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      Anxiety Sensitivity or Interoceptive Sensitivity : An Analysis of Feared Bodily Sensations

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          Abstract

          Abstract. The construct of anxiety sensitivity (AS) – the fear of anxiety-related symptoms – has been highly influential in current conceptualizations of anxiety disorders in general, and panic disorder specifically. However, given documented associations between AS and both non-anxiety psychological disorders as well as medical/health conditions, the extent to which measures of AS are assessing a specific fear or anxiety symptoms versus a broader fear of interoceptive or bodily sensations is unclear. Confirmatory factor analysis of data from 373 participants failed to suggest whether fears of anxiety-related symptoms were factorially distinct from fears of non-anxiety-related bodily sensations, although analyses indicated that while fears of anxiety-related symptoms were more closely associated with panic disorder severity than were fears of non-anxiety-related symptoms, both were similarly and strongly associated with hypochondriacal fears. Implications for the construct of AS, and the broader construct of somatic fears, are discussed.

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          Most cited references45

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          Anxiety sensitivity, anxiety frequency and the prediction of fearfulness.

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            Predictors of panic-fear in asthma.

            Eighty-six asthmatics completed measures of illness-specific panic-fear (i.e., panic-fear in response to symptoms of asthma) and of generalized panic-fear, dyspnea frequency, and catastrophic cognitions about bodily symptoms (the Anxiety Sensitivity Index [ASI] and Agoraphobic Cognitions Questionnaire [ACQ]). Asthma variables (self-report and pulmonary function tests) and cognitive variables (ASI and ACQ) were independently related to illness-specific panic-fear. Regression analyses showed that the cognitive variables predicted significant variance in both panic-fear scales after controlling for the effects of demographic and asthma variables. By contrast, the asthma variables were not associated with generalized panic-fear when the cognitive measures were controlled. In light of the adverse effects of panic-fear on asthma, the authors' results suggest that researchers may fruitfully explore the use of cognitive techniques as an adjunctive treatment for improving asthma outcome.
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              The Illness Attitude Scales

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                Author and article information

                Contributors
                Journal
                jpa
                European Journal of Psychological Assessment
                Hogrefe Publishing
                1015-5759
                2151-2426
                June 26, 2015
                2017
                : 33
                : 1
                : 30-37
                Affiliations
                [ 1 ]Monash University, Clayton, VIC, Australia
                [ 2 ]Stanford University School of Medicine, Stanford, CA, USA
                Author notes
                Peter J. Norton, School of Psychological Sciences, Monash University, Clayton, Victoria, 3168, Australia, Tel. +61 3 9905 1709, Fax +61 3 9905 3948, peter.norton@ 123456monash.edu
                Article
                jpa_33_1_30
                10.1027/1015-5759/a000269
                7f44f787-ada5-4b0f-9dc4-769c09eacdb7
                Copyright @ 2015
                History
                : January 28, 2015
                Categories
                Original Article

                Assessment, Evaluation & Research methods,Psychology,General behavioral science
                hypochondriasis,anxiety sensitivity,interoceptive fears,panic disorder

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