Cited by 204Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychological Treatments and AssessmentsPsychosomatic Disorders and Their Treatments

Cognition-behaviour links in the persistence of panic

Salkovskis, Paul M., Clark, David M., Gelder, Michael G.·1996·Behaviour Research and Therapy

Abstract

The cognitive theory of panic disorder proposes that panic attacks occur as a result of an enduring tendency to misinterpret bodily sensations as a sign of imminent catastrophe such as a heart attack. The persistence of such catastrophic cognitions is in part due to the tendency of patients to avoid and/or escape situations where panic occurs. It is proposed that within-situation safety seeking behaviours also have the effect of maintaining catastrophic cognitions in the face of repeated panics during which the feared catastrophe does not occur. The association between catastrophic cognitions and within-situation safety behaviours matched the pattern predicted from the cognitive theory in 147 panic disorder patients. The implications of these findings for the way in which therapy is conducted are discussed.

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Crossref · 10.1016/0005-7967(95)00083-6

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4 of 4 references verified0 citation errors · 0 not checkable

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  • These results replicated findings from a previous study demonstrating that PCO2 mediated and drove changes in symptom appraisal (anxiety sensitivity) in CART and refute prior notions that breathing techniques are likely to sustain rather than modify catastrophic cognitions.

    “These results replicated findings from a previous study demonstrating that PCO2 mediated and drove changes in symptom appraisal (anxiety sensitivity) in CART (Meuret et al., 2009) and refute prior notions that breathing techniques “are likely to sustain rather than modify catastrophic cognitions” (Salkovskis, Clark, & Gelder, 1996, p. 457).”

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Authors
Salkovskis, P. M., Clark, D. M., & Gelder, M. G.
Affiliations
Warneford Hospital (GB)
Venue
Behaviour Research and Therapy
Publisher
Elsevier BV
Published
1996-05
Volume
34
Issue
5-6
Pages
453-458
ISSN
0005-7967 (ISSN-L)
OpenAlex
W2114083818
Cited by
204
References
4
Citations by year
2026: 4 · 2025: 8 · 2024: 6 · 2023: 5 · 2022: 7 · 2021: 11 · 2020: 6 · 2019: 11 · 2018: 10 · 2017: 12 · 2016: 8 · 2015: 6 · 2014: 12 · 2013: 8 · 2012: 9
FWCI
5.81
Type
journal article
Language
en
Open access
closed
Locations
  • Behaviour Research and Therapy (publishedVersion)
  • PubMed (publishedVersion)
Funders
Wellcome Trust
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Keywords
panic disorder, catastrophic cognitions, safety-seeking behavior, avoidance, panic attacks, cognitive behavioral therapy
MeSH terms
Agoraphobia, Arousal, Behavior Therapy, Cognition Disorders, Fear, Humans, Internal-External Control, Personality Inventory, Cognitive Behavioral Therapy, Panic Disorder

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