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Summary Block 2.6. Stress and Anxiety: Problem 5 PD (Panick Disorder) $6.40   Add to cart

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Summary Block 2.6. Stress and Anxiety: Problem 5 PD (Panick Disorder)

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Block 2.6. Anxiety & Stress: Problem 5 PD(Panic Disorder) English Summary Summary of everything discussed in the tutorials and the literature, The grade obtained for the course was 8.1

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  • March 22, 2021
  • 11
  • 2018/2019
  • Summary
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PROBLEM 5. PANIC DISORDER 1



Causal Model of Panic Disorder (Fava, Morton)


Causal modeling framework
Developed by /Morton & Firth > to represent theories of developmental disorder and make clear
distinctions among biological, cognitive & behavioral components
 Show differences, similarities of different theories
 Causal model = theory within the causal framework network
 Elements connected with arrows
 Equivalents: effectively identical elements to a theory (biological element-cognitive
element)
 Distinction bt antecedents and immediate causes (distal VS proximal causes)
 Falsifiability of theories
Panic Disorder
 Panic attack: feeling of apprehension or impending doom which has sudden onset and is
assoc. with range of distressing physical sensations (breathlessness, palpitations, chest
pain, choking, dizziness, tingling hands/feet, hot/cold flushes, sweat, faintness, trembling,
feeling of unreality)
 Panic disorder > sensations are not provoked, unexplained and occur suddenly.
 Panic > principal symptom or secondary (evidence of co-morbidity)
 Anxiety during panic attack > physical, social and psychological consequences that extend
beyond immediate discomfort (secondary symptoms)
 Common symptoms with other disorders
 CBT and antidepressants > more effective
 PD not always the same cause
Clark’s Cognitive Model



Internal/ External trigger > perceived as threat >
mild apprehension > bodily sensations >
interpreted as catastrophic > further apprehension
increase > further body sensations increase.




 Distinction of panic attacks in normal population and the recurring panic attacks in PD
sufferers.
 In PD physical symptoms are misinterpreted as evidence of impending danger (internal
trigger stimuli)

, PROBLEM 5. PANIC DISORDER 2




Antecedent: learned threat from
previously occurring critical event


External or internal trigger > small
variation in bodily sensations
(threshold of bodily sensation- panic
attack trigger)




Composite Cognitive Model
Three antecedents: high anxiety sensitivity (AS), learned threat, lower self-efficacy

 AS: genetic predisposition +
attachment problems
 Learned threat: critical event
 Low self-efficacy: attachment
problems

Internal trigger (low self-efficacy,
high arousal)
External trigger (combined with
learned threat)
Cycle operating without
catastrophic interpretations

Constructs valid?
Related with each other?
Distinct or dimensions of PD?

 Relationship between high AS and
low self-efficacy

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