Assessment of automatic associations with bodily sensations and agoraphobic situations in panic disorder

<h4>Background and Objectives</h4> <p>One of the central assumptions of cognitive models of Panic Disorder (PD) is that automatic panic-related associations are a core feature of PD. However, empirical findings are mixed and inconsistent, rendering it difficult to evaluate the rol...

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Библиографические подробности
Главные авторы: Woud, M, Becker, E, Rinck, M, Harmer, C, Reinecke, A
Формат: Journal article
Язык:English
Опубликовано: Elsevier 2016
Описание
Итог:<h4>Background and Objectives</h4> <p>One of the central assumptions of cognitive models of Panic Disorder (PD) is that automatic panic-related associations are a core feature of PD. However, empirical findings are mixed and inconsistent, rendering it difficult to evaluate the role of panic-related associations adequately, particularly in relation to the relevant theories. The present study aimed to further advance our understanding of automatic associations in PD, and therefore applied a paradigm novel in this context, namely an Extrinsic Affective Simon Task (EAST).</p> <h4>Methods</h4> <p>Participants involved treatment seeking, unmedicated panic patients (n=45) and healthy controls (n=38). The EAST was applied prior to treatment. It included the following stimuli as targets: panic-related bodily sensations and agoraphobia-related situations, and as attributes: pleasant versus unpleasant, fear-related words. </p> <h4>Results</h4> <p>Contrary to our expectations, panic patients did not show stronger negative than positive automatic associations for either panic-related symptoms or agoraphobia-related situations, compared to healthy controls. Moreover, EAST effects did not correlate with panic-related self-report measures. </p> <h4>Limitations</h4> <p>Although the present study involved patients who were actively seeking treatment, panic-related associations might not have been activated sufficiently. Hence, a brief activation procedure (e.g., hyperventilation) might have been needed to optimize the assessment condition.</p> <h4>Conclusions</h4> <p>The present findings do not support contemporary theories of panic-related associations. Therefore, follow-up work is needed to disentangle their functional and operational properties more thoroughly. </p>