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PSY 961. PANIC DISORDER / AGORAPHOBIA. PANIC ATTACK - DSM. DISCRETE PERIOD OF INTENSE FEAR OR DISCOMFORT WITH FOUR OF THE FOLLOWING SYMPTOMS, REACHING A PEAK IN 10 MINUTES. PALPITATIONS SWEATING TREMBLING/SHAKING BREATHLESSNESS CHOKING. CHEST PAIN ABDOMINAL DISTRESS DIZZY/FAINT
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PSY 961 PANIC DISORDER / AGORAPHOBIA
PANIC ATTACK - DSM DISCRETE PERIOD OF INTENSE FEAR OR DISCOMFORT WITH FOUR OF THE FOLLOWING SYMPTOMS, REACHING A PEAK IN 10 MINUTES. • PALPITATIONS • SWEATING • TREMBLING/SHAKING • BREATHLESSNESS • CHOKING
CHEST PAIN • ABDOMINAL DISTRESS • DIZZY/FAINT • UNREALITY/DETACHMENT • FEAR OF LOSING CONTROL OR GOING CRAZY • FEAR OF DYING • PARAESTHESIAS • CHILLS OR HOT FLUSHES MAY BE UNEXPECTED (UNCUED) OR SITUATIONALLY BOUND (CUED)
PD-W/O AG - DSM A. BOTH · RECURRENT UNEXPECTED PANIC ATTACKS · ONE MONTH OR MORE OF PERSISTENT CONCERN OVER FUTURE ATTACKS B. ABSENCE OF AGORAPHOBIA C. NOT DIRECTLY DUE TO SUBSTANCE.
PD-W AG - DSM A. BOTH RECURRENT UNEXPECTED PANIC ATTACKS ONE MONTH OR MORE OF PERSISTENT CONCERN OVER FUTURE ATTACKS B. PRESENCE OF AGORAPHOBIA - ANXIETY ABOUT PLACES WHERE ESCAPE MAY BE DIFFICULT OR IN WHICH HELP MAY NOT BE AVAILABLE IN THE EVENT OF A PANIC ATTACK SITUATIONS ARE AVOIDED OR ENDURED WITH DISTRESS.
FEATURES OF PANIC DISORDER • ATTACKS, SPELLS • OUT OF THE BLUE • PHYSICAL DISEASE FEAR • CASUALTY • MEDICAL SPECIALISTS • EXPLICIT MEMORY FOR ONSET
HYPOCHONDRIASIS • FEAR OF DISEASE • BELIEF IN DISEASE • MISINTERPRETATION OF BENIGN SIGNS • RELUCTANCE TO BELIEVE GP • REASSURANCE SEEKING
FEATURES OF HYPOCHONDRIASIS • EXAGGERATED ANXIETY RELATIVE TO DISEASE • DRAMATIC, ANXIOUS • OFTEN VERY OBSESSIONAL • FREQUENT DYSPHORIA • DEPENDENCE AND REASSURANCE • HISTORY OF PHYSICAL AILMENTS
DEMOGRAPHICS AGE OF ONSET MID 20’S GENDER FEM – ESP FOR AG. COURSE FLUCTUATING IMPAIRMENT MOD TO HIGH COMORBIDITY HIGH PRESENTATION MEDICAL
SIGNIFICANT SYMPTOMS IN 6 MONTHS – FAVA ET AL. (1988) N OF SUBJECTS
ANXIETY SENSITIVITY INDEX – REISS ET AL.(1986) • IT SCARES ME WHEN I FEEL SHAKY • IT SCARES ME WHEN I FEEL FAINT • IT SCARES ME WHEN MY HEART BEATS RAPIDLY • UNUSUAL BODY SENSATIONS SCARE ME • IT SCARES ME WHEN I FEEL SHORT OF BREATH
THREE MAIN FACTORS IN ASI – ZINBARG ET AL, 1997. • PHYSICAL CONCERNS • IT SCARES ME WHEN MY HEART BEATS RAPIDLY • MENTAL INCAPACITATION CONCERNS • WHEN I AM NERVOUS I WORRY THAT I AM MENTALLY ILL • SOCIAL CONCERNS • IT IS IMPORTANT TO ME NOT TO APPEAR NERVOUS
LEARNING HISTORY IN PEOPLE WITH PANIC DISORDER – EHLERS (1998)
LEARNING HISTORY IN PEOPLE HIGH VS LOW ON ASI – WATT ET AL. (1998)
LHQ NON-AROUSAL SXS .00 .39 .40 PANIC ATTACKS PHYSICAL CONCERN .13 .24 LHQ AROUSAL SXS MODEL OF LEARNING HISTORY, AS, AND PANIC ATTACKS – STEWART ET AL. (2001). .00
PANIC ATTACKS BY ASI QUARTILES – SCHMIDT ET AL. (1997) NUMBER OF ATTACKS QUARTILE
STRESS BEFORE ONSET – FARAVELLI (1985) N. OF EVENTS MONTHS
MAINTENANCE OF PANIC DISORDER RAPEE (1993). ADVANCES IN BEHAVIOUR RESEARCH AND THERAPY, 15, 85-102.
COLOUR-NAMING IN SOCIAL PHOBIA AND PANIC DISORDER - HOPE ET AL. (1991) WORD TYPE INTERFERENCE INDEX
REACTION TIMES TO TARGET WORD – SCHNIERING & RAPEE (1997) MS
PANIC TO CO2SANDERSON ET AL. (1990) PERCENT PANIC ATTACKS CONTROL NO CONTROL