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The weight of cognitions in panic: the link between misinterpretations and panic attacks
Klara De Cort1, Dirk Hermans, Daphne Noortman
1Maastricht University, Institute for Mental Health and Neuroscience, Maastricht, The Netherlands. klaradecort@skynet.be
Catastrophic thinking may increase anticipatory anxiety for panic attacks but does not directly trigger them. This study explored word pairs related to panic disorder (PD) and anxiety.
Area of Science:
- Cognitive Psychology
- Clinical Psychology
- Psychiatry
Background:
- Cognitive theory posits that catastrophic misinterpretation of bodily sensations provokes panic attacks.
- Understanding the link between catastrophic thinking and panic attack occurrence is crucial for treatment.
Purpose of the Study:
- To investigate if word pairs associated with catastrophic thinking can induce panic attacks.
- To examine the role of catastrophic thinking in panic disorder (PD) and anxiety.
Main Methods:
- A stimulus validation experiment was conducted.
- Participants (20 PD patients, 20 mixed anxiety disorder patients, 30 controls) were presented with panic-related and neutral word pairs.
- Anxiety levels were measured before and after word pair presentation.
Main Results:
- Patients with PD reported increased anxiety when exposed to panic-related word pairs compared to neutral pairs.
- No participants experienced a panic attack during the word pair presentation.
Conclusions:
- Catastrophic thinking appears linked to anticipatory anxiety concerning panic attacks.
- The study suggests catastrophic thinking is not a direct cause of panic attack occurrence.
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