Use of the Panic Attack Questionnaire-IV to assess non-clinical panic attacks and limited symptom panic attacks in Student and Community Samples

Norton, Peter J.; Zvolensky, Michael J.; Bonn‐Miller, Marcel O.; Cox, Brian J.; Norton, G. Ron

doi:10.1016/j.janxdis.2007.12.002

Cited by 35 publications

(23 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The two groups did not differ on any variable, including PA symptom number and severity (with one exception, the symptom of nausea being more common in the prolonged onset group), comorbid symptoms of agoraphobia, social anxiety, generalized anxiety, fear of panic leading to avoidance, depressed mood, suicidality, and obsessive compulsive symptoms. Similar findings were established from a sample of 489 college students; [38] 22.1% reported a PA in the past year, but only 4.3% reported both an onset within 10 min and at least four symptoms. The remaining 18%, termed Limited Panickers, were so classified mostly because they did not report a peak within 10 min; only 39.3% of them reported peak intensity within 10 min for their typical PAs.…”

Section: Symptoms Reach Peak Within 10 Minsupporting

confidence: 82%

“…We were unable to locate diagnostic interview data regarding the duration of PAs with the exception of a survey study of college students, in which the majority of Full Panickers indicated that their PAs typically lasted less than 10 min (71.4%). [38] Albeit limited to one study, these data suggest that nonclinical samples may report shorter PAs than patient samples.…”

Section: Symptoms Reach Peak Within 10 Minmentioning

confidence: 81%

See 1 more Smart Citation

Panic disorder: a review of DSM-IV panic disorder and proposals for DSM-V

et al. 2010

View full text Add to dashboard Cite

This review covers the literature since the publication of DSM-IV on the diagnostic criteria for panic attacks (PAs) and panic disorder (PD). Specific recommendations are made based on the evidence available. In particular, slight changes are proposed for the wording of the diagnostic criteria for PAs to ease the differentiation between panic and surrounding anxiety; simplification and clarification of the operationalization of types of PAs (expected vs. unexpected) is proposed; and consideration is given to the value of PAs as a specifier for all DSM diagnoses and to the cultural validity of certain symptom profiles. In addition, slight changes are proposed for the wording of the diagnostic criteria to increase clarity and parsimony of the criteria. Finally, based on the available evidence, no changes are proposed with regard to the developmental expression of PAs or PD. This review presents a number of options and preliminary recommendations to be considered for DSM-V.

show abstract

Section: Symptoms Reach Peak Within 10 Minsupporting

confidence: 82%

Section: Symptoms Reach Peak Within 10 Minmentioning

confidence: 81%

Panic disorder: a review of DSM-IV panic disorder and proposals for DSM-V

et al. 2010

View full text Add to dashboard Cite

show abstract

“…(PAQ-IV; Norton et al, 2008). The PAQ-IV is a self-report measure, which assesses qualitative and quantitative facets of panic attack symptoms and relevant correlates.…”

Section: Methodsmentioning

confidence: 99%

“… Note: Descriptive statistics conducted among participants endorsing a positive panic attack history a Assessed with Panic Attack Questionnaire (Norton et al, 2008) b PDSS total score < 8 indicates sub-clinical panic disorder symptoms (i.e., PDSS score < 8; Shear et al, 2001). …”

Section: Figure and Tablesmentioning

confidence: 99%

Main and interactive effects of a nonclinical panic attack history and distress tolerance in relation to PTSD symptom severity

Marshall-Berenz

Vujanovic

Zvolensky

2011

Journal of Anxiety Disorders

Self Cite

View full text Add to dashboard Cite

The current study investigated the main and interactive effects of a nonclinical panic attack history and distress tolerance in relation to PTSD symptoms. The sample consisted of 91 adults (62.6% women; M age = 23.45, SD = 9.56) who met DSM-IV criteria for trauma exposure, 53.8% of whom met criteria for a recent (past two years) history of nonclinical panic attacks. Results indicated that distress tolerance, as measured by the Distress Tolerance Scale (Simons & Gaher, 2005), was significantly related to all PTSD symptom clusters, and a nonclinical panic attack history was significantly related to PTSD re-experiencing and hyperarousal symptoms. The interaction of a nonclinical panic attack history and distress tolerance significantly predicted unique variance in only PTSD hyperarousal symptoms. Implications and future directions are discussed for the role of nonclinical panic attacks and distress tolerance in PTSD symptom expression. KeywordsPTSD; distress tolerance; panic attacks; anxiety Panic attacks, which reflect a discrete fear response (Barlow, 2002), play an important role in understanding various anxiety and other psychological disorders. For example, in addition to being a defining feature of panic disorder (American Psychiatric Association, 1994), panic attacks are a risk marker for a relatively broad range of psychopathological conditions, such as anxiety disorders (Reed & Wittchen, 1998), major depressive disorder (Bittner et al., 2004), substance use disorders (Baillie & Rapee, 2005), and psychotic disorders (Goodwin, Fergusson, & Horwood, 2004). Furthermore, panic attacks, even those that are "nonclinical" ũ 2010Elsevier Ltd. All rights reserved.Correspondence concerning this article should be addressed to Michael J. Zvolensky, Ph.D. Dr. Zvolensky can be contacted at The University of Vermont, Department of Psychology, 2 Colchester Avenue, John Dewey Hall, Burlington,. Electronic mail may be sent to Michael.Zvolensky@uvm.edu.. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. NIH Public Access NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript (i.e., experienced out of the context of panic disorder), can be personally distressing and are associated with significant levels of life disruption (Norton, Cox, & Malan, 1992).One growing line of scientific inquiry has sought to explicate the role of panic attacks in regard to posttraumatic stress disorder (PTSD) sequale (Falsetti & Resnick, 1997). Specifically, numerous scholars have suggested that trauma exposure can result in an increased propensity to experience panic attacks, which...

show abstract

“…The PAQ-IV (Norton, Zvolensky, Bonn-Miller, Cox, & Norton, 2008) is a self-report instrument designed to provide comprehensive quantitative and qualitative data on the specific features and symptoms of panic spectrum disorders. The PAQ-IV is divided into multiple sections, each assessing different aspects of panic.…”

Section: Methodsmentioning

confidence: 99%

Smoking Behavior and Alcohol Consumption in Individuals With Panic Attacks

Mathew¹,

Norton

Zvolensky

et al. 2011

J Cogn Psychother

Self Cite

View full text Add to dashboard Cite

Individuals with anxiety often report greater smoking and drinking behaviors relative to those without a history of anxiety. In particular, smoking and alcohol use have been directly implicated among individuals experiencing panic attacks, diagnosed with panic disorder, or high on panic-relevant risk factors such as anxiety sensitivity. Less is known, however, about specific features of panic that may differentiate among those who do or do not use cigarettes or alcohol. The purpose of the current study was to replicate previous research findings of an association between panic symptomatology, cigarette smoking, and alcohol consumption, as well as extend findings by examining whether specific symptoms of panic attacks differentiated among those who do or do not use cigarettes or alcohol. Participants (n = 489) completed the Panic Attack Questionnaire-IV, a highly detailed assessment of panic attacks and symptoms, as well as self-report measures of smoking history and alcohol use. Consistent with previous research, participants who reported a history of panic attacks (n = 107) were significantly more likely to report current daily or lifetime daily cigarette smoking, and significantly greater hazardous or harmful alcohol use than participants with no panic history (n = 382). Although smoking and hazardous alcohol use were highly associated regardless of panic status, participants with panic attacks showed elevated hazardous alcohol use after controlling for daily or lifetime smoking. Surprisingly, although participants who reported having had at least one panic attack were more likely to smoke, panic attack symptoms, intensity, or frequency did not differentiate panickers who did or did not smoke. Furthermore, panic-related variables were not shown to differentially relate to problematic drinking among panickers. Implications for understanding the complex relationship between panic attacks and smoking and drinking behaviors are discussed.

show abstract

Use of the Panic Attack Questionnaire-IV to assess non-clinical panic attacks and limited symptom panic attacks in Student and Community Samples

Cited by 35 publications

References 36 publications

Panic disorder: a review of DSM-IV panic disorder and proposals for DSM-V

Panic disorder: a review of DSM-IV panic disorder and proposals for DSM-V

Main and interactive effects of a nonclinical panic attack history and distress tolerance in relation to PTSD symptom severity

Smoking Behavior and Alcohol Consumption in Individuals With Panic Attacks

Contact Info

Product

Resources

About