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The relationship between cognitions and panic attack intensity.

L M Hedley1, A Hoffart, T Dammen

  • 1Research Institute, Modum Bads Nervesanatorium, Vikersund, Norway.

Acta Psychiatrica Scandinavica
|November 23, 2000
PubMed
Summary
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Catastrophic beliefs significantly predict panic attack intensity in patients with panic disorder. This finding highlights the role of cognitive factors in the severity of panic experiences.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Cognitive Behavioral Therapy

Background:

  • Panic disorder with agoraphobia is characterized by recurrent panic attacks.
  • Cognitive models suggest that catastrophic beliefs exacerbate panic attack intensity.

Purpose of the Study:

  • To examine the association between the intensity of panic attacks and catastrophic beliefs.
  • To determine if catastrophic cognitions are significant predictors of panic attack severity.

Main Methods:

  • A quantitative analysis was performed on data from 540 panic diaries.
  • The study included 42 patients diagnosed with panic disorder with agoraphobia.

Main Results:

  • Catastrophic beliefs were found to be a significant predictor of panic attack intensity, even after controlling for individual variations, treatment effects, and symptom count (r2 change = 0.10, P<0.0001).

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  • No significant differences in panic attack intensity were observed between primary and secondary cognitions.

    • Conclusions:

    • Catastrophic beliefs reliably predict the intensity of panic attacks.
    • Cognitive factors, specifically catastrophic thinking, play a crucial role in the experience of panic.