The Relationship Between Catastrophic Cognitions and the Components of Panic Disorder
Cognitive models of panic postulate that panic attacks arise from the catastrophic misinterpretation of somatic symptoms. Hitherto, research has concentrated on the link between cognitions and the somatic sensations experienced during panic attacks; little attention has been directed towards the relationship between cognitions and other critical components of Panic Disorder (e.g., avoidance behavior). Fifty-eight patients presenting with Panic Disorder with Agoraphobia (DSM-III-R) rated their degree of belief in nine “core” catastrophic cognitions and completed self-report measures of the critical symptoms of Panic Disorder. Results demonstrated a link between cognitions of physical catastrophe and somatic symptoms. Additionally, strong links were detected between the cognitions of losing control and “experiential” symptoms, between the cognition of insanity and depressive symptoms, and between the cognition of social embarrassment and avoidance behavior. Implications for the cognitive model and treatment of Panic Disorder are discussed.