Evaluation of a pathoplastic relationship between anxiety sensitivity and panic disorder
Abstract
A growing body of research suggests that anxiety sensitivity (AS) acts as a specific vulnerability factor in the development of anxiety pathology. More recently, attention has turned to other relationships between AS and anxiety pathology. The present study explores a patholplasty model of AS. A pathoplasty model posits that a dispositional factor (e.g., AS) will affect the expression and/or course of the clinical condition (e.g., panic disorder). In other words, individual differences in AS among patients with panic disorder may be relevant to how the disorder is expressed or how it progresses over time regardless of the role of AS in the genesis of the disorder. The relationships among AS and the clinical facets of a sample of patients with panic disorder ( N = 147) were evaluated. Findings were consistent with the pathoplasty model and suggested: (1) significant variability in AS among patients, (2) AS variation was related to variability in symptom domains, co-occurring diagnoses, and medication use, and (3) variation in AS following treatment was predictive of clinical status at 6-month follow-up.
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Most mediation studies of CT for PD/A measure change in purported mediators and outcomes over the same interval or lack complete mediation models.
“Most studies of mediation of CT for PD/A merely measure change in purported mediators (i.e., reappraisal) as well as outcomes (i.e., panic symptom reduction) across the same interval of time, from pre- to posttreatment”
From Coping Skills and Exposure Therapy in Panic Disorder and Agoraphobia: Latest Advances and Future Directions (2012) · cites this paper as Schmidt & Bates, 2003
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- Authors
- Schmidt, N. B., & Bates, M. J.
- Affiliations
- The Ohio State University (US)
- Uniformed Services University of the Health Sciences (US)
- ORCID
- Schmidt, Norman B.
- Venue
- Anxiety, Stress & Coping
- Publisher
- Informa UK Limited
- Published
- 2003-03
- Volume
- 16
- Issue
- 1
- Pages
- 17-30
- ISSN
- 1061-5806 (ISSN-L)
- 1477-2205
- OpenAlex
- W2016375768
- Cited by
- 19
- References
- 44
- Citations by year
- 2024: 1 · 2022: 1 · 2021: 1 · 2020: 1 · 2017: 2 · 2014: 1 · 2013: 1 · 2012: 2
- FWCI
- 1.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Anxiety Stress & Coping (publishedVersion)
- 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
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- anxiety sensitivity, panic disorder, vulnerability factors, individual differences, symptom domains, comorbidities, medication use, treatment response, clinical course
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