Anxiety Sensitivity and Comorbid Psychiatric Symptoms over the Course of Cognitive Behavioural Therapy for Panic Disorder.
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Date
2016
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Abstract
Aims: Anxiety sensitivity (AS) might be the core vulnerability in the pathogenesis of AXIS I diagnosis and might be the important transdiagnostic target for the interventions for comorbid psychiatric symptoms in panic disorder (PD). This study aimed to examine the relationship of changes in the three factors of AS and changes in comorbid psychiatric symptoms over the course of cognitive behavioural therapy (CBT) for PD.
Methodology: One hundred eighteen patients with PD were treated with manualized group CBT. Using multiple regression analysis, we examined the associations between the changes in subscales of Symptom Checklist-90 Revised (SCL-90-R) and the changes in factors of the Anxiety Sensitivity Index (ASI) involving Physical Concerns, Mental Incapacitation Concerns, and Social Concerns over the course CBT.
Results: Reductions in Mental Incapacitation Concerns of ASI were related to decreases in 8 SCL-90-R scales, including Obsessive-Compulsive, Interpersonal Sensitivity, Depression, Hostility, Phobic Anxiety, Paranoid Ideation, Psychoticism, and GSI. Reductions in Physical Concerns were related to decreases in 5 SCL-90-R scales, including Somatization, Depression, Anxiety, Phobic Anxiety, and GSI.
Discussion: The present study suggests that reductions in AS, especially mental and physical dimensions, predict comorbid psychiatric symptoms reduction over the course of CBT for PD.
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Keywords
Panic disorder, anxiety sensitivity, cognitive behavioural therapy, comorbid psychiatric symptoms
Citation
Ogawa Sei, Kondo Masaki, Ino Keiko, Ii Toshitaka, Imai Risa Risa, Furukawa Toshi A., Akechi Tatsuo. Anxiety Sensitivity and Comorbid Psychiatric Symptoms over the Course of Cognitive Behavioural Therapy for Panic Disorder. British Journal of Medicine and Medical Research. 2016; 13(10): 1-7.