Anxiety sensitivity, catastrophic misinterpretations and panic self-efficacy in the prediction of panic disorder severity: towards a tripartite cognitive model of panic disorder.
The present study examined the contribution of three main cognitive factors (i.e., anxiety sensitivity, catastrophic misinterpretations of bodily symptoms, and panic self-efficacy) in predicting panic disorder (PD) severity in a sample of patients with a principal diagnosis of panic disorder. It was hypothesized that anxiety sensitivity (AS), catastrophic misinterpretation of bodily sensations, and panic self-efficacy are uniquely related to panic disorder severity. One hundred and sixty-eight participants completed measures of AS, catastrophic misinterpretations of panic-like sensations, and panic self-efficacy prior to receiving treatment. Results of multiple linear regression analyses indicated that AS, catastrophic misinterpretations and panic self-efficacy independently predicted panic disorder severity. Results of path analyses indicated that AS was direct and indirectly (mediated by catastrophic misinterpretations) related with panic severity. Results provide evidence for a tripartite cognitive account of panic disorder.
Facultad de Psicología, Universidad Nacional de Educación a Distancia, Juan del Rosal 10, 28040 Madrid, Spain. Electronic address: bsandin@psi.uned.es.
Bonifacio
B
Sandin
Hospital General de Úbeda, Úbeda, Jaén, Spain.
Carmen
C
Sánchez-Arribas
Facultad de Psicología, Universidad Nacional de Educación a Distancia, Juan del Rosal 10, 28040 Madrid, Spain.
Paloma
P
Chorot
Facultad de Psicología, Universidad Nacional de Educación a Distancia, Juan del Rosal 10, 28040 Madrid, Spain.
Rosa M
RM
Valiente
D000293:Adolescent; D000328:Adult; D000368:Aged; D001008:Anxiety Disorders / Q000150:complications / Q000175:diagnosis / Q000523:psychology; D003071:Cognition; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016584:Panic Disorder / Q000150:complications / Q000175:diagnosis* / Q000523:psychology; D012044:Regression Analysis; D020377:Self Efficacy; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D013030:Spain; D055815:Young Adult
Anxiety sensitivity; Catastrophic misinterpretations; Cognitive models; Panic disorder; Self-efficacy