caa a22 4500 388040971 CHVBK 20180307125021.0 cr unu---uuuuu 161130e199812 xx s 000 0 eng 10.1017/S081348390000471X doi S081348390000471X pii (NATIONALLICENCE)cambridge-10.1017/S081348390000471X Fear of Autonomic Arousal and Use of Coping Strategies as Predictors of Agoraphobic Avoidance in Panic Disorder [Elektronische Daten] Despite the very significant proportion of people with panic disorder who have accompanying agoraphobia, there is considerable controversy about the variables that influence the development of this avoidance behaviour. This study investigated whether degree of avoidance is a function of extent of fear and prevalence of negative cognitions about autonomic arousal symptoms and whether the use of, and confidence in, behavioural strategies to cope with panic sensations also influences agoraphobic avoidance. Thirty-nine people who met DSM-IV criteria for panic disorder completed questionnaires measuring fear and negative cognitions about autonomic arousal and panic sensations, and a questionnaire measuring their use of largely behavioural strategies to cope with panic attacks. Fear of autonomic arousal and negative cognitions in response to the occurrence of these arousal symptoms were jointly related to situational avoidance. There was little relationship between the use of, and confidence in, panic coping strategies and less agoraphobic avoidance, although simply allowing panic symptoms to develop and pass predicted less avoidance. The results were interpreted as providing an empirical basis for treatment that reduces fear of panic sensations and allows their experience to be tolerated while preventing escape and avoidance of situations in which panic occurs. There was little evidence that additional teaching of behavioural coping strategies would be useful in reducing agoraphobic avoidance. Copyright © The Author(s) 1998 Rayment Patricia University of Adelaide Richards Jeff University of Ballarat Behaviour Change Cambridge University Press 15/4(1998-12), 228-236 0813-4839 15:4<228 1998 15 BEC https://doi.org/10.1017/S081348390000471X text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S081348390000471X text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Rayment Patricia University of Adelaide NATIONALLICENCE 700 1- Richards Jeff University of Ballarat NATIONALLICENCE 773 0- Behaviour Change Cambridge University Press 15/4(1998-12), 228-236 0813-4839 15:4<228 1998 15 BEC CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge