1. Priming associations between bodily sensations and catastrophic misinterpretations: Specific for panic disorder?
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Hermans, Dirk, De Cort, Klara, Noortman, Daphne, Vansteenwegen, Debora, Beckers, Tom, Spruyt, Adriaan, and Schruers, Koen
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Panic attacks -- Research ,Panic attacks -- Analysis ,Panic disorders -- Research ,Panic disorders -- Analysis ,Psychology and mental health - Abstract
To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.brat.2010.05.015 Byline: Dirk Hermans (a), Klara De Cort (b), Daphne Noortman (b), Debora Vansteenwegen (a), Tom Beckers (a)(c), Adriaan Spruyt (d), Koen Schruers (b) Abstract: Cognitive models assume that panic disorder is characterised by a tendency to misinterpret benign bodily symptoms (e.g. breathlessness) in a catastrophic fashion (e.g. suffocation). This is a central part of the cognitive model which presents a core focus for treatment. Several studies have supported this hypothesis. These studies have, however, almost always relied on self-report. In addition to susceptibility to biases (e.g. distortions of memory), a limitation of research based on verbal report is its inability to capture the spontaneous/automatic nature that is attributed to these catastrophic interpretations. The present paper reports on two experiments in which a priming procedure was used to test the hypothesis that panic disorder is characterised by spontaneous catastrophic interpretations and whether this effect is 'specific' to panic disorder. In line with predictions from the cognitive model, it was observed in the first experiment that the panic group demonstrated facilitated responses to trials consisting of a 'symptom' prime and a 'catastrophic outcome' target (e.g. breathlessness - suffocate). Similar effects were not observed for an anxious control group and a nonclinical control group, supporting the specificity of this effect. Interestingly, however, significant priming effects were observed for a group of mental health professionals (part of the healthy control group) who had no history of panic disorder. Subsequently, this unexpected observation was explicitly addressed in a second experiment, which confirmed the findings of Experiment 1. Together, these results suggest that associations between mental representations of benign bodily symptoms and catastrophic outcomes might develop as part of professional knowledge and experience, and should not necessarily be viewed as pathogenic. Theoretical and clinical implications are discussed. Author Affiliation: (a) Department of Psychology, University of Leuven, Tiensestraat 102, B-3000 Leuven, Belgium (b) Department of Psychiatry and Neurospyschology, Academic Anxiety Center, Maastricht University, The Netherlands (c) Amsterdam University, The Netherlands (d) Flemish Research Foundation (FWO - Vlaanderen), Ghent University, Belgium Article History: Received 17 November 2009; Revised 15 May 2010; Accepted 19 May 2010 Article Note: (footnote) [star] Preparation of this paper was in part supported by Grant BOF/GOA2006/001 of Ghent University.
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- 2010