Syndrome comorbidity in patients diagnosed with a DSM-III-R anxiety disorder

One hundred thirty patients presenting at an anxiety disorders research clinic were administered a structured interview (i.e., Anxiety Disorders Interview Schedule-Revised). Diagnoses were made in accordance with Diagnostic and Statistical Manual (rev. 3rd ed.) criteria. Seventy percent of patients received at least one additional but secondary Axis I diagnosis. The most common additional diagnoses were simple and social phobia, which were assigned to nearly one third of all patients. In addition, 33% of anxiety disorder patients received an additional diagnosis of a depressive mood disorder (i.e., dysthymia or major depression). The distribution of specific additional diagnoses are presented for each principal anxiety disorder category. The scientific and clinical implications of comorbidity are discussed while considering the relatively high patterns of syndrome comorbidity found in the present study, which is consistent with several earlier studies.     

Social phobia features across the DSM-III-R anxiety disorders

One hundred sixty subjects meeting DSM-III-R criteria for the five major anxiety disorders were compared on the extent to which they reported features characteristic of social phobia. The results indicated that many patients in the anxiety disorder categories experience some degree of social anxiety. The differences between subjects with a primary diagnosis of social phobia and subjects with other anxiety disorders appear to be chiefly quantitative on this feature. Compared to the other anxiety disorders, social phobics report fear and avoidance in response to a greater number of social situations and report greater interference in their lives due to social phobic concerns. Among the anxiety disorders, generalized anxiety disorder appears to be associated with the greatest degree of social anxiety, and simple phobia with the least.     

Unmasking affiliative behavior among juvenile Midas cichlids (Cichlasoma citrinellum)

Adults of the Midas cichlid (Cichlasoma citrinellum) are predominantly normal-colored (N) morphs, although 8% in nature are gold (G) morphs. They tend to mate assortatively by color; that behavior may be influenced by prior experience with parents or siblings or by their own color. A previous experiment indicated that juveniles respond according to a rule that they avoid and behave defensively toward G juveniles and that they consort with and behave aggressively toward N juveniles (Barlow & Siri, 1987). The fear-provoking effect of G may have interfered with more subtle aspects of choice because the 4 treatment fish in each group reacted through the glass barrier to the approach of the subject. In the present experiment such feedback was eliminated by using one-way mirrors. N juveniles reared by normal parents (N X N) differentiated between N and G treatment fish only in that they attacked significantly more toward G; thus their behavior was contrary to that predicted by the fear-provoking effect of gold. The notable effect among juveniles reared by G parents (G X G) was that N spent more time with N and avoided G treatment fish, in keeping with the fear-provoking effect of gold. The results are discussed in terms of the differences in experiences between juveniles reared N X N, all of which were themselves N, and those reared G X G, consisting of both color morphs. Despite the differences in the two experiments, the main conclusion remains in place: Affiliative responses of juveniles, as measured in these tests, do not predict choice of mate among adults.     

'Fear of panic': an investigation of its role in panic occurrence, phobic avoidance, and treatment outcome

The concept of 'fear of fear' has recently received empirical attention regarding its role in panic occurrence and phobic avoidance. Overall, the results of such studies have indicated that anticipation of panic is positively correlated (albeit weakly) with self-reports of avoidance. The present study examined the relationship of panic anticipation--panic occurrence, phobic avoidance and treatment outcome, using a more direct measure of this fear than has been used in previous studies. Results indicated that anticipation of panic was slightly correlated with breadth and severity of avoidance, and moderately correlated with overall clinical severity. In addition, anticipation of panic was found to decrease significantly throughout treatment, but appeared to be independent of actual panic experience. These results may suggest the operation of an intervening variable which accounts for the reduction of both anticipated and actual panic events. Implications for assessment and treatment are discussed.     

Wage rate,nonlabor income,and labor supply in rats

Thirsty rats pressed a lever for water under fixed-ratio schedules, with or without free water at the start of the 1-hr session. Total water intake fell steadily as the fixed-ratio requirement increased; when the fixed-ratio requirements covered a relatively broad range, total lever presses rose and then fell as the requirement increased. Free water decreased total lever presses but increased total intake, especially at the higher fixed-ratio requirements; its effect on total intake proved relatively hard to detect, but grew more apparent as the amount of free water increased. The results conformed more closely to a recent revision of the conservation model than to the original model. By viewing milliliters per press as a wage rate, and free water as nonlabor income, results are brought to bear on predictions derived from economic labor supply theory. In economic terms, rising wage rates were accompanied by a rise followed by a fall in total labor supply, but a steady rise in total income, in conformity with the backward bending labor supply curve. Nonlabor income cut the supply of labor but raised total income, especially at the lower wage rates.     

Patterns of desynchrony in agoraphobia: A preliminary report

Changes in heart rate in three moderate to severe agoraphobic women were monitored by a Holter Recorder, used for obtaining portable EKGs. These data were collected before, half-way through, and at the end of a 12 session, group therapy program consisting of exposure and cognitive restructuring while subjects walked, or in one case, were driven along a standard 1.2 km course leading away from the treatment setting. Self-reports of anxiety were collected simultaneously. Despite substantial behavioral improvement in all cases, markedly different patterns of synchrony or desynchrony were noted between heart rate and self-reports of anxiety and substantial increases in heart rate were noted in one subject.