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Cognitive Therapy and Research

, Volume 16, Issue 5, pp 569–577 | Cite as

Perceptions of control in panic disorder and social phobia

  • Marylene Cloitre
  • Richard G. Heimberg
  • Michael R. Liebowitz
  • Andrea Gitow
Article

Abstract

Levenson's (1973) locus of control scale was used to assess perceptions of control in individuals with panic disorder and social phobia, compared to a nonclinical sample. Both anxiety disorder groups showed a lower sense of internal control compared to the normal sample. Furthermore, the two anxiety disorder groups showed contrasting externality orientations. Panic-disordered individuals viewed events as proceeding in a random and uncontrollable way, while social phobics viewed events as controlled by powerful others. Partial correlations confirmed the unique relationship between each disorder and a particular externality orientation and indicated that low internal perceptions of control were strongly influenced by the presence of beliefs in chance and powerful others. These data suggest that perceptions of diminished control may be an affective—cognitive theme of anxiety, and that specific types of control perceptions are uniquely associated with these particular anxiety disorders.

Key words

locus of control panic disorder social phobia 

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References

  1. Abramson, L. Y., Seligman, M. E. P., & Teasdale, J. D. (1978). Learned helplessness in humans: Critique and reformulation.Journal of Abnormal Psychology, 87 49–74.PubMedGoogle Scholar
  2. Adler, D., & Price, J. H. (1985). Relation of agoraphobics' health locus of control orientation to severity of agoraphobia.Psychological Reports, 56 619–625.PubMedGoogle Scholar
  3. American Psychiatric Association (1987).Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: Author.Google Scholar
  4. Barlow, D. H. (1988).Anxiety and its disorders. New York: Guilford Press.Google Scholar
  5. Barlow, D. H., & Cerny, G. A. (1988).Psychological treatment of panic. New York: Guilford Press.Google Scholar
  6. Beck, A. T., & Emery, G. (1985).Anxiety disorders and phobias: A cognitive perspective. New York: Basic Books.Google Scholar
  7. Betts, E. (1982). Relation of locus of control to aspiration level and to competitive anxiety.Psychological Reports, 51 71–76.Google Scholar
  8. Clark, D. M. (1986). A cognitive approach to panic.Behaviour Research and Therapy, 25 443–455.Google Scholar
  9. Cloitre, M., & Liebowitz, M. R. (1991). Memory bias in panic disorder: An investigation of the cognitive avoidance hypothesis.Cognitive Therapy and Research, 15 371–386.Google Scholar
  10. Emmelkamp, P. M. G., & Cohen-Kettenis, P. T. (1975). Relationship of locus of control to phobic anxiety and depression.Psychological Reports, 36 390.PubMedGoogle Scholar
  11. Fyer, A. J. (1991, March).Panic disorder in DSM-IV. Paper presented at the Panic Disorder Symposium: Current issues in diagnosis and treatment. New York: New York Academy of Medicine.Google Scholar
  12. Heimberg, R. G. (1990). Cognitive behavior therapy for social phobia. In A. S. Bellack & M. Hersen (Eds.),Comparative handbook of treatment for adult disorders (pp. 203–218). New York: John Wiley and Sons.Google Scholar
  13. Heimberg, R. G., Dodge, C. S., Hope, D. A., Kennedy, D. R., Zollo, L., & Becker, R. E. (1990). Cognitive behavioral group treatment of social phobia: Comparison to a credible placebo control.Cognitive Therapy and Research, 14 1–23.Google Scholar
  14. Hibbert, G. (1984). Ideational components of anxiety: Their origin and content.British Journal of Psychiatry, 144 618–624.Google Scholar
  15. Hope, D. A., Rapee, R. M., Heimberg, R. G., & Dombeck, M. (1990). Representations of self in social phobia: Vulnerability to social threat.Cognitive Therapy and Research, 14 177–189.Google Scholar
  16. Houston, B. K. (1972). Control over stress, locus of control and response to stress.Journal of Personality and Social Psychology, 21 249–255.PubMedGoogle Scholar
  17. Lazarus, R. S., & Averill, J. R. (1972). Emotion and cognition: With special reference to anxiety. In C. D. Spielberger (ed.),Anxiety: Current trends in theory and research. New York: Academic Press.Google Scholar
  18. Levenson, H. (1973). Multidimensional locus of control in psychiatric patients.Journal of Consulting and Clinical Psychology, 41 397–401.PubMedGoogle Scholar
  19. Levenson, H. (1981). Differentiating among internality, powerful others and chance. In H. M. Lefcourt (ed.),Research with the locus of control construct: Vol. 1. Assessment methods. New York: Academic Press.Google Scholar
  20. Mandler, G. (1972). Helplessness: Theory and research in anxiety. In C. D. Spielberger (Ed.),Current trends in theory and research—III. New York: Academic Press.Google Scholar
  21. Michelson, L., Mavissakalian, M., & Meminger, S. (1983). Prognostic utility of locus of control in treatment of agoraphobia. Behaviour Research and Therapy, 21, 309–313.PubMedGoogle Scholar
  22. Mikawa, J. K., Nordin, K., & Eyman, J. (1986). The Self-Consciousness Scale and locus of control.Psychological Reports, 59 939–942.Google Scholar
  23. Mineka, S., & Kelly, K. A. (1989). The relationship between anxiety, lack of control and loss of control. In A. Steptoe and A. Appels (Eds.),Stress, personal control and worker health. Brussels: John Wiley and Sons.Google Scholar
  24. Mowrer, D. H., & Vick, P. (1948). An experimental analogue of fear from a sense of helplessness.Journal of Abnormal and Social Psychology, 43 193–200.Google Scholar
  25. Peterson, C., & Seligman, M. E. P. (1984). Causal explanations as a risk factor for depression: theory and evidence.Psychological Review, 3 347–374.Google Scholar
  26. Ray, W. J., & Katahn, M. (1968). Relation of anxiety to locus of control.Psychological Reports, 23 1196.PubMedGoogle Scholar
  27. Sanderson, W. C., Rapee, R. M., & Barlow, D. H. (1987, November).The phenomenon of panic across the DSM-III-revised anxiety disorders. Paper presented at the annual meeting of the Association for Advancement of Behavior Therapy, Boston.Google Scholar
  28. Spitzer, R. L., Williams, J. B. W., Gibbon, M., & First, M. (1987).Structured clinical Interview for DSM-III-R. New York: Biometrics Research Department, New York State Psychiatric Institute.Google Scholar
  29. Watson, D. (1967). Relationship between locus of control and anxiety.Journal of Personality and social Psychology, 6 91–92.PubMedGoogle Scholar
  30. Watson, D., & Baumal, E. (1967). Effects of locus of control and expectation of future control upon performance.Journal of Personality and Social Psychology, 6 212–215.PubMedGoogle Scholar

Copyright information

© Plenum Publishing Corporation 1992

Authors and Affiliations

  • Marylene Cloitre
    • 1
  • Richard G. Heimberg
    • 2
  • Michael R. Liebowitz
    • 3
  • Andrea Gitow
    • 3
  1. 1.Department of PsychologyNew School for Social ResearchNew YorkUSA
  2. 2.University at Albany, State University of New YorkUSA
  3. 3.New York State Psychiatric InstituteUSA

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