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Predictors of Panic Attacks in Adolescents
Open accessAbstract
OBJECTIVE: To identify risk factors for onset of panic attacks in adolescents, a prospective cohort design was used to evaluate the following risk factors: negative affectivity, female sex, anxiety sensitivity, and childhood separation anxiety disorder. These risk factors were also evaluated for predicting onset of major depression to test their specificity. METHOD: The sample consisted of 2,365 high school students assessed over a 4-year period. Assessments included self-report questionnaires and structured clinical interviews. Cox proportional hazards models were used to evaluate risk. RESULTS: Consistent with previous studies, prior major depression predicted onset of panic attacks and a history of panic attacks predicted onset of major depression. After adjusting for the effects of prior major depression, negative affectivity and anxiety sensitivity, but not female sex or childhood separation anxiety disorder, predicted onset of 4-symptom panic attacks. However, female sex and negative affectivity but not anxiety sensitivity or childhood separation anxiety disorder predicted onset of major depression after adjustment for the effects of prior panic attacks. CONCLUSION: Negative affectivity appears to be a nonspecific risk factor for panic attacks and major depression, whereas anxiety sensitivity appears to be a specific factor that increases the risk for 4-symptom panic attacks in adolescents.
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“but has been shown to predict the onset of anxiety in general (Hayward, Killen, Kraemer, & Taylor, 2000; Krueger, Caspi, Moffitt, Silva, & McGee, 1996; Watson, Gamez, & Simms, 2005).”
From Attentional bias and emotional reactivity as predictors and moderators of behavioral treatment for social phobia (2013) · cites this paper as Hayward, Killen, Kraemer, & Taylor, 2000
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“Given that anxiety sensitivity is related to increased risk for anxiety symptoms and disorders ( Hayward et al., 2000 ;Schmidt et al., 2006 )”
From Anxiety sensitivity and anxiety and depressive symptoms in the prediction of early smoking lapse and relapse during smoking cessation treatment (2009) · cites this paper as Hayward et al., 2000
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Metadata
- Authors
- HAYWARD, C., KILLEN, J. D., KRAEMER, H. C., & TAYLOR, C. B.
- Affiliations
- Stanford Medicine (US)
- Corresponding author
- HAYWARD, CHRIS
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2000-02
- Volume
- 39
- Issue
- 2
- Pages
- 207-214
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W2029700225
- Cited by
- 371
- References
- 53
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 5 · 2023: 9 · 2022: 4 · 2021: 7 · 2020: 8 · 2019: 9 · 2018: 16 · 2017: 7 · 2016: 13 · 2015: 20 · 2014: 22 · 2013: 24 · 2012: 19
- FWCI
- 12.40
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- NIHM (5R01 HD24779-05, 5R01 MH45431-04)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- panic attacks, adolescents, risk factors, negative affectivity, anxiety sensitivity, female sex, major depressive disorder, depression onset
- MeSH terms
- Adolescent, Agoraphobia, Anxiety Disorders, Anxiety, Separation, Child, Major Depressive Disorder, Female, Humans, Male, Personality Inventory, Prospective Studies, Risk Factors, Sex Factors, Panic Disorder
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