Anxiety sensitivity in agoraphobics
Abstract
This study further validated the "Reiss-Epstein-Gursky Anxiety Sensitivity Index" (ASI) as a measure of the fear of anxiety. Agoraphobics scored high on the ASI before, but not after, behavioral treatment. Residual anxiety sensitivity, however, did not predict resurgence of agoraphobic avoidance at six months follow-up. Indeed, anxiety sensitivity continued to decline during the follow-up period. Multiple regression analyses indicated that the ASI predicted the number of fears in agoraphobics beyond that predicted by the level of general anxiety. This finding supports the hypothesis that high anxiety sensitivity enhances fear acquisition; it also suggests that the ASI measures a construct different from that measured by general anxiety scales. Empirical similarities and differences were found between the ASI and two other "fear of fear" measures: the Agoraphobic Cognitions Questionnaire and the Body Sensations Questionnaire.
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People with PD/A strongly fear physical or mental harm from sensations tied to panic attacks.
“patients with PD/A have strong beliefs and fears of physical or mental harm arising from bodily sensations associated with panic attacks (e.g., Chambless, Caputo, Bright, & Gallagher, 1984; McNally & Lorenz, 1987).”
From Coping Skills and Exposure Therapy in Panic Disorder and Agoraphobia: Latest Advances and Future Directions (2012) · cites this paper as McNally & Lorenz, 1987
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References 29 · Cited by 212
- Authors
- McNally, R. J., & Lorenz, M.
- Corresponding author
- McNally, Richard J.
- ORCID
- McNally, Richard J.
- Venue
- Journal of Behavior Therapy and Experimental Psychiatry
- Publisher
- Elsevier BV
- Published
- 1987-03
- Volume
- 18
- Issue
- 1
- Pages
- 3-11
- ISSN
- 0005-7916 (ISSN-L)
- OpenAlex
- W2041247164
- Cited by
- 212
- References
- 29
- Citations by year
- 2024: 2 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 2 · 2018: 3 · 2017: 1 · 2016: 1 · 2015: 2 · 2014: 2 · 2013: 3 · 2012: 3
- FWCI
- 18.08
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Behavior Therapy and Experimental Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Center for Research Resources (RR5366)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Keywords
- anxiety sensitivity, agoraphobia, Anxiety Sensitivity Index, behavior therapy, agoraphobic avoidance, fear acquisition, general anxiety, construct validity
- MeSH terms
- Adult, Agoraphobia, Anxiety, Behavior Therapy, Fear, Female, Follow-Up Studies, Humans, Male, Middle Aged, Personality Inventory, Phobic Disorders, Recurrence
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