Anxiety Sensitivity: Theory, Research, and Treatment of the Fear of Anxiety

By Steven Taylor | Go to book overview

syndrome ( Andrews, 1996). Therefore, it is logical to assume that at least a sizable proportion of the variance in AS is likely to be genetically determined.

Recently, speculation on the origins of anxiety disorders has begun to incorporate genetic vulnerability, family factors, socialization experiences, and specific life events ( Hudson & Rapee, in press; Rapee, 1997). AS, a subcomponent of trait anxiety ( Lilienfeld, 1996), is likely to be mediated by the same factors. It may be that the heritable component of AS serves as a necessary template for the development of panic disorder and that the experientially derived component of AS serves as the trigger that determines which predisposed individuals will express the disorder. Thus, a home for both biology and psychology could be found within the theoretical framework of panic disorder etiopathology. At present, no data directly address the possibility that AS might be inherited. A clearer understanding of the relationship between AS and the neurobiology of panic disorder awaits the conduct of these studies.


REFERENCES

Abelson J. L., Weg J. G., Nesse R. M., & Curtis C. G. ( 1996). "Respiratory psychophysiology and anxiety: Cognitive intervention in the doxapram model of panic". Psychosomatic Medicine, 58, 302-313.

Andrews G. ( 1996). "Comorbidity in neurotic disorders: The similarities are more important than the differences". In R. M. Rapee (Ed.), Current controversies in the anxiety disorders (pp. 3-20). New York: Guilford.

Asmundson G. J. G., Norton G. R., Wilson K. G., & Sandier L. S. ( 1994). "Subjective symptoms and cardiac reactivity to brief hyperventilation in individuals with high anxiety sensitivity". Behaviour Research and Therapy, 32, 237-241.

Asmundson G. J. G, & Stein M. B. ( 1994). "Triggering the false suffocation alarm in panic disorder patients by using a voluntary breathholding procedure". American Journal of Psychiatry, 151, 264-266.

Boulenger J. P., Uhde T. W., Wolff E. A. III., & Post R. M. ( 1984). "Increased sensitivity to caffeine in patients with panic disorders: Preliminary evidence". Archives of General Psychiatry, 41, 1067-1071.

Bouwer C., & Stein D. J. ( 1997). "Association of panic disorder with a history of traumatic suffocation". American Journal of Psychiatry, 154, 1566-1570.

Bradwejn J., Koszycki D., Payeur R., Bourin M., & Borthwick H. ( 1992). "Replication of action of cholecystokinin tetrapeptide in panic disorder: Clinical and behavioral findings". American Journal of Psychiatry, 149, 962-964.

Carr R. E., Lehrer P. M., Rausch L. L., & Hochron S. M. ( 1994). "Anxiety sensitivity and panic attacks in an asthmatic population". Behaviour Research and Therapy, 32, 411-418.

Charney D. S., Heninger G. R., & Jatlow P. I. ( 1985). "Increased anxiogenic effects of caffeine in panic disorders". Archives of General Psychiatry, 42, 233-243.

Clark D. M., Salkovskis P. M., Öst L. G., Breitholtz E., Koehler K. A., Westling B. E., Jeavons A., & Gelder M. G. ( 1997). "Misinterpretation of body sensations in panic disorder". Journal of Consulting and Clinical Psychology, 65, 203-213.

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