Cited by 103Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMental Health Research TopicsPsychosomatic Disorders and Their Treatments

The DOI matches its Crossref record; 6 of the 6 references it cites were found in a registry or an index.

Panic attack symptom dimensions and their relationship to illness characteristics in panic disorder

Abstract

Subtyping panic disorder by predominant symptom constellations, such as cognitive or respiratory, has been done for some time, but criteria have varied considerably between studies. We sought to identify statistically symptom dimensions from intensity ratings of 13 DSM-IV panic symptoms in 343 panic patients interviewed with the Anxiety Disorders Interview Schedule for DSM-IV Lifetime Version. We then explored the relation of symptom dimensions to selected illness characteristics. Ratings were submitted to exploratory maximum likelihood factor analysis with a Promax rotation. A three-factor solution was found to account best for the variance. Symptoms loading highest on the first factor were palpitations, shortness of breath, choking, chest pain, and numbness, which define a cardio-respiratory type (with fear of dying). Symptoms loading highest on the second factor were sweating, trembling, nausea, chills/hot flashes, and dizziness, which defines a mixed somatic subtype. Symptoms loading highest on the third factor were feeling of unreality, fear of going crazy, and fear of losing control, which defines a cognitive subtype. Subscales based on these factors showed moderate intercorrelations. In a series of hierarchical multiple regression analyses, the cardio-respiratory subscale was a strong predictor of panic severity, frequency of panic attacks, and agoraphobic avoidance, while the cognitive subscale mostly predicted worry due to panic. In addition, patients with comorbid a…

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Crossref · 10.1016/j.jpsychires.2005.09.006

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Research works printed but not linked: 18

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Metadata

Authors
Meuret, A. E., White, K. S., Ritz, T., Roth, W. T., Hofmann, S. G., & Brown, T. A.
Affiliations
  • Southern Methodist University (US)
  • University of Missouri–St. Louis (US)
  • VA Palo Alto Health Care System (US)
  • Boston University (US)
Corresponding author
Meuret, Alicia E.
Venue
Journal of Psychiatric Research
Publisher
Elsevier BV
Published
2006-09
Volume
40
Issue
6
Pages
520-527
ISSN
0022-3956 (ISSN-L)
OpenAlex
W1996182095
Cited by
103
References
6
Citations by year
2026: 4 · 2025: 2 · 2024: 4 · 2023: 2 · 2022: 4 · 2021: 1 · 2020: 4 · 2019: 2 · 2018: 5 · 2017: 4 · 2016: 7 · 2015: 3 · 2014: 8 · 2013: 4 · 2012: 7
FWCI
5.48
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Psychiatric Research (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Keywords
panic disorder, cognitive symptoms, somatic symptoms, fear of dying, agoraphobic avoidance, asthma comorbidity
MeSH terms
Adult, Agoraphobia, Cognition, Female, Humans, Male, Middle Aged, Personality Inventory, Psychiatric Status Rating Scales, Psychometrics, Respiration, Severity of Illness Index, Panic Disorder

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