Predictors of agoraphobic avoidance

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Abstract

Eighty-eight patients suffering panic disorder with agoraphobia and reporting at least one unexpected panic attack in the past month were sent questionnaires designed to examine some of the factors which may be associated with their avoidance. The subjects were divided into three groups based on their degree of avoidance: minimal avoidance, moderate avoidance, and marked avoidance. There were a number of differences between the groups which appeared to be reducible, on face validity, to two basic features. First, patients with greater avoidance were more likely to perceive influences and triggers for their panic attacks, whereas those with less avoidance appeared more likely to believe that their attacks were independent of any external factors. Second, the degree of avoidance seemed to be related to scales measuring social anxiety, introversion, and unassertiveness. The data are discussed with relation to a theory of avoidance behavior, and further, more specific research is encouraged.

References (41)

  • B.A. Thyer et al.

    Agoraphobia: A test of the separation anxiety hypothesis

    Behaviour Research and Therapy

    (1985)
  • B.A. Thyer et al.

    Panic disorder: A test of the separation anxiety hypothesis

    Behaviour Research and Therapy

    (1986)
  • American Psychiatric Association

    Diagnostic and statistical manual of mental disorders

    (1987)
  • J.D.W. Andrews

    Psychotherapy of phobias

    Psychological Bulletin

    (1966)
  • A. Bandura

    Self-efficacy: Toward a unifying theory of behavior change

    Psychological Review

    (1977)
  • Barlow, D. H. (in press). Anxiety and its disorders. New York:...
  • D.H. Barlow et al.

    Co-morbidity and depression among the anxiety disorders: Issues in diagnosis and classification

    Journal of Nervous and Mental Disease

    (1986)
  • A.T. Beck et al.

    Anxiety disorders and phobias: A cognitive perspective

    (1985)
  • D. Buglass et al.

    A study of agoraphobic housewives

    Psychological Medicine

    (1977)
  • D.L. Chambless

    Characteristics of agoraphobics

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    The authors would like to thank Phoebe Holt, Richard Mattick, William Sanderson, and the anonymous reviewers for their helpful comments on prior drafts of this manuscript.

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