TITLE

Interoceptive hypersensitivity and interoceptive exposure in patients with panic disorder: specificity and effectiveness

AUTHOR(S)
Kiyoe Lee; Noda, Yumiko; Nakano, Yumi; Ogawa, Sei; Kinoshita, Yoshihiro; Funayama, Tadashi; Furukawa, Toshiaki A.
PUB. DATE
January 2006
SOURCE
BMC Psychiatry;2006, Vol. 6, p32
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Interoceptive exposure has been validated as an effective component of cognitive behavioral therapy (CBT) for the treatment of panic disorder but has hitherto received little research attention. We examined the effectiveness of various interoceptive exposure exercises using the Body Sensations Questionnaire (BSQ) (Chambless et al., 1984). Methods: We first performed an exploratory principal factor analysis of all the items contained in the BSQ to obtain meaningful dimensions of interoceptive fears. Next, we examined the correlations between each interoceptive exposure task's degree of similarity to panic attacks and each BSQ factor and then examined whether the BSQ factor scores decreased in comparison with the baseline values when the corresponding exposure tasks were successfully completed by the subjects. Results: The factor analyses revealed four factors, which we named "pseudoneurological fears", "gastrointestinal fears", "cardiorespiratory fears" and "fears of dissociative feelings." Among the nine interoceptive exposure tasks, 'hyperventilation', 'shaking head', 'holding breath' and 'chest breathing' were considered to reproduce pseudoneurological symptoms, 'breathing through a straw' was considered to reproduce gastrointestinal symptoms, and 'spinning' was considered to reproduce both pseudoneurological and dissociative symptoms; none of the interoceptive exercises were found to reproduce cardiorespiratory symptoms. Among each group of patients for whom 'hyperventilation', 'holding breath', 'spinning' or 'chest breathing' was effective, a significant improvement in the BSQ pseudoneurological fears factor scores was observed. On the other hand, no significant difference between the baseline and endpoint values of the BSQ gastrointestinal fears or the BSQ fears of dissociative feelings factor scores were observed among the patients for whom 'spinning' or 'breathing through a straw' was effective. Conclusion: Several interoceptive exposure tasks were particularly effective in reducing pseudoneurological fears. New interoceptive tasks, especially tasks related to cardiorespiratory and dissociative feelings, are needed.
ACCESSION #
29323759

 

Related Articles

  • How shyness quashes careers. Fernandez, Tommy // Crain's New York Business;6/27/20005, Vol. 21 Issue 26, p23 

    The article discusses how shyness quashes careers. Shyness is universal and city life provides an array of triggers for the socially anxious. Social anxiety affects people in a variety of ways. People might feel mild discomfort when talking to strangers, or outright terror when addressing a...

  • Chapter 1: What Is Social Anxiety?  // Antidepressants & Social Anxiety: A Pill for Shyness?;2007, p8 

    The article offers information about social anxiety. When an individual is deliberately shy she is experiencing a level of social anxiety, which debilitates and sometimes overpowers. According to one expert, this type of anxiety cuts across race and social class, placing constant restraints on...

  • Dimensions of Negative Thinking and the Relations with Symptoms of Depression and Anxiety in Children and Adolescents. Rood, Lea; Roelofs, Jeffrey; Bögels, Susan M.; Alloy, Lauren B. // Cognitive Therapy & Research;Aug2010, Vol. 34 Issue 4, p333 

    The current study sought to examine three forms of negative, repetitive thinking in non-clinical children and adolescents aged between 10 and 18. More specifically, this study addressed the degree to which stress-reactive rumination can be differentiated from other forms of repetitive thinking,...

  • Pain Has Something Wonderful To Teach Us. Katz, Dian // Lesbian News;Apr2005, Vol. 30 Issue 9, p47 

    Focuses on the actions that should be taken by an individual to overcome anxiety and depression. Strategy that can be used to improve a bad situation; Advantage of mastering a particular area of emotions to a person; Activities that can be performed to make a person's body feel great.

  • THE HOSPITAL ANXIETY AND DEPRESSION SCALE. HOMOGENEITY OF THE SUBSCALES. Andersson, Egil // Social Behavior & Personality: An International Journal;1993, Vol. 21 Issue 3, p197 

    The H.A.D.-scale was originally used as a screening test for assessing the presence of clinically significant degrees of anxiety and depression. It has also been used as a measuring instrument outside hospital care. The main questions in this study are: 1) Do the test items fit a sample of...

  • When panic sets in. Price, Damian // World of Irish Nursing;May2004, Vol. 12 Issue 5, p37 

    Deals with anxiety. Collection of responses which are designed to safeguard people from harm; Definition and scope of anxiety; Anxiety and depression; Pharmacological treatments for anxiety.

  • Validation of the 10-item Kessler Psychological Distress Scale (K10) in the 2012 Aboriginal Peoples Survey. Bougie, Evelyne; Arim, Rubab G.; Kohen, Dafna E.; Findlay, Leanne C. // Health Reports;Jan2016, Vol. 27 Issue 1, p3 

    Background: The 10-item Kessler Psychological Distress Scale (K10) is a short measure of non-specific psychological distress, which has been shown to be a sensitive screen for the Diagnostic and Statistical Manual of Mental Disorders criteria for anxiety and mood disorders. The scale has yet to...

  • Why do you fear the bogeyman? An embodied predictive coding model of perceptual inference. Pezzulo, Giovanni // Cognitive, Affective & Behavioral Neuroscience;Sep2014, Vol. 14 Issue 3, p902 

    Why are we scared by nonperceptual entities such as the bogeyman, and why does the bogeyman only visit us during the night? Why does hearing a window squeaking in the night suggest to us the unlikely idea of a thief or a killer? And why is this more likely to happen after watching a horror...

  • Make It a "No Fear" Autumn. La Cerra, Peggy // Spirituality & Health;Sep/Oct2011, Vol. 14 Issue 5, p14 

    The author reflects on issues concerning anxiety and fear. She recommends for people to become critical thinkers and learn to sort incoming messages according to those that are of concern to them, those that are imposed on them for the advancement of another person's goals, and those that should...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics