Summary
A thorough assessment is essential for defining the targets for therapy, developing an individually tailored treatment plan, setting treatment goals, and measuring treatment progress and outcome. It is important to consider medical conditions and substances that may mimic panic symptoms. Determining whether panic attacks are uncued, assessing the focus of fear during a panic attack, and examining reasons for avoidance of situations are crucial to distinguishing PD from other anxiety disorders. Assessment of the nature and frequency of panic attacks and the core features of PD (interoceptive anxiety, panic cognitions, and agoraphobic avoidance) forms the basis for choosing treatment strategies, and periodic monitoring of these components provides indicators of treatment progress and outcome. Finally, comorbidity, levels of impairment, course, and family variables are also important factors to consider when developing and implementing treatment. Ideally, assessment should be multimodal, utilizing a combination of clinical interviews, self-report measures, self-monitoring diaries, and BATs.
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References
Agras, W. S., Leitenberg, H., & Barlow, D. H. (1968). Social reinforcement in the modification of agoraphobia. Archives of General Psychiatry, 19, 423–427.
American Psychiatric Association. (1998). Practice guideline for the treatment of patients with panic disorder. Washington, DC: Author.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
Antony, M. M., & Barlow, D. H. (1996). Emotion theory as a framework for explaining panic attacks and panic disorder. In R. M. Rapee (Ed.), Current controversies in the anxiety disorders (pp. 55–76). New York: Guilford.
Antony, M. M., Roth, D., Swinson, R. P., Huta, V., & Devins, G. M. (1998). Illness intrusiveness in individuals with panic disorder, obsessive compulsive disorder, or social phobia. Journal of Nervous and Mental Disease, 186, 311–315.
Antony, M. M., & Swinson, R. P. (2000). Phobic disorders and panic in adults: A guide to assessment and treatment. Washington, DC: American Psychological Association.
Baker, S., Patterson, M., & Barlow, D. H. (in press). Panic disorder and agoraphobia. In M. M. Antony & D. H. Barlow (Eds.), Handbook of assessment, treatment planning, and outcome evaluation: Empirically supported strategies for psychological disorders. New York: Guilford.
Barlow, D. H. (in press). Anxiety and its disorders: The nature and treatment of anxiety and panic (2nd ed.). New York: Guilford.
Barlow, D. H., & Craske, M. G. (2000). Mastery of your anxiety and panic III (client workbook). San Antonio, TX: The Psychological Corporation.
Beck, J. G., & Zebb, B J. (1994). Behavioral assessment and treatment of panic disorder: Current status, future directions. Behavior Therapy, 25, 581–611.
Brown, T. A., Antony, M. M., & Barlow, D. H. (1995). Diagnostic comorbidity in panic disorder: Effect on treatment outcome and course of comorbid diagnoses following treatment. Journal of Consulting and Clinical Psychology, 63, 408–418.
Brown, T. A., & Cash, T. F. (1989). The phenomenon of panic in nonclinical populations: Further evidence and methodological considerations. Journal of Anxiety Disorders, 3, 139–148.
Brown, T. A., Di Nardo, P., & Barlow, D. H. (1994). Anxiety Disorders Interview Schedule for DSM-IV. San Antonio, TX: The Psychological Corporation.
Chambless, D. L., Caputo, G. C., Bright, P., & Gallagher, R. (1984). Assessment of fear of fear in agoraphobics: The Body Sensations Questionnaire and the Agoraphobic Cognitions Questionnaire. Journal of Consulting and Clinical Psychology, 52, 1090–1097.
Chambless, D. L., Caputo, G. C., Jasin, S. E., Gracely, E. J., & Williams, C. (1985). The Mobility Inventory for agoraphobia. Behaviour Research and Therapy, 23, 35–44.
Clark, D. (1986). A cognitive approach to panic. Behaviour Research and Therapy, 24, 461–470.
Clark, D. M., Salkovskis, P. M., Öst, L.-G., Breitholtz, E., Koehler, K. A., Westling, B. E., Jeavons, A., & Gelder, M. (1997). Misinterpretation of body sensations in panic disorder. Journal of Consulting and Clinical Psychology, 65, 203–213.
Clum, G. A., Broyles, S., Borden, J., & Watkins, P. L. (1990). Validity and reliability of the Panic Attack Symptoms and Cognitions Questionnaires. Journal of Psychopathology and Behavioral Assessment, 12, 233–245.
Dattilio, F. M., & Salas-Auvert, J. (2000). Panic disorder: Assessment and treatment through a wide-angle lens. Phoenix, AZ: Zeig, Tucker, & Co.
de Beurs, E., Chambless, D. L., & Goldstein, A. J. (1997). Measurement of panic disorder by a modified panic diary. Depression and Anxiety, 6, 133–139.
de Beurs, E., Lange, A., Van Dyck, R., Blonk, R., & Koele, P. (1991). Behavioral assessment of avoidance in agoraphobia. Journal of Psychopathology and Behavioral Assessment, 13, 285–300.
Devins, G. M., Blinik, Y. M., Hutchinson, T. A., Hollomby, D. J., Barre, P. E., & Guttman, R. D. (1983). The emotional impact of end-stage renal disease: Importance of patients’ perceptions of intrusiveness and control. International Journal of Psychiatry and Medicine, 13, 327–343.
Di Nardo, P., Brown, T. A., & Barlow, D. H. (1994). Anxiety Disorders Interview Schedule for DSM-IV (Lifetime Version). San Antonio, TX: The Psychological Corporation.
First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1996). Structured Clinical Interview for DSM-IV Axis I Disorders—Patient Edition (SCID-I/P, Version 2.0). New York: Biometrics Research Department, New York State Psychiatric Institute.
Khawaja, N. G., & Oei, T. P. S. (1998). Catastrophic cognitions in panic disorder with and without agoraphobia. Clinical Psychology Review, 18, 341–365.
Khawaja, N. G., Oei, T. P. S., & Baglioni, A. J. (1994). Modification of the Catastrophic Cognitions Questionnaire (CCQ-M) for normals and patients: Exploratory and LISREL analyses. Journal of Psychopathology and Behavioral Assessment, 16, 325–342.
Mathews, A. M., Gelder, M., & Johnston, D. W. (1981). Agoraphobia: Nature and treatment. New York: Guilford.
Peterson, R. A., & Reiss, S. (1993). Anxiety Sensitivity Index Revised test manual. Worthington, OH: IDS Publishing Corporation.
Rapee, R. M., Craske, M. G., & Barlow, D. H. (1990). Subject-described features of panic attacks using selfmonitoring. Journal of Anxiety Disorders, 4, 171–181.
Ware, J. E., & Sherbourne, C.D. (1992). The MOS 36-Item Short Form Health Survey (SF-36): Conceptual framework and item selection. Medical Care, 30, 473–481.
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McCabe, R.E. (2002). Panic Disorder and Agoraphobia: A Brief Overview and Guide to Assessment. In: Antony, M.M., Orsillo, S.M., Roemer, L. (eds) Practitioner’s Guide to Empirically Based Measures of Anxiety. AABT Clinical Assessment Series. Springer, Boston, MA. https://doi.org/10.1007/0-306-47628-2_9
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DOI: https://doi.org/10.1007/0-306-47628-2_9
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