Body vigilance in panic disorder: Evaluating attention to bodily perturbations
Body vigilance in panic disorder: Evaluating attention to bodily perturbations
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DOI：
10.1037/0022-006x.65.2.214
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发表时间：
1997-04-01
影响因子：
5.9
通讯作者：
Trakowski, JH
中科院分区：
文献类型：
--
作者：
Schmidt, NB;Lerew, DR;Trakowski, JH
身体警觉性，即有意识地关注内部线索，是一种正常的适应性过程。本报告研究了在惊恐障碍患者中身体警觉性是否会被夸大，惊恐障碍的特征是对身体感觉产生强烈的恐惧和担忧。身体警觉性量表在非临床样本和焦虑障碍样本中都得到了验证。研究1表明，在非临床样本（n = 472）中身体警觉性呈正态分布，但警觉性与自发性惊恐发作史、焦虑症状以及焦虑敏感性有关。研究2表明，惊恐障碍患者（n = 48）相对于社交恐惧症患者（n = 18）和非临床对照组（n = 71）身体警觉性更高。在认知行为治疗期间，惊恐障碍患者的身体警觉性随着焦虑症状的减轻而大幅降低。研究发现焦虑敏感性与身体警觉性有关，并能预测治疗期间身体警觉性的变化。
Body vigilance, consciously attending to internal cues, is a normal adaptive process. The present report investigated whether body vigilance is exaggerated among those with panic disorder, a condition characterized by intense fear and worry regarding bodily sensations. The Body Vigilance Scale is validated in nonclinical and anxiety disorder samples. Study 1 suggests that body vigilance is normally distributed in a nonclinical sample (n = 472) but vigilance is related to a history of spontaneous panic attacks, anxiety symptomatology, and anxiety sensitivity. Study 2 suggests that body vigilance is elevated in panic disorder patients (n = 48) relative to social phobia patients (n = 18) and nonclinical controls (n = 71). During cognitive-behavioral treatment, panic disorder patients show substantial reductions in body vigilance associated with reductions in anxiety symptomatology. Anxiety sensitivity was found to be related to body vigilance and to predict changes in body vigilance during treatment.