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PSY 961

PSY 961. PANIC DISORDER / AGORAPHOBIA. PANIC ATTACK - DSM. DISCRETE PERIOD OF INTENSE FEAR OR DISCOMFORT WITH FOUR OF THE FOLLOWING SYMPTOMS, REACHING A PEAK IN 10 MINUTES. PALPITATIONS SWEATING TREMBLING/SHAKING BREATHLESSNESS CHOKING. CHEST PAIN ABDOMINAL DISTRESS DIZZY/FAINT

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PSY 961

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  1. PSY 961 PANIC DISORDER / AGORAPHOBIA

  2. PANIC ATTACK - DSM DISCRETE PERIOD OF INTENSE FEAR OR DISCOMFORT WITH FOUR OF THE FOLLOWING SYMPTOMS, REACHING A PEAK IN 10 MINUTES. • PALPITATIONS • SWEATING • TREMBLING/SHAKING • BREATHLESSNESS • CHOKING

  3. CHEST PAIN • ABDOMINAL DISTRESS • DIZZY/FAINT • UNREALITY/DETACHMENT • FEAR OF LOSING CONTROL OR GOING CRAZY • FEAR OF DYING • PARAESTHESIAS • CHILLS OR HOT FLUSHES MAY BE UNEXPECTED (UNCUED) OR SITUATIONALLY BOUND (CUED)

  4. PD-W/O AG - DSM A. BOTH ·    RECURRENT UNEXPECTED PANIC ATTACKS ·  ONE MONTH OR MORE OF PERSISTENT CONCERN OVER FUTURE ATTACKS B. ABSENCE OF AGORAPHOBIA C. NOT DIRECTLY DUE TO SUBSTANCE.

  5. PD-W AG - DSM A. BOTH RECURRENT UNEXPECTED PANIC ATTACKS       ONE MONTH OR MORE OF PERSISTENT CONCERN OVER FUTURE ATTACKS  B. PRESENCE OF AGORAPHOBIA - ANXIETY ABOUT PLACES WHERE ESCAPE MAY BE DIFFICULT OR IN WHICH HELP MAY NOT BE AVAILABLE IN THE EVENT OF A PANIC ATTACK SITUATIONS ARE AVOIDED OR ENDURED WITH DISTRESS.

  6. FEATURES OF PANIC DISORDER • ATTACKS, SPELLS • OUT OF THE BLUE • PHYSICAL DISEASE FEAR • CASUALTY • MEDICAL SPECIALISTS • EXPLICIT MEMORY FOR ONSET

  7. HYPOCHONDRIASIS • FEAR OF DISEASE • BELIEF IN DISEASE • MISINTERPRETATION OF BENIGN SIGNS • RELUCTANCE TO BELIEVE GP • REASSURANCE SEEKING

  8. FEATURES OF HYPOCHONDRIASIS • EXAGGERATED ANXIETY RELATIVE TO DISEASE • DRAMATIC, ANXIOUS • OFTEN VERY OBSESSIONAL • FREQUENT DYSPHORIA • DEPENDENCE AND REASSURANCE • HISTORY OF PHYSICAL AILMENTS

  9. DEMOGRAPHICS AGE OF ONSET MID 20’S GENDER FEM – ESP FOR AG. COURSE FLUCTUATING IMPAIRMENT MOD TO HIGH COMORBIDITY HIGH PRESENTATION MEDICAL

  10. MEAN AGE OF ONSET REPORTED BY PHOBICS - ÖST (1987)

  11. SIGNIFICANT SYMPTOMS IN 6 MONTHS – FAVA ET AL. (1988) N OF SUBJECTS

  12. ANXIETY SENSITIVITY INDEX – REISS ET AL.(1986) • IT SCARES ME WHEN I FEEL SHAKY • IT SCARES ME WHEN I FEEL FAINT • IT SCARES ME WHEN MY HEART BEATS RAPIDLY • UNUSUAL BODY SENSATIONS SCARE ME • IT SCARES ME WHEN I FEEL SHORT OF BREATH

  13. ASI SCORES IN ANXIOUS INDIVIDUALS – TAYLOR ET AL (1992)

  14. THREE MAIN FACTORS IN ASI – ZINBARG ET AL, 1997. • PHYSICAL CONCERNS • IT SCARES ME WHEN MY HEART BEATS RAPIDLY • MENTAL INCAPACITATION CONCERNS • WHEN I AM NERVOUS I WORRY THAT I AM MENTALLY ILL • SOCIAL CONCERNS • IT IS IMPORTANT TO ME NOT TO APPEAR NERVOUS

  15. LEARNING HISTORY IN PEOPLE WITH PANIC DISORDER – EHLERS (1998)

  16. LEARNING HISTORY IN PEOPLE HIGH VS LOW ON ASI – WATT ET AL. (1998)

  17. LHQ NON-AROUSAL SXS .00 .39 .40 PANIC ATTACKS PHYSICAL CONCERN .13 .24 LHQ AROUSAL SXS MODEL OF LEARNING HISTORY, AS, AND PANIC ATTACKS – STEWART ET AL. (2001). .00

  18. PREDICTION OF ANXIETY DISORDERS (MALLER & REISS, 1992)

  19. PANIC ATTACKS BY ASI QUARTILES – SCHMIDT ET AL. (1997) NUMBER OF ATTACKS QUARTILE

  20. STRESS BEFORE ONSET – RAPEE ET AL. (1990)

  21. STRESS BEFORE ONSET – FARAVELLI (1985) N. OF EVENTS MONTHS

  22. IMPACT OF STRESS BEFORE ONSET – RAPEE ET AL. (1990)

  23. MAINTENANCE OF PANIC DISORDER RAPEE (1993). ADVANCES IN BEHAVIOUR RESEARCH AND THERAPY, 15, 85-102.

  24. ONSET OF PANIC DISORDER – BARLOW (2002)

  25. COLOUR-NAMING IN SOCIAL PHOBIA AND PANIC DISORDER - HOPE ET AL. (1991) WORD TYPE INTERFERENCE INDEX

  26. PROBE DETECTION LATENCY – ASMUNDSON ET AL (1992)

  27. THREAT INTERPRETATIONS – HARVEY ET AL. (1993)

  28. REACTION TIMES TO TARGET WORD – SCHNIERING & RAPEE (1997) MS

  29. PANIC ATTACK TO BIOLOGICAL CHALLENGE – RAPEE ET AL. (1992)

  30. INTENSITY OF PANIC TO CO2- RAPEE ET AL. (1986)

  31. PANIC TO CO2SANDERSON ET AL. (1990) PERCENT PANIC ATTACKS CONTROL NO CONTROL

  32. HYPERVENTILATION THEORY OF PANIC

  33. PD VS PDA – RAPEE & MURRELL (1988)

  34. PD VS PDA – TELCH ET AL. (1989)

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