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Cognitive Therapy and Research

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01.12.2014 | Original Article

The Self-fulfilling Panic Prophecy: Anxiety-Related Control Attributions Uniquely Predict Reactivity to a 7.5 % CO₂ Challenge

verfasst von: Eugenia I. Gorlin, Jessica R. Beadel, Roxann Roberson-Nay, Bethany A. Teachman

Erschienen in: Cognitive Therapy and Research | Ausgabe 6/2014

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Abstract

Theoretical models of panic disorder posit a unique role for external anxiety-related control attributions (i.e., lack of perceived control over the onset and maintenance of one’s anxiety symptoms) in predicting panic reactivity, even beyond well-established cognitive risk factors such as anxiety sensitivity. The present study examined whether anxiety-related control attributions would uniquely predict a range of anxious responses across multiple phases and sessions of a biological stressor. Undergraduate students (N = 317) completed measures of anxiety-related control attributions and anxiety sensitivity prior to undergoing a 7.5 % carbon dioxide (CO₂) challenge. A subset of these participants (N = 102) returned 1 week later for a second administration. Self-reported subjective distress, physical panic symptoms, and panic-related threat cognitions were measured at baseline and again during several phases of the challenge procedure. Physiological measures of heart rate, skin conductance, and respiration rate were also recorded throughout the challenge. Consistent with theoretical models, higher external control attributions uniquely predicted greater reactivity on all self-report indices across challenge phases and sessions; findings were more mixed for the physiological indices, with higher external control attributions predicting higher heart rate but lower skin conductance, and no prediction for respiration rate. Implications for theory and treatment of panic pathology are discussed.

Note: History of panic attacks and panic symptoms was assessed at baseline (with 35 % of the sample reporting a history of at least one full or limited symptom panic attack on the Panic Disorder Severity Scale, modified for self-report (PDSS-SR; Houck et al. 2002); however, panic history was not included as an exclusionary criterion, given our desire to capture maximum variability in panic-relevant responding within our sample. Notably, the results of this study did not change when panic attack history (coded as a dichotomous “yes/no” variable) was included as a covariate. Full details of these analyses are available from the first author.

The materials reported here are part of a larger, two-session study on predictors of responses to a CO₂ challenge. A full list of measures is available from the first author.

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Titel: The Self-fulfilling Panic Prophecy: Anxiety-Related Control Attributions Uniquely Predict Reactivity to a 7.5 % CO2 Challenge
verfasst von: Eugenia I. Gorlin
Jessica R. Beadel
Roxann Roberson-Nay
Bethany A. Teachman
Publikationsdatum: 01.12.2014
Verlag: Springer US
Erschienen in: Cognitive Therapy and Research / Ausgabe 6/2014
Print ISSN: 0147-5916
Elektronische ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-014-9626-8

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The Self-fulfilling Panic Prophecy: Anxiety-Related Control Attributions Uniquely Predict Reactivity to a 7.5 % CO₂ Challenge

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