Agoraphobia with and without Current Panic Attacks

Autor: Dennis J. Munjack, Richard S. Brown, Diane E. Mcdowell
Rok vydání: 1989
Předmět:
Zdroj: Psychological Reports. 64:503-506
ISSN: 1558-691X
0033-2941
DOI: 10.2466/pr0.1989.64.2.503
Popis: 5~mmay.-MMPI and SCL90-R profiles of agoraphobics with and without current panic attacks are presented. Agoraphobics with current panic attacks were more elevated on Psychopathic Deviate (41, Psychasthenia (71, and Social Introversion (0) scales of the MMPI. On the SCL90-R agoraphobics with current panic attacks had higher scores on Interpersonal Sensitivity, Anxiety, Phobic Anxiety, and Total/90. Chambless (1985) is one of the few authors who has discussed the severity of panic attacks in agoraphobia and its relation to associated pathology. In her sample more frequent and intense panic attacks were associated with more depression, neuroticism, and chronic anxiety. Observation of our own patient population indicated that the clinical profiles of agoraphobics who are currently experiencing panic attacks may be different enough from those who are not currently experiencing panic attacks that they should be considered as different kinds of patients in diagnosis, treatment, and research. To lend support to such an hypothesis we analyzed MMPI and SCL-90-R profiles of agoraphobic patients who have come through the Anxiety Disorders Clinic at the University of Southern California. We predicted that agoraphobics currently experiencing panic attacks would show more elevation on the Depression, Psychasthenia, and Introversion Scales of the MMPI than agoraphobics who were not currently experiencing panic attacks. Although the term psychasthenia is outmoded, the scale is considered to be the MMPI's "best single indicator of anxiety and ruminative self-doubt" (Groth-Marnat, 1984, p. 304). The introversion scale incorporates items related to social problems including discomfort and anxiety in social situations (Groth-Marnat, 19841, which Chambless observed in her patients who had more frequent and severe panic attacks. In addition, we expected to find that agoraphobics currently experiencing panic attacks would score higher on the Interpersonal Sensitivity, Anxiety, Phobic Anxiety, and Depression factors of the SCL90-R than agoraphobics who were not currently experiencing panic attacks. METHOD
Databáze: OpenAIRE