The catastrophic misinterpretation model of panic disorder proposes that spontaneous panic attacks are the result of misinterpretation of harmless autonomic arousal as precursors to physical (e.g. heart attack) or psychological (e.g. insanity) emergency. Mixed research findings to date have provided equivocal support. A modified form of the Body Sensations Interpretation Questionnaire was used to investigate core assumptions of the model amongst 38 people with panic disorder (PD), 20 with non-clinical panic, 21 with social anxiety disorder, and 34 non-anxious controls. The PD group gave more harm-related interpretations of ambiguous internal stimuli than all other groups only when anxiety-related responses (e.g. “I'm going to panic”) were scored as harm, however there was no evidence that anxiety-related interpretations were masking perceived catastrophic physical or psychological outcomes. Despite this, people with PD rated harm and anxiety outcomes as more negative than non-anxious controls. Results failed to unequivocally support core assumptions of the model.
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REFERENCES
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Press.
Austin, D. W., & Richards, J. C. (2001). The catastrophic misinterpretation model of panic disorder. Behaviour Research and Therapy, 39, 1277–1291.
Barlow, D. H. (1988). Anxiety and its disorders: The nature and treatment of anxiety and panic. New York: Guilford.
Brown, T. A., DiNardo, P. A., & Barlow, D. H. (1994). Anxiety disorders interview schedule for DSM-IV (Adult Version). New York: Graywind.
Clark, D. M. (1986). A cognitive approach to panic. Behaviour Research and Therapy, 24(4), 461–470.
Clark, D. M., Salkovskis, P. M., Öst, L. G., Breitholtz, E., Koehler, K. A., Westling, B. E., Jeavons, A., & Gelder, M. (1997). Misinterpretation of body sensations in panic disorder. Journal of Consulting and Clinical Psychology, 65(2), 203–213.
Coakes, S. J., & Steed, L. G. (1996). SPSS for windows: Analysis without anguish. Queensland: Jacaranda Wiley.
Cox, B. J. (1996). The nature and assessment of catastrophic thoughts in panic disorder. Behaviour Research and Therapy, 34(4), 363–374.
Harvey, J. M., Richards, J. C., Dziadosz, T., & Swindell, A. (1993). Misinterpretation of ambiguous stimuli in panic disorder, Cognitive Therapy and Research, 17, 235–248.
Kamieniecki, G. W., Wade, T., & Tsouritos, G. (1997). Interpretive bias for benign sensations in panic disorder with agoraphobia. Journal of Anxiety Disorders, 11(2), 141–156.
Kenardy, J., Evans, L., & Oei, T. P. S. (1990). Attributional style in panic disorder. Journal of Behaviour Therapy and Experimental Psychiatry, 21(1), 9–13.
McNally, R. J. (1990). Psychological approaches to panic disorder: A review. Psychological Bulletin, 108, 403–419.
McNally, R. J. (1999). On the experimental induction of panic. Behavior Therapy, 30, 333–341.
McNally, R. J., & Foa, E. B. (1987). Cognition and agoraphobia: Bias in the interpretation of threat. Cognitive Therapy and Research, 11, 567–581.
McNally, R. J., & Lukach, B. M. (1992). Are panic attacks traumatic stressors?. American Journal of Psychiatry, 149(6), 824–826.
Miller, G. A., & Chapman, J. P. (2001). Misunderstanding analysis of covaraiance. Journal of Abnormal Psychology, 110(1), 40–48.
Rapee, R. M., Ancis, J. R., & Barlow, D. H. (1988). Emotional reactions to physiological sensations: Panic disorder patients and non-clinical Ss. Behaviour Research and Therapy, 26(3), 265–269.
Reiss, S. (1991). Expectancy theory of fear, anxiety, and panic. Clinical Psychology Review, 11, 141–153.
Richards, J. C., Austin, D. A., & Alvarenga, M. E. (2001). Interpretation of ambiguous stimuli in panic disorder and non-clinical panic. Cognitive Therapy and Research, 25(3), 235–246.
Salkovskis, P. M., Clark, D. M., & Gelder, M. G. (1996). Cognition-behaviour links in the persistence of panic. Behaviour Research and Therapy, 34(5), 453–453.
Schmidt, N. B., Lerew, D. R., & Jackson, R. J. (1997). The role of anxiety sensitivity in the pathogensis of panic: Prospective evaluation of spontaneous panic attacks during acute stress. Journal of Abnormal Psychology, 106(3), 355–364.
Shear, M. K., Brown, T. A., Barlow, D. H., Money, M. S., Sholomskas, D. E., Woods, S. W., Gorman, J. M., & Laszlo, A. P. (1997). Multicenter collaborative panic disorder severity scale. American Journal of Psychiatry, 154(11), 1571–1575.
ACKNOWLEDGMENTS
David Austin would like to acknowledge the contribution of his greatly respected colleague and co-author Professor Jeff Richards who died suddenly and unexpectedly on the 5th April, 2005, prior to final acceptance of this manuscript.
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Austin, D.W., Richards, J.C. A Test of Core Assumptions of the Catastrophic Misinterpretation Model of Panic Disorder. Cogn Ther Res 30, 53–68 (2006). https://doi.org/10.1007/s10608-006-9010-4
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DOI: https://doi.org/10.1007/s10608-006-9010-4