Dimensional structure of bodily panic attack symptoms and their specific connections to panic cognitions, anxiety sensitivity and claustrophobic fears

Drenckhan, I.; Glöckner-Rist, Angelika; Rist, Fred; Richter, Jan; Gloster, Andrew T.; Fehm, Lydia; Lang, Thomas; Alpers, Georg W.; Hamm, Alfons O.; Fydrich, Thomas; Kircher, Tilo; Arolt, Volker; Deckert, Jürgen; Ströhle, Andreas; Wittchen, Hans‐Ulrich; Gerlach, Alexander L.

doi:10.1017/s0033291714002803

Cited by 17 publications

(16 citation statements)

References 41 publications

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“…When an evolutionary perspective is adopted, it is normal for anxiety to increase the awareness of potential threats to safety [14]. However, significant amount of stress or lack of capacity to perform even daily routine functions can be result of excessive or chronic anxiety [29,65].…”

Section: Introductionmentioning

confidence: 99%

“…Anxiety sensitivity contributes to the differences observed in the extent to which general fearfulness is experienced by different individuals and in the extent to which tendency for various types of anxiety disorders such as panic disorder, social anxiety disorder, specific phobia, and posttraumatic stress disorder exhibited by different individuals [34,36,37,50,64,65]. When people experiencing high anxiety become anxious, they pay greater attention to their arousal-related sensations and this further amplifies their anxiety.…”

Section: Introductionmentioning

confidence: 99%

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Understanding the Role of Dimensions of Perfectionism on Anxiety Sensitivity

Erözkan¹

2016

ujer

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This study investigated the relationship between dimensions of perfectionism and anxiety sensitivity. The study group is composed by 398 (211 female; 187 male) students who were studying at the pedagogical formation certificate program at Mugla Sitki Kocman University. The data were collected by using the Frost Multidimensional Perfectionism Scale and Anxiety Sensitivity Index-R. Pearson product-moment correlation analysis was employed to study the relationships between anxiety sensitivity and dimensions of perfectionism; structural equation modeling was also used for explaining the predictive role of dimensions of perfectionism on anxiety sensitivity. Concern over mistakes, personal standards, parental expectations, parental criticism, doubts about actions, and organization dimensions of perfectionism were found to be significantly correlated to anxiety sensitivity. A significant impact of six dimensions of perfectionism on anxiety sensitivity was detected. The theoretical implications of the link between perfectionism and anxiety sensitivity were discussed.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Understanding the Role of Dimensions of Perfectionism on Anxiety Sensitivity

Erözkan¹

2016

ujer

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“…Shortness of breath and choking were the main symptoms representing the respiratory factor. 52 Indeed, these symptoms were included in the respiratory cluster in all studies, 5,7,[43][44][45][46][47][48][49][50][51][52] except that of Segui et al 47 Table 1 shows the main findings related to the aforementioned studies, while Table 2 lists the sign-and-symptom profile of the cluster most representative of respiratory-related symptoms.…”

Section: Analysis Of Pd Clustersmentioning

confidence: 99%

“…53 Items of specific questionnaires, such as fear of suffocation and fear of other respiratory symptoms, are endorsed more often by patients in the RS than in other PD clusters. 52 RS exhibited higher agoraphobic and panic-like symptoms and increases in Anxiety Sensitivity Index scores than NRS patients, but there was no subtype distinction based on severity scales (PDSS and Panic and Agoraphobia Scale [PAS]). 35 Other studies have provided further contradictory data concerning differences in symptom severity and presence of comorbidities between RS and NRS.…”

Section: Clinical Characterizationmentioning

confidence: 99%

Panic disorder respiratory subtype: psychopathology and challenge tests – an update

Okuro

Freire

Zin

et al. 2020

Braz. J. Psychiatry

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Panic disorder (PD) pathophysiology is very heterogeneous, and the discrimination of distinct subtypes could be very useful. A subtype based on respiratory symptoms is known to constitute a specific subgroup. However, evidence to support the respiratory subtype (RS) as a distinct subgroup of PD with a well-defined phenotype remains controversial. Studies have focused on characterization of the RS based on symptoms and response to CO 2 . In this line, we described clinical and biological aspects focused on symptomatology and CO 2 challenge tests in PD RS. The main symptoms that characterize RS are dyspnea (shortness of breath) and a choking sensation. Moreover, patients with the RS tended to be more responsive to CO 2 challenge tests, which triggered more panic attacks in this subgroup. Future studies should focus on discriminating respiratory-related clusters and exploring psychophysiological and neuroimaging outcomes in order to provide robust evidence to confirm RS as a distinct subtype of PD.How to cite this article: Okuro RT, Freire RC, Zin WA, Quagliato LA, Nardi AE. Panic disorder respiratory subtype: psychopathology and challenge tests -an update. Braz J Psychiatry. 2020;00:000-000. http://dx.

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“…As a consequence, the diagnostic process may be affected by a substantial variability in clinical presentation. For these reasons, several studies have investigated possible symptom subtypes of panic disorder (2,3), identifying up to six potential panic subtypes: respiratory (4), cardiac (5), nocturnal (6), nonfearful (7), cognitive (8), and vestibular/somatic (5). Nevertheless, current evidence does not reach univocal conclusions, due to methodological differences in measuring panic symptoms, samples selection, and to the lack of reliable and sufficient external validation (9).…”

mentioning

confidence: 99%

Does Personality Matter? Temperament and Character Dimensions in Panic Subtypes

Bruno

Muscatello

Pandolfo

et al. 2017

Arch Neuropsychiatr

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Introduction: Symptomatic heterogeneity in the clinical presentation of Panic Disorder (PD) has lead to several attempts to identify PD subtypes; however, no studies investigated the association between temperament and character dimensions and PD subtypes. The study was aimed to verify whether personality traits were differentially related to distinct symptom dimensions. Methods: Seventy-four patients with PD were assessed by the Mini-International Neuropsychiatric Interview (M.I.N.I.), and the Temperament and Character Inventory (T.C.I.). Thirteen panic symptoms from the M.I.N.I. were included in a factor analysis with varimax rotation. A correlation analysis (Pearson's correlation), a linear regression analysis, and a forward stepwise regression analysis between the identified factors and T.C.I. variables were performed for evaluating the association between panic subtypes and personality features. Results: Three factors were obtained: "Somato-dissociative", "Respiratory", and "Cardiologic" explaining respectively 18.31%, 13.71%, and 12.78% of the total variance. Correlations analyses showed that only "Somato-dissociative" factor was significantly correlated with T.C.I. "Self-directedness" (p<0.0001) and "Cooperativeness" (p=0.009) variables. Results from the regression analysis indicate that the predictor models account for 33.3% and 24.7% of the total variance respectively in "Somatic-dissociative" (p<0.0001) and "Cardiologic" (p=0.007) factors, while they do not show statistically significant effects on "Respiratory" factor (p=0.222). After performing stepwise regression analysis, "Selfdirectedness" resulted the unique predictor of "Somato-dissociative" factor (R²=0.186; β=-0.432; t=-4.061; p<0.0001). Conclusion: Current results, although preliminary, suggest the importance of assessing personality and temperament features that may be potentially related to poor treatment response for a better understanding and characterization of PD subtypes.

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Dimensional structure of bodily panic attack symptoms and their specific connections to panic cognitions, anxiety sensitivity and claustrophobic fears

Abstract: Taking into account the dimensional structure of panic attack symptoms may help to increase the specificity of the associations between the experience of panic attack symptoms and various panic related constructs.

Cited by 17 publications

References 41 publications

Understanding the Role of Dimensions of Perfectionism on Anxiety Sensitivity

Understanding the Role of Dimensions of Perfectionism on Anxiety Sensitivity

Panic disorder respiratory subtype: psychopathology and challenge tests – an update

Does Personality Matter? Temperament and Character Dimensions in Panic Subtypes

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