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Panic disorder, phobias, and generalized anxiety disorder
Michelle G Craske1, Allison M Waters
1Department of Psychology, University of California, Los Angeles, California 90095, USA. craske@psych.ucla.edu
Annual Review of Clinical Psychology
|August 25, 2007
Summary
This review examines risk factors for anxiety disorders like panic disorder and phobias. Generalized anxiety disorder and panic disorder are linked to broad factors, while phobias relate more to specific life events.
Area of Science:
- Psychiatry and Psychology
- Anxiety Disorders Research
Background:
- Review of empirical developments in anxiety disorder etiology.
- Discussion of current controversies and research gaps.
- Focus on panic disorder, phobias, and generalized anxiety disorder.
Purpose of the Study:
- To review common and specific factors in anxiety disorder etiology and maintenance.
- To discuss the relative contribution of broad risk factors.
- To examine the role of specific learning experiences.
Main Methods:
- Literature review of empirical developments.
- Analysis of risk factors including temperament, genetics, biology, cognition, and family variables.
- Examination of specific learning experiences.
Main Results:
- Broad risk factors significantly contribute to generalized anxiety disorder and panic disorder.
- Specific life history events are strongly associated with circumscribed phobias.
- A hierarchical model is proposed for understanding these disorders.
Conclusions:
- Generalized anxiety disorder and panic disorder are heavily influenced by underlying broad factors.
- Phobias are more strongly linked to specific life experiences.
- Further research is needed to clarify these etiological pathways.
Related Concept Videos
Anxiety: Overview
Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
Generalized Anxiety Disorder
Generalized Anxiety Disorder (GAD) is a chronic condition characterized by excessive and uncontrollable worry that persists for at least six months, significantly interfering with daily functioning. Unlike situational anxiety, which arises in response to specific stressors, GAD often occurs without a clear cause. Individuals may experience disproportionate worry about work, health, or relationships. For instance, a person might continuously fear poor health despite normal medical evaluations or...
Panic Disorder
Panic disorder is an anxiety disorder characterized by recurrent and sudden minutes-long episodes of intense fear, known as panic attacks. These attacks may feel like heart attacks and often happen without warning or a specific cause. They can include symptoms such as rapid heart rate, shortness of breath, chest pain, trembling, sweating, dizziness, and a sense of helplessness. During a panic attack, individuals may feel as though they are experiencing a heart attack or are in a...
Social Anxiety Disorder
Social anxiety disorder, also known as social phobia, is characterized by an intense fear of social situations where one might face humiliation, rejection, embarrassment, or negative evaluation. This disorder leads individuals to avoid activities like casual conversations, public speaking, or seemingly simple tasks such as eating, signing documents, or swimming, in public settings. Its impact extends beyond discomfort, often significantly interfering with daily functioning and quality of life.
Preparedness and Phobias
Human fear responses to certain stimuli, such as darkness, heights, deep water, and blood, can often arise despite the absence of direct negative experiences. This phenomenon is rooted in evolutionary psychology, which posits that humans have developed a predisposition to fear stimuli that historically posed significant survival threats. This predisposition, known as preparedness, suggests that early humans who developed a fear of potentially dangerous entities, such as venomous snakes and...
Obsessive-Compulsive Disorder
Obsessive-compulsive disorder (OCD) is a mental health condition characterized by recurrent obsessions, compulsions, or both, which consume significant time and interfere with daily functioning. Obsessions involve persistent, intrusive, and unwanted thoughts, images, or urges that evoke anxiety. Common examples include irrational fears of contamination or harm. Compulsions are repetitive behaviors or mental acts performed to reduce the anxiety caused by obsessions. For instance, individuals...
