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The influences of Cognitive Appraisals on Panic-Related Symptom Dimensions in College Students with Panic Attack

Abstract

This study examined the role of panic appraisal dimensions (anticipated panic, perceived consequences of panic, and perceived panic coping efficacy) in predicting panic-related symptoms in a sample of college students who met DSM-Ⅳ criteria for panic attack. 64 nonclinical panickers were administered the measures of panic appraisals, anxiety sensitivity, life stress, panic-related symptom dimensions, anxiety, and depression. After controlling for life stress and anxiety sensitivity, of the three panic appraisal dimensions studied, anticipated panic was the only significant predictor of agoraphobic avoidance, and only perceived consequences of panic significantly predicted the number of panic symptoms. In contrast, both anticipated panic and perceived panic coping efficacy significantly predicted interference with life due to panic. However, any of the panic appraisal dimensions did not significantly add to the variances of panic frequency, anxiety, and depressive symptoms. There was no evidence to suggest moderating relationships between panic appraisal dimensions and life stress. The results provide good support for differential contributions of the three panic appraisal dimensions in predicting panic-related symptoms except panic frequency. Finally, clinical implications as well as future research directions were presented.

keywords
cognitive appraisal, panic attack, panic disorder, anxiety sensitivity, cognitive specificity, 인지평가, 공황발작, 공황장애, 불안민감성, 인지특정성, cognitive appraisal, panic attack, panic disorder, anxiety sensitivity, cognitive specificity

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