The cognitive theory of panic disorder: A systematic narrative review.

Autor: Aslam SY; University of Oxford, The Oxford Institute for Clinical Psychology Training and Research, Isis Education Centre, Warneford Hospital, Oxford OX3 7JX, UK. Electronic address: saarim.aslam@stx.ox.ac.uk., Zortea T; University of Oxford, The Oxford Institute for Clinical Psychology Training and Research, Isis Education Centre, Warneford Hospital, Oxford OX3 7JX, UK. Electronic address: tiago.zortea@hmc.ox.ac.uk., Salkovskis P; University of Oxford, Department of Experimental Psychology and The Oxford Institute for Clinical Psychology Training and Research, Isis Education Centre, Warneford Hospital, Oxford OX3 7JX, UK. Electronic address: paul.salkovskis@hmc.ox.ac.uk.
Jazyk: angličtina
Zdroj: Clinical psychology review [Clin Psychol Rev] 2024 Nov; Vol. 113, pp. 102483. Date of Electronic Publication: 2024 Aug 13.
DOI: 10.1016/j.cpr.2024.102483
Abstrakt: Background: The cognitive theory of panic disorder proposes that individuals with panic disorder have a relatively enduring tendency to catastrophically misinterpret bodily sensations resulting in panic attacks.
Aims: We investigated whether the evidence is consistent with the theory and its predictions, if updates are required and sought to identify future research considerations.
Methods: We searched Scopus, Web of Science, PsycInfo, EMBASE, MEDLINE and CINAHL (1986 to July 2024). Inclusion criteria were studies collecting quantitative data derived from panic disorder patients, testing one of the predictions and using appropriate outcome measures. Exclusion criteria were non-English language publications, all participants under the age of 18 and studies that were not published in a peer-reviewed journal. Quality was assessed using 'QualSyst' and synthesis was based on each prediction tested. PROPSERO registration #CRD42022332211.
Results: 53 studies were identified amongst 49 publications. There was substantial evidence for all predictions. Three studies did not support the prediction tested and none were inconsistent.
Limitations: Most studies were 'medium' in quality and were predominately from female samples.
Conclusions: Findings are consistent with the theory and its predictions. Higher quality research is needed and implications for future research are discussed.
Competing Interests: Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests. Paul Salkovskis conducts training from time to time on the treatment of panic disorder, for which he receives honoraria. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE