Alexithymia, Fear of Bodily Sensations, and Somatosensory Amplification in Young Outpatients With Panic Disorder

2007 ◽  
Vol 48 (3) ◽  
pp. 239-246 ◽  
Author(s):  
Domenico De Berardis ◽  
Daniela Campanella ◽  
Francesco Gambi ◽  
Raffaella La Rovere ◽  
Gianna Sepede ◽  
...  
Keyword(s):  
Panic Disorder ◽  
Somatosensory Amplification ◽  
Bodily Sensations ◽  
Fear Of Bodily Sensations

Early Maladaptive Schemas in Patients With Panic Disorder With Agoraphobia

2001 ◽  
Vol 15 (2) ◽  
pp. 131-142 ◽  
Author(s):  
Liv M. Hedley ◽  
Asle Hoffart ◽  
Harold Sexton
Keyword(s):  
Panic Disorder ◽  
Schema Theory ◽  
Early Maladaptive Schemas ◽  
Loss Of Control ◽  
Maladaptive Schemas ◽  
Treatment Start ◽  
Modeling Techniques ◽  
Bodily Sensations ◽  
Fear Of Bodily Sensations

The present study explored the relationships among Early Maladaptive Schemas (EMS), beliefs about loss of control, a fear of bodily sensations, and avoidance in patients undergoing cognitive therapy. Fifty-nine patients (43 women and 16 men) being treated for panic disorder with agoraphobia (PDA) participated in the study. Two EMS that are seen as being central in PDA [vulnerability to harm (VH) and functional incompetence/dependency (DI)], beliefs about loss of control, a fear of bodily sensations, and avoidance were measured at treatment start and at six months follow-up. The data were analyzed using structural modeling techniques. The VH schema influenced beliefs about loss of control, a fear of bodily sensations, and avoidance. Beliefs about loss of control, in turn, predicted a fear of bodily sensations. DI was predicted by VH and did not influence other aspects of PDA. The results were largely in consort with the theoretical suppositions of schema theory and indicated that the VH schema may contribute to the maintenance of PDA.

Epinephrine and fear of bodily sensations in panic disorder and social phobia

1996 ◽  
Vol 10 (4) ◽  
pp. 259-265 ◽  
Author(s):  
Dirk J. Veltman ◽  
Gudo van Zijderveld ◽  
Fred J H. Tilders ◽  
Richard van Dyck
Keyword(s):  
Panic Disorder ◽  
Social Phobia ◽  
Bodily Sensations ◽  
Fear Of Bodily Sensations

scholarly journals Changes in respiration mediate changes in fear of bodily sensations in panic disorder

2009 ◽  
Vol 43 (6) ◽  
pp. 634-641 ◽  
Author(s):  
Alicia E. Meuret ◽  
David Rosenfield ◽  
Stefan G. Hofmann ◽  
Michael K. Suvak ◽  
Walton T. Roth
Keyword(s):  
Panic Disorder ◽  
Bodily Sensations ◽  
Fear Of Bodily Sensations

A randomized trial of sertraline, self-administered cognitive behavior therapy, and their combination for panic disorder

2010 ◽  
Vol 41 (2) ◽  
pp. 373-383 ◽  
Author(s):  
D. Koszycki ◽  
M. Taljaard ◽  
Z. Segal ◽  
J. Bradwejn
Keyword(s):  
Panic Disorder ◽  
Behavior Therapy ◽  
Cognitive Behavior Therapy ◽  
Panic Attacks ◽  
Cognitive Behavior ◽  
Secondary Analyses ◽  
Bodily Sensations ◽  
Rate Of Decline ◽  
Fear Of Bodily Sensations ◽  
Over Time

BackgroundSelf-administered cognitive behavior therapy (SCBT) has been shown to be an effective alternative to therapist-delivered treatment for panic disorder (PD). However, it is unknown whether combining SCBT and antidepressants can improve treatment. This trial evaluated the efficacy of SCBT and sertraline, alone or in combination, in PD.MethodPatients (n=251) were randomized to 12 weeks of either placebo drug, placebo drug plus SCBT, sertraline, or sertraline plus SCBT. Those who improved after 12 weeks of acute treatment received treatment for an additional 12 weeks. Outcome measures included core PD symptoms (panic attacks, anticipatory anxiety, agoraphobic avoidance), dysfunctional cognitions (fear of bodily sensations, agoraphobic cognitions), disability, and clinical global impression of severity and improvement. Efficacy data were analyzed using general and generalized linear mixed models.ResultsPrimary analyses of trends over time revealed that sertraline/SCBT produced a significantly greater rate of decline in fear of bodily sensations compared to sertraline, placebo/SCBT and placebo. Trends in other outcomes were not significantly different over time. Secondary analyses of mean scores at week 12 revealed that sertraline/SCBT fared better on several outcomes than placebo, with improvement being maintained at the end of continuation treatment. Outcome did not differ between placebo and either sertraline monotherapy or placebo/SCBT. Moreover, few differences emerged between the active interventions.ConclusionsThis trial suggests that sertraline combined with SCBT may be an effective treatment for PD. The study could not confirm the efficacy of sertraline monotherapy or SCBT without concomitant medication or therapist assistance in the treatment of PD.

CAN SELECTIVE ATTENTION FOR BODILY INFORMATION BE INDUCED BY FEAR?

2001 ◽  
Vol 29 (2) ◽  
pp. 235-239 ◽  
Author(s):  
Sabine Kroeze ◽  
Marcel A. van den Hout
Keyword(s):  
Panic Disorder ◽  
Selective Attention ◽  
Electric Shock ◽  
Muscle Tension ◽  
Normal Subjects ◽  
Relevant Information ◽  
Emg Feedback ◽  
Bodily Sensations

Selective attention for bodily sensations is often found in patients with panic disorder. Whether this may be the result of fear was investigated in a group of normal subjects. Subjects were made to fear an acceleration in their heartbeats or an increase in their muscle tension by threatening them with an electric shock should this occur. When subjects were under threat of these shocks, attention for ECG and EMG feedback was measured. Although the task seemed sensitive to the manipulation, no evidence was found for selective attention for fear-relevant information. Several shortcomings of the task are discussed.

scholarly journals Are Catastrophic Misinterpretations of Bodily Sensations Typical for Patients with Panic Disorder? An Experimental Study of Patients with Panic Disorder or Other Anxiety Disorders and Healthy Controls

2020 ◽  
Vol 44 (6) ◽  
pp. 1106-1115
Author(s):  
Barnabas Ohst ◽  
Brunna Tuschen-Caffier
Keyword(s):  
Panic Disorder ◽  
Anxiety Disorders ◽  
Skin Conductance Level ◽  
Physiological Arousal ◽  
Fear Memory ◽  
Control Group ◽  
Healthy Controls ◽  
Bodily Sensations ◽  
Assessment Strategies ◽  
Experimental Group

Abstract Background Research on catastrophic misinterpretations of bodily sensations in patients with a diagnosis of panic disorder has yielded inconsistent findings concerning the question of how typical these misinterpretations are and how this compares with other anxiety disorders. Limitations of assessment strategies concerning catastrophic misinterpretations have been discussed. We assessed catastrophic misinterpretations by activating participants’ fear memory, as has been suggested. Methods Participants in the experimental group (EG) were shown a suspenseful film clip to induce physiological arousal before completing a measure of catastrophic misinterpretation (BSIQ-FR). Skin conductance level (SCL) was used as marker for physiological arousal. Results As expected, the film manipulation led to a significant increase in physiological arousal in the EG compared to the control group (CG) across all disorder groups. ANOVAs did not show significant interactions between factors Group (Panic Disorder, Other Anxiety Disorder, and Healthy Controls) and Condition (EG, CG). However, comparison of means indicated that participants with panic disorder showed more catastrophic misinterpretations of bodily sensations than patients with other anxiety disorders in the EG, but not in the CG. Conclusions The findings indicate that the activation of fear memory via induction of physiological arousal facilitated the measurement of catastrophic misinterpretations, and provide further evidence that catastrophic misinterpretations of bodily sensations are typical for panic disorder.

Symptom Reporting and Interoceptive Attention in Panic Patients

1996 ◽  
Vol 82 (3) ◽  
pp. 1019-1026 ◽  
Author(s):  
Sabine Kroeze ◽  
Marcel van den Hout ◽  
Marie-Anne Haenen ◽  
Anton Schmidt
Keyword(s):  
Panic Disorder ◽  
Normal Control ◽  
Ceiling Effect ◽  
Baseline Condition ◽  
Symptom Reporting ◽  
Control Subjects ◽  
Bodily Sensations

The present study investigated whether bodily sensations reported by panic-disorder patients can be due to interoceptive attention. The attention of two groups, one of 16 panic patients and one of 17 normal control subjects was manipulated towards and away from bodily sensations. After each manipulation they had to report the sensations experienced. As expected, panic patients did report more sensations than controls in a baseline condition but against the hypothesis that a ceiling effect would occur in the panic group, both panic patients and controls reported more sensations after being instructed to attend to them. However, when their attention was diverted, panic patients showed a decrease in sensations greater than control subjects showed. The findings suggest that interoceptive attention may partly account for the sensations reported by panic patients.

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