An exploration of vulnerability to panic disorder: the role of anxiety sensitivity and emotion regulation

dc.contributor.advisorClark, David
dc.contributor.authorFraser, Catherine A.
dc.date.accessioned2023-03-01T16:52:21Z
dc.date.available2023-03-01T16:52:21Z
dc.date.issued2018
dc.date.updated2023-03-01T15:03:30Z
dc.description.abstractAnxiety sensitivity (AS) is the fear of anxiety-related sensations (Reiss & McNally, 1985; Reiss, 1991) and is a vulnerability factor for anxiety disorders, particularly panic disorder (e.g., Taylor, 1999; McNally, 2002). Emotion regulation has also been linked to anxiety symptomatology, with adaptive regulation strategies associated with the down-regulation of anxiety, and maladaptive strategies linked to the up-regulation and maintenance of anxiety (John & Gross, 2007). While initial research suggests that high AS and emotion regulation difficulties interact to produce a greater expression of anxiety (e.g., Vujanovic, Zvolensky, & Bernstein, 2008), the nature of the AS-emotion regulation relationship requires further investigation. The goal of this dissertation was to determine if AS is associated with heightened fearful responding and an inability to effectively regulate fear using an experimental design. Participants (N=161) engaged in a 15-minute physiological arousal induction task (i.e., cycling on a stationary bike), and were assigned to either an experimental or control group. Participants in the experimental group were informed that they had an unexpectedly high heart rate, whereas those in the control group were told that the heart rate monitor malfunctioned. In both groups participants were asked to stop cycling after receiving the false feedback. Participants who were assigned to the experimental group were then asked to engage in either an adaptive (i.e., cognitive reappraisal) or maladaptive (i.e., catastrophizing) emotion regulation strategy pertaining to their elevated heart rate. Self-reported fear, anxiety, and threatening cognitions were measured at baseline, after false feedback, and following the emotion regulation task. General Linear Modelling with categorical and continuous independent variables was employed to test study hypotheses. Results revealed that heightened AS was associated with increased fearful responding to false physiological feedback, providing further support for the association between AS and emotional intensity. However, AS was not associated with the regulation of fearful responding. Clinical implications, limitations, and suggestions for future research are discussed.
dc.description.copyright© Catherine A. Fraser, 2018
dc.formattext/xml
dc.format.extentix, 169 pages
dc.format.mediumelectronic
dc.identifier.urihttps://unbscholar.lib.unb.ca/handle/1882/14597
dc.language.isoen_CA
dc.publisherUniversity of New Brunswick
dc.rightshttp://purl.org/coar/access_right/c_abf2
dc.subject.disciplinePsychology
dc.titleAn exploration of vulnerability to panic disorder: the role of anxiety sensitivity and emotion regulation
dc.typedoctoral thesis
thesis.degree.disciplinePsychology
thesis.degree.fullnameDoctor of Philosophy
thesis.degree.grantorUniversity of New Brunswick
thesis.degree.leveldoctoral
thesis.degree.namePh.D.

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