Health anxiety and fear of fear in panic disorder and agoraphobia vs. social phobia: a prospective longitudinal study

Rudaz, Myriam; Craske, Michelle G.; Becker, Eni S.; Ledermann, Thomas; Margraf, Jürgen

doi:10.1002/da.20645

Cited by 25 publications

(18 citation statements)

References 51 publications

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“…The data were derived from the Dresden Prediction Study (DPS), a prospective epidemiological study designed to collect data on the prevalence rates, incidence, course, and risk factors of mental disorders in young women (for details about the study see [47–50]). The focus of the DPS was to investigate women during early adulthood because of the high prevalence rates of anxiety disorders in women [51, 52].…”

Section: Methodsmentioning

confidence: 99%

The moderating role of avoidance behavior on anxiety over time: Is there a difference between social anxiety disorder and specific phobia?

et al. 2017

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Theories of anxiety disorders and phobias have ascribed a critical role to avoidance behavior in explaining the persistence of fear and anxiety, but knowledge about the role of avoidance behavior in the maintenance of anxiety in social anxiety disorder relative to specific phobia is lacking. This study examined the extent to which avoidance behavior moderates the relationship between general anxiety at baseline and 18 months later in women with a diagnosed social anxiety disorder (n = 91) and women with a diagnosed specific phobia (n = 130) at baseline. Circumscribed avoidance of social and specific situations were clinician-rated using the Anxiety Disorders Interview Schedule-Lifetime (ADIS-IV-L), and general anxiety was measured using the Beck Anxiety Inventory (BAI). Moderated regression analyses revealed that (a) general anxiety at baseline predicted general anxiety at follow-up in both women with a specific phobia and women with a social anxiety disorder and (b) avoidance behavior moderated this relationship in women with a specific phobia but not in women with a social anxiety disorder. Specifically, high avoidance behavior was found to amplify the effect between general anxiety at baseline and follow-up in specific phobia. Reasons for the absence of a similar moderating effect of avoidance behavior within social anxiety disorder are discussed.

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Section: Methodsmentioning

confidence: 99%

The moderating role of avoidance behavior on anxiety over time: Is there a difference between social anxiety disorder and specific phobia?

et al. 2017

Self Cite

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“…These other aspects of interoception are particularly interesting in light of the fact that some may be maladaptive while others are adaptive [Mehling, ; Mehling et al, ]. For example, excess worry about bodily sensations is associated with panic disorder [Clark, ; Rudaz et al, ; Salkovskis et al, ; Yoris et al, ] and illness anxiety/hypochondriasis [Abramowitz, ], whereas the ability to control attention to body sensation (e.g., as implemented through mindfulness) can be psychologically beneficial [Farb et al, ; Mehling, ]. A characterization of the neural correlates of IS that takes into account the multidimensional nature of interoception could thus inform our understanding of the relationship between body processing and mental and emotional health.…”

Section: Introductionmentioning

confidence: 99%

Neural correlates of interoception: Effects of interoceptive focus and relationship to dimensional measures of body awareness

Stern

Grimaldi

Muratore

et al. 2017

Human Brain Mapping

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Interoception has been defined as the sensing of the physiological condition of the body, with interoceptive sensibility (IS) characterizing an individual's self-reported awareness of internal sensation. IS is a multidimensional construct including not only the tendency to be aware of sensation, but also how sensations are interpreted, regulated, and used to inform behavior, with different dimensions relating to different aspects of health and disease. Here we investigated neural mechanisms of interoception when healthy individuals attended to their heartbeat and skin temperature, and examined the relationship between neural activity during interoception and individual differences in self-reported IS using the Multidimensional Scale of Interoceptive Awareness (MAIA). Consistent with prior work, interoception activated a network involving insula and sensorimotor regions but also including occipital, temporal, and prefrontal cortex. Differences based on interoceptive focus (heartbeat vs. skin temperature) were found in insula, sensorimotor regions, occipital cortex, and limbic areas. Factor analysis of MAIA dimensions revealed 3 dissociable components of IS in our dataset, only one of which was related to neural activity during interoception. Reduced scores on the third factor, which reflected reduced ability to control attention to body sensation and increased tendency to distract from and worry about aversive sensations, was associated with greater activation in many of the same regions as those involved in interoception, including insula, sensorimotor, anterior cingulate, and temporal cortex. These data suggest that self-rated interoceptive sensibility is related to altered activation in regions involved in monitoring body state, which has implications for disorders associated with abnormality of interoception.

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“…The primary task of the clinician is not psychiatric diagnosis, but to confirm or diagnose physical errors so early diagnosis is difficult [12].In studies, the health concern seen high in hypochondriasis and anxiety [13]. A high level of HA has been shown in various studies in panic disorders [14]. HAI-SF is used in studies and shown that overall HA is to be higher in medical group than healthy group [15].…”

Section: Discussionmentioning

confidence: 99%

Health Anxiety Levels in Patients Admitted to Internal Medicine Outpatient Clinic for Several Times

Gül¹

2016

Ann Clin Anal Med

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Health anxiety and fear of fear in panic disorder and agoraphobia vs. social phobia: a prospective longitudinal study

Cited by 25 publications

References 51 publications

The moderating role of avoidance behavior on anxiety over time: Is there a difference between social anxiety disorder and specific phobia?

The moderating role of avoidance behavior on anxiety over time: Is there a difference between social anxiety disorder and specific phobia?

Neural correlates of interoception: Effects of interoceptive focus and relationship to dimensional measures of body awareness

Health Anxiety Levels in Patients Admitted to Internal Medicine Outpatient Clinic for Several Times

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