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Fear Of Fear

Submitted by mzmillion on April 11, 2005

Category: Psychology
Words: 943 | Pages: 4
Views: 580
Popularity Rank: 18,754
Average Member Grade: N/A (Add a Comment / Grade this Paper)

Clinical trials have demonstrated the efficacy of cognitive-behavioral treatment (CBT) for panic disorder but the mechanism responsible for the improvement are lacking. The reduction of fear of fear (FOF), or the tendency to respond fearfully to benign bodily sensations, is believed to underlie the improvement resulting from CBT. Research has provided evidence consistent with the FOF hypothesis. Descriptive studies consistently show that panic disorder patients score significantly higher on self-report measures tapping fear of bodily sensations. Those who score high on measures tapping FOF display heightened emotional responding to challenge compared with those who score low on these same FOF measures (M. Brown, Smits, Powers, & Telch, 2003; Eke & McNally, 1996; Holloway & McNally, 1987; McNally & Eke, 1996; Rapee & Medoro, 1994; Telch et al., 2003). Findings from several prospective studies suggest that people score big on the Anxiety Sensititivity Index (ASI) are at greater risk for developing occurring panic attacks (Schmidt, Lerew, & Jackson, 1997;p Shmidt, Lerew, & Joiner, 1998).
Specific procedural components contained in contemporary CBT manuals for panic disorder include education about the nature and physiology of panic and anxiety, breathing retraining designed to assist patients in learning to control hyperventilation, cognitive restructuring aimed at teaching patients to identify and correct faulty threat perceptions that contribute to their panic and anxiety, interoceptive exposure aimed at reducing patents' fear of harmless bodily sensations associated with physiological activation, and fading of maladaptive defensive behaviors such as avoidance of external situations (Barlow, Craske, Cerny, & Klosko, 1989; Clark et al., 1994; Telch et al., 199).
On the basis of contemporary psychological theories of panic disorder, several findings implicate change in FOF as a mediator of treatment outcome. CBT results in significant reductions...

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