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Attentional fixation in panic disorder.

Amy Wenzel1, Ian R Sharp, Leslie Sokol

  • 1Department of Psychiatry, University of Pennsylvania, Philadelphia, PA 19104, USA. awenzel@mail.med.upenn.edu

Cognitive Behaviour Therapy
|June 7, 2006
PubMed
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Patients with panic disorder exhibit attentional fixation on symptoms, hindering recovery. This study found that reducing this fixation through cognitive therapy improved panic disorder symptoms.

Area of Science:

  • Psychology
  • Clinical Psychology
  • Cognitive Behavioral Therapy

Background:

  • Clinical observations suggest panic disorder patients focus intensely on distressing symptoms during attacks.
  • This attentional fixation may impede their ability to access information that could alleviate distress.

Purpose of the Study:

  • To empirically investigate the concept of attentional fixation in patients diagnosed with panic disorder.
  • To assess if attentional fixation is a characteristic cognitive feature of panic disorder.

Main Methods:

  • A subset of panic disorder patients from three cognitive therapy clinical trials completed the Attentional Fixation Questionnaire (AFQ).
  • The AFQ was administered at intake, during treatment, and at termination to measure attentional fixation.
  • Psychometric properties of the AFQ were evaluated, including internal consistency and correlations with other psychological measures.

Related Experiment Videos

Main Results:

  • The Attentional Fixation Questionnaire demonstrated adequate internal consistency across all assessment points.
  • AFQ scores positively correlated with measures of depression, anxiety, and cognitive distortions.
  • Significant decreases in AFQ total scores and most item scores were observed by treatment termination.

Conclusions:

  • Preliminary findings support attentional fixation as a relevant cognitive dimension in panic disorder.
  • Reduced attentional fixation is associated with treatment progress and symptom improvement in panic disorder patients.