Anxiety sensitivity and panic attacks in a nonclinical population

In the present study, we administered the Anxiety Sensitivity Index (ASI) and a modified version of the Panic Attack Questionnaire (PAQ) to 425 college students to determine whether high anxiety sensitivity ('fear of fear') occurs in the absence of a history of unpredictable ('spontaneous') panic attacks, or whether such attacks are a necessary precursor to high anxiety sensitivity. Based on their ASI scores, subjects were assigned to either the high, medium, or low anxiety sensitivity groups. High anxiety sensitivity subjects more frequently reported both a personal and family history of panic than did subjects in the other groups. Nevertheless, two-thirds of the high anxiety sensitivity subjects had never experienced an unpredictable panic attack. This suggests that the fear of anxiety can be acquired in ways other than through personal experience with panic.     

Adult age differences in short-term memory and subsequent long-term memory for actions.

Short-term memory for actions was investigated for young adult and elderly adult subjects with the Brown-Peterson procedure at retention intervals of 0 and 15 s. The short-term memory trials were followed by the long-term recall of the prior to-be-remembered actions. The 15-s retention interval was filled either with no activity or with 1 of 3 different interfering activities. Verbal interference had little effect on short-term memory at either age level. Actions performed in the interval either by the subjects or by the experimenter produced significantly lower recall scores at each age level, with the decrement being more pronounced for the elderly than for the young subjects. The long-term memory results indicated that successful short-term recall enhanced later long-term recall, regardless of age level.     

Encoding richness of self-generated elaboration and spacing effects on incidental memory

The present study investigated encoding variability in self-generated elaboration on incidental memory as a function of the type of presentation which was either massed or spaced. The subjects generated different answers to a "why" question for the first and the second presentations of a target sentence in a self-generated elaboration condition. In an experimenter-provided elaboration condition they then rated the appropriateness of the different answers provided by the experimenter for the first and second presentations. This procedure was followed by two free recall tests, one of which was immediate and the other delayed. A self-generated elaboration effect was observed in both the spaced and the massed presentations. These results indicated that the self-generated elaboration effect was facilitated, even in the massed presentation because the different answers to the first and the second presentations led to a richer encoding of each target.     

Sensations, cognitions and the perception of cues associated with expected and unexpected panic attacks

Panic attacks may be perceived by patients as either cued or uncued (spontaneous) and either expected or unexpected. The purpose of the present study was to examine the prevalence and characteristics of these types of panic. Twenty-six panic disorder patients with mild avoidance and 18 with moderate or severe avoidance were instructed to complete a questionnaire during or immediately following each of three consecutive naturally occurring panic attacks they experienced. They were asked to rate the extent to which they expected the panic attack to occur, whether they felt it was associated with an external panic "cue" (e.g. a shopping mall), whether they would expect to panic again in similar circumstances, their mood, present level of life stress, and fear and severity of their body sensations and disturbing cognitions. Results indicated that from a sample of 92 questionnaires, each representing a separate panic, nearly 70% of panic attacks were rated as cued-expected and only one panic was rated as uncued-expected. The other two categories each comprised about 15% of all panic attacks. There were few reported differences in body sensations and cognitions reported as a function of type of panic and no differences with regard to extent of agoraphobic avoidance. Expected panic was associated with a higher expectation of future panic in similar circumstances.     

Multisensory integration and age-dependent sensitivity to body representation modification induced by the rubber hand illusion

The aim of the present study was to compare junior and senior healthy participants for their multimodal integration capability. The instrument used for the investigation was the rubber hand illusion (RHI) where synchronous and asynchronous multimodal stimulation were applied. The study focused on assessing the rate of integration for visuo-tactile and visuo-proprioceptive stimuli. Methods: From a large sample of right-handed volunteers, 50 senior employees (containing younger and middle age adults) and 51 senior retired (senior adults) participants were recruited. Results: The between-subject analyses revealed that individuals both the junior and the senior participants responded to induction of RHI with vivid ownership and disownership experiences and a higher mislocalization error in the synchronous condition. However, the between-group analysis showed that participants in the senior group reported less vivid ownership and less vivid total RHI experiences scores compared to members of the junior group, but no mislocalization error differences were found between the groups. Conclusion: The results indicated that when visuo-tactile stimuli synchronously presented, the gain in multisensory integration decreased in seniors group. In contrast, in the case of visuo-proprioceptive synchronous presentation, the efficiency of multisensory integration remained unchanged across the lifespan.     

Nonclinical panic in college students: an investigation of prevalence and symptomatology

This article presents data on the prevalence and symptomatology of panic attacks and panic disorder (PD) in a large nonclinical sample (n = 2,375) of college students. Results showed that approximately 12% of the sample had experienced at least one unexpected panic attack and that 2.36% met DSM-III-R criteria for panic disorder. Although there were no sex differences in overall panic attack prevalence, men reported significantly more panic-related worry than women, and women reported a higher panic frequency than men. Compared to subjects who met DSM-III-R criteria for PD, infrequent panickers presented with fewer panic symptoms, fewer panic episodes, less panic-related worry, lower anxiety sensitivity, and less panic-related avoidance. Moreover, compared with PD subjects, the infrequent panickers were much less likely to report fears of dying, going insane, and derealization during a panic attack. The findings provide preliminary support for the role of anxious apprehension as a psychological vulnerability factor in the pathogenesis of panic disorder.     

Effects of experimenter and mother presence on the attentional performance and activity of hyperactive boys

The attentional performance, activity, and off-task behavior of hyperactive boys with and without conduct problems and normal boys were compared on a cancellation task under three conditions: when performing the task alone, with mother present, and with experimenter present. Results indicated that both the hyperactive groups achieved poorer attentional scores than normal subjects in the alone and mother present conditions, but improved in the experimenter present condition. The performance of the hyperactive boys with conduct problems was particularly affected by this condition. The activity and off-task behavior scores of both the hyperactive groups were higher than controls in all conditions, although the hyperactive boys with conduct problems decreased in off-task behavior when the experimenter was present. Attention and behavior scores were not significantly correlated. The implications of these findings for assessment of hyperactivity, and the role of noncompliance in the attentional behavior of hyperactive children, are discussed.This study is based in part on the first author's Ph.D. thesis in the Department of Psychology, University of Melbourne.     

Responses to false physiological feedback in individuals with panic attacks and elevated anxiety sensitivity

Participants with elevated anxiety sensitivity and a history of panic attacks were compared to a low anxiety comparison group with respect to physiological and subjective reactivity to false heart-rate feedback and reactivity to a priming procedure. Whereas accurate heart-rate feedback elicited minimal responses, participants across groups showed significant physiological and subjective responses to false feedback. High risk and low risk participants did not differ in heart-rate responses to false feedback, though panic attack frequency did predict physiological and subjective reactions to false feedback in the high risk group. Self-reported nonspecific anxiety was significantly higher in high risk female participants than in low risk female participants, while males did not different in general subjective anxiety. However, high risk participants reported more panic-specific symptoms during the false feedback task than low risk participants, regardless of the sex of the participant. Therefore, although the experimental paradigm appeared to trigger nonspecific anxiety in high risk female participants, panic attack symptoms in reaction to the task were specific to risk group, not sex, and consistent with hypotheses. Surprisingly, the priming procedure did not influence physiological or subjective responses to false feedback in either group. These results raise additional questions regarding the process and impact of interoception in individuals with panic attacks, and suggest that false perception of internal changes may contribute to risk for panic disorder when exposed to believable cues.     

Sex-Typed instructions and sex-role preference in young children's task performance

Two measures of sex-role preference were administered to 32 male and 32 female preschool children. Each group of children was divided according to sex-role preference scores, assigned to a male experimenter or a female experimenter, and performed two sorting tasks after being instructed that one task was masculine and the other feminine. One analysis was based on the sex preference of subjects as measured by the IT Scale for Children and the other was based on subject assignment from Toy Preference Test scores. The hypothesis that sex-role preference would predict performance on sex-labeled tasks was partially confirmed. All subjects performed better on the female task than on the male task and more accurately on all tasks with a male experimenter than with a female experimenter.This report is based on a master's thesis submitted to the University of Guelph by the first author. Acknowledgments are due to MacDonald, Aladdin, Jack and Jill, Wee Y'rs, Cambridge, and Christopher House preschools in Guelph and Cambridge, Ontario, for their cooperation.     

Differences in reported symptom profile between panic disorder and other DSM-III-R anxiety disorders.

Previous research has indicated that reports of panic attacks are associated with a different set of symptoms to reports of generalized anxiety. The present two studies attempted to extend these findings to specific (situational) fears. In Study 1, 55 subjects with panic disorder were compared on their symptom profile during their panic attacks to 65 subjects with other anxiety disorders [simple phobia, social phobia and obsessive-compulsive disorder (OCD)] during response to their feared cue. The results indicated that, compared to subjects with other anxiety disorders, subjects with panic disorder were more likely to report parasthesias, dizziness, faintness, unreality, dyspnea, fear of dying and fear of going crazy/losing control. In Study 2, 90 subjects meeting diagnostic criteria for both panic disorder and another anxiety disorder (simple phobia, social phobia or OCD) were compared on the symptoms experienced during their unexpected panic attacks and their situationally-triggered fears respectively. Combining the symptoms found in Study 1 to differ between the groups into a linear combination, there was a significant interaction found between the type of fear reaction (panic attack vs cued fear response) and symptom group. Taken together, these findings suggest that reports of unexpected panic attacks associated with panic disorder are characterized by a different symptom profile to reports of specific fear reactions that are part of a phobic disorder or OCD.     

Cognitive behavioral therapy for panic disorder and comorbidity: more of the same or less of more?

This study compared the effects of a higher dose of cognitive behavioral therapy (CBT) for panic disorder versus CBT for panic disorder combined with "straying" to CBT for comorbid disorders in individuals with a principal diagnosis of panic disorder with or without agoraphobia. Sixty-five participants were randomly assigned to one of two treatment conditions, either CBT focused solely upon panic disorder and agoraphobia or CBT that simultaneously addressed panic disorder and agoraphobia and, to a lesser degree, the most severe comorbid condition. Results indicated a significant reduction in panic disorder severity and a decline in severity of comorbid diagnoses across both treatment conditions. However, individuals receiving CBT focused only on panic disorder were more likely to meet high end-state functioning at post-treatment, even in intent-to-treat analyses, and report zero panic attacks at the 1-year follow-up, although this effect was not retained in intent-to-treat analyses. At follow-up, CBT focused only on panic disorder yielded more substantial improvement in the most severe baseline comorbid condition, although not in intent-to-treat analyses, and a greater proportion of individuals in this treatment condition were rated as having no comorbid diagnoses, even in intent-to-treat analyses. These findings raise the possibility that remaining focused on CBT for panic disorder may be more beneficial for both principal and comorbid diagnoses than combining CBT for panic disorder with 'straying' to CBT for comorbid disorders.     

Performance of the vertical position in synchronized swimming as a function of skill, proprioceptive and visual feedback

This experiment assessed the efficacy of proprioceptive and visual information for the performance of "vertical position" by synchronized swimmers. Three skill groups of 5 senior, 5 intermediate, and 5 novice synchronized swimmers performed 40 vertical positions under four conditions. The conditions were: self-initiated with and without vision, and following experimenter perturbation, with and without vision. The dependent measure was degrees of error from true vertical. Analysis indicated that either proprioception or proprioception and vision may be used in performing vertical positions. A significant main effect was found among skill groups.     

Suggestibility and type of interpersonal relationship: Special implications for the patient-practitioner relationship

Suggestibility was assessed in five conditions by the subject's response to suggestions falsely labeled as matters of fact. These misrepresentations of fact, or virtual suggestions, denoted a variety of hallucinations, an anesthesia, and an amnesia. They were administered as incidental intrusions while the subject was involved in the primary experimental task. In three of these conditions, the subject either observed his own spontaneous visual imagery, observed visual scenes provided by the experimenter, or simply waited with closed eyes for the presentation of the virtual stimuli. These conditions were characterized by a passive-receptive, interpersonal relationship in which the subject remained silent. Suggestibility was expected to be high. In a fourth condition the subjects described spontaneous visual imagery. This was characterized as an active-receptive relationship in which speech was maintained throughout. The suggestibility of the three passive-receptive conditions was comparable, and none of them differed from a baseline condition involving the formal induction of hypnosis. However, the fourth, active-receptive condition was significantly lower, and this difference survived a replication. Of special interest was the induction of an anesthesia in the majority of subjects in the three passive-receptive conditions.     

Differential effects of safety in extinction of anxious responding to a CO2 challenge in patients with panic disorder

Safety-relevant parameters are hypothesized to be important to the maintenance of pathological anxiety. The authors examined the effects of safety information and safety cues on anxious responding to a repeated 35% CO2 challenge in 31 patients with panic disorder. Patients were randomly assigned to one of three conditions: (a) safety information, (b) safety information plus a safety cue, or (c) no safety information. In the safety information group, patients received accurate information regarding the benign effects of the CO2 challenge. In the combined group, patients also received a safety cue that is salient for many patients with panic disorder (i.e., access to an anxiolytic pill during the challenge). The experimental manipulations did not differentially affect anxious responding following an initial challenge. However, after access to the anxiolytic was removed and the challenge procedure was repeated, those in the safety information alone condition showed lower subjective anxiety compared to those in the combined safety information/safety cue group. Findings suggest that safety information facilitates extinction of anxiety but only in the absence of safety cues.     

The use of a real-time computer diary for data acquisition and processing

Behavioural researchers have long relied on the use of diaries for the collection of self-report data. We discuss the characteristics of a programmable hand-held computer used to collect hourly and event generated data for 7 days on 20 subjects with panic disorder. In the application described, subjects answered a series of 19 or more questions on the hour from 0700 to 2300 or when they were having a panic attack. Subjects completed 88% of all the hourly ratings (range 64-98%). The system was well accepted by the subjects and provided relatively inexpensive data collection and management.     

Paranoid cognitions,failure, and focus of attention in college students

Three experiments examined aspects of the link between focus of attention, manipulated by use of video camera and monitor, and paranoid and depressive cognitions in a sample of college students. In Experiment 1 participants were exposed to either a failure or neutral task, under high (HSA) or low self-awareness (LSA) conditions. HSA triggered paranoid cognitions on neutral and failure tasks; failure alone triggered depressive cognitions. In Experiment 2 the camera switched focus thrice between participant and experimenter using only neutral tasks. Paranoia scores initially were higher in the HSA condition. Paranoia scores increased when participants moved from LSA to HSA. Paranoia scores never fell when moving from HSA to LSA conditions. Experiment 3 used only HSA and failure, and showed how a priming task that increased the accessibility of either positive or negative self-cognitions led to significantly different paranoia and depression scores.     

Attacker's intent and awareness of outcome,impression management,and retaliation

Female Japanese students who were engaged in a calculation task were given electric shocks by a female opponent. The subjects were informed that the opponent had an intent to shock them either severely or mildly. In addition, the opponent's awareness of the outcome of attack was independently manipulated: (1) the subjects received shocks whose intensity corresponded to the opponent's intent, (2) the subjects received shocks whose intensity was inversely proportional to the intensity intended by the opponent and were informed that the opponent did not know about it, or (3) the subjects received reversed shocks as in condition (2), but were further informed that the opponent was well aware of it. An ANOVA of the measure of retaliation in terms of the intensity of shocks delivered to the opponent indicated that (1) the subjects showed more aggression of greater intensity against an opponent who apparently had an aggressive intent than the one who did not, regardless of the actual level of shock intensity; (2) when the severe attack failed, the subjects lowered aggression when the opponent was apparently aware of it as opposed to when she was not; and (3) when the subjects received severe shocks accidentally, they increased aggression when the opponent was apparently aware of it compared to when she was not. These results led us to interpret retaliation as being mediated both by the attribution of intent to the attacker and by self-presentation to the attacker and the experimenter.     

Transitions of Developmental Trajectories of Depressive Symptoms Between Junior and Senior High School Among Youths in Taiwan: Linkages to Symptoms in Young Adulthood

We investigated the heterogeneous developmental trajectories of depressive symptoms in junior and senior high school, the transitions to different trajectories after entering senior high school, and the linkages to the development of depressive symptoms in early adulthood among Taiwanese adolescents. An eight-wave longitudinal data set was analyzed, including 2687 Taiwanese adolescents (51.2% boys, M age?=?14.3 at first wave). Using a manual three-step latent transition growth mixture model, we found that a three-class solution fit the data for both junior high school (termed high-improving, cumulative, and JS-low-stable) and senior high school period (termed heightening, moderate-stable, and HS-low-stable). The depressive symptoms of most individuals maintained at a low level (i.e., low-stable) from adolescence to early adulthood; however, nearly a quarter of the adolescents reported depressive symptoms that were moderately or highly severe in senior high school and beyond. More than 30% of the participants experienced transitioning into a different developmental trajectory between junior and senior high school. When perceiving a higher level of paternal behavioral control, adolescents categorized in the high-improving class in junior high school would have a higher chance to transition to the moderate-stable class than to HS-low-stable class in senior high school. Adolescent boys and girls did not differ in the probability of transitioning between trajectories across junior and senior high school. However, a clear and consistent pattern of symptoms between late adolescence and early adulthood was not observed. These results help elucidate the heterogeneity and fluidity associated with the development of depressive symptoms between early adolescence and early adulthood in light of school transition among youths in Taiwan.