Panic-agoraphobic spectrum: reliability and validity of assessment instruments

Shear, M. Katherine; Frank, Ellen; Rucci, Paola; Fagiolini, Andrea; Grochocinski, Victoria J.; Houck, Patricia R.; Cassano, Giovanni Battista; Kupfer, David J.; Endicott, Jean; Maser, Jack D.; Mauri, Mauro; Banti, S.

doi:10.1016/s0022-3956(01)00002-4

Cited by 66 publications

(70 citation statements)

References 22 publications

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“…Panic spectrum scores ≥ 35 have proved to be useful in predicting the response time to treatment in depression and Bipolar I disorders (Frank et al, 2002). Additional data about the validity of this cut-off score have been reported (Shear et al 2001).…”

Section: Methodsmentioning

confidence: 96%

“…The Panic Agoraphobic Spectrum-Self Report (PAS-SR; Cassano et al, 1999;Shear et al, 2001; Spanish adaptation of Berrocal et al, 2006). This instrument was used to select the participants in the study as well as to measure variables of interest.…”

Section: Methodsmentioning

confidence: 99%

“…Fifty-seven outpatients with clinically significant levels of panic symptomatology were selected to participate in the study. Measures of anxiety sensitivity, hypochondriasis, and panic symptomatology were obtained from standardized, selfadministered questionnaires: the Anxiety Sensitivity Index (ASI; Reiss, Peterson, Gursky, & McNally, 1986), the Whiteley Index of Hypochondriasis (WI;Pilowsky, 1967), and the PanicAgoraphobic Spectrum Self-Report (PAS-SR; Cassano et al, 1997;Shear et al, 2001). Regression analyses were performed to test for the mediation models.…”

mentioning

confidence: 99%

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Anxiety Sensitivity and Panic Symptomatology: The Mediator Role of Hypochondriacal Concerns

2007

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The present study tests the mediating role of hypochondriasis to explain the relation between anxiety sensitivity and panic symptomatology. Fifty-seven outpatients with clinically significant levels of panic symptomatology were selected to participate in the study. Measures of anxiety sensitivity, hypochondriasis, and panic symptomatology were obtained from standardized, selfadministered questionnaires: the Anxiety Sensitivity Index (ASI; Reiss, Peterson, Gursky, & McNally, 1986), the Whiteley Index of Hypochondriasis (WI;Pilowsky, 1967), and the PanicAgoraphobic Spectrum Self-Report (PAS-SR; Cassano et al., 1997;Shear et al., 2001). Regression analyses were performed to test for the mediation models. The results show that the effect of anxiety sensitivity on panic symptomatology is not significant when controlling the hypochondriacal concerns, whereas the latter predicted panic symptoms. This result holds for the overall ASI as well as for the Physical Concerns and the Mental Incapacitation Concerns dimensions of the ASI scale. No evidence of a direct relation between the Social Concerns dimension and panic symptoms was found. The findings suggest that hypochondriacal concerns might represent the mechanism through which anxiety sensitivity is able to influence panic symptoms. Keywords: anxiety sensitivity, hypochondriacal concerns, panic-agoraphobic symptomatology, mediatorsEl objetivo del presente estudio es explorar el papel mediador de las preocupaciones hipocondríacas para explicar la relación entre la sensibilidad a la ansiedad y la sintomatología de pánico. Un total de 57 pacientes con niveles clínicamente significativos de sintomatología de pánico fueron seleccionados para participar en el estudio. Se han obtenido medidas de la sensibilidad a la ansiedad, mediante el Anxiety Sensitivity Index (ASI; Reiss, Peterson, Gursky, & McNally, 1986), la sintomatología de pánico, mediante la subescala Panic-like-symptoms del Panic-Agoraphobic Spectrum Self-Report (PAS-SR; Cassano et al., 1997;Shear et al., 2001), e hipocondríasis mediante el Whiteley Index of Hypochondriasis (WI, Pilowsky, 1967) y la subsescala Illness-related Phobia del PAS-SR. Se han llevado a cabo análisis de regresión para poner a prueba los modelos mediacionales. Los resultados obtenidos indican que el efecto de la sensibilidad a la ansiedad sobre la sintomatología de pánico no es significativo cuando se controlan las puntuaciones en hipocondríasis, si bien ésta última variable predice las puntuaciones en pánico. Dichos resultados se han obtenido sea para las puntuaciones totales en el ASI que para dos de las dimensiones que conforman la escala: preocupaciones relativas a problemas físicos y preocupaciones relativas a problemas mentales. La dimensión del ASI relacionada con preocupaciones de carácter social no se asocia con la sintomatología de pánico. Los resultados sugieren que las preocupaciones hipocondríacas podrían representar el mecanismo a través del cual la sensibilidad a la ansiedad ejerce un efecto sobre los síntomas de pánico. Pala...

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Section: Methodsmentioning

confidence: 96%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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Anxiety Sensitivity and Panic Symptomatology: The Mediator Role of Hypochondriacal Concerns

2007

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“…These clinical features shape the individual's ongoing experiences (Shear et al, 2001 (Cassano et al, 1997). Likewise, the mood spectrum model provides a unitary view of mood disturbance .…”

Section: Spectrum Approachmentioning

confidence: 99%

“…The PAS describes all the features associated with DSM IV Panic Disorder and provides additional important clinical information (Shear et al, 2001). …”

Section: Panic-agoraphobic Spectrum Self-reportmentioning

confidence: 99%

The Significance of Sub-Threshold Symptoms of Anxiety in the Aetiology of Bruxism

Basson

Mwaba

Rossouw

et al. 2010

South African Journal of Psychology

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Introduction: Bruxism is an oral parafunctional habit involving clenching and grinding of the teeth that occurs mainly unconsciously, diurnally and nocturnally. It is considered an important contributory factor in the aetiology of myofascial pain (MFP) and temporomandibular disorders (TMD). The aetiology of bruxism is considered to be multifactorial, involving physiological and psychological factors. Statement of the problem: Do subthreshold symptoms of anxiety have an effect on bruxing behaviour? Aim: The aim of this study was to examine the relationship between the subthreshold symptoms (subtle, prodromal, atypical and subclinical symptoms of which the severity precludes diagnosis as a disorder) of anxiety and bruxism in a sample of subjects using a spectrum model. Method: Firstly, a self report screening measure consisting of the Spielberger State Trait Anxiety Inventory (SSTAI); the Kessler-10 (K-10); demographic and bruxism criteria were used to determine levels of anxiety, stress and bruxism on a continuum. Secondly, in order to determine a bruxism score, a standardized clinical examination; intra-oral photographs and dental casts were used in the study. Thirdly, the diagnosis of bruxism according to specified criteria was performed.Results: Forty one percent (n = 12) of the sample of 29 subjects was diagnosed as bruxers. A possible relation between subthreshold symptoms of anxiety, stress and bruxism was observed in the results. In approximately half of the subjects with higher than average anxiety and stress scores, bruxism behaviour was found. Clinical significance: The dentist could play a role in recognizing that a patient may be experiencing stress or anxiety, expressed through bruxing behaviour and refer the patient for therapy or counseling. The treatment of bruxism could be complimented by therapy or counseling which focuses on addressing the subthreshold symptoms of anxiety. Conclusions: An understanding of v the psychological factors involved in the aetiology of bruxism could encourage a more holistic approach to the treatment of bruxism.

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Clinical Significance of Lifetime Panic Spectrum Symptoms in the Treatment of Patients With Bipolar I Disorder

Frank¹,

Cyranowski²,

Rucci³

et al. 2002

Arch Gen Psychiatry

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104

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Panic-agoraphobic spectrum: reliability and validity of assessment instruments

Cited by 66 publications

References 22 publications

Anxiety Sensitivity and Panic Symptomatology: The Mediator Role of Hypochondriacal Concerns

Anxiety Sensitivity and Panic Symptomatology: The Mediator Role of Hypochondriacal Concerns

The Significance of Sub-Threshold Symptoms of Anxiety in the Aetiology of Bruxism

Clinical Significance of Lifetime Panic Spectrum Symptoms in the Treatment of Patients With Bipolar I Disorder

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