threat, however showed the same dysfunctional behaviours. The second study examined the changes caused by a cognitivebehavioural treatment in hypochondríasis group. The AEQ was administered before and after the treatment and at 2 and 6 months foUow-up. The results showed that the therapy improved the tendency of patients to attribute negative consequences at symptoms.

show abstract

Misinterpretation of ambiguous stimuli in panic disorder

Cited by 86 publications

References 27 publications

Symptom Presentation and Symptom Meaning Among Traumatized Cambodian Refugees: Relevance to a Somatically Focused Cognitive-Behavior Therapy

Symptom Presentation and Symptom Meaning Among Traumatized Cambodian Refugees: Relevance to a Somatically Focused Cognitive-Behavior Therapy

Priming associations between bodily sensations and catastrophic misinterpretations: Specific for panic disorder?

Tendencias atribucionales en la Hipocondria : caracterización y cambios con el tratamiento

Contact Info

Product

Resources

About