Panic Disorder and Its Etiology
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Questions and Answers

Which of the following is a common physiological response to fear?

  • Increased digestion
  • Increased heart rate and blood pressure (correct)
  • Decreased heart rate and blood pressure
  • Decreased digestion
  • In non-pathological anxiety, when does it typically occur?

  • When in a state of high arousal
  • When in a state of complete relaxation
  • When anticipating an event that has the potential to go badly (correct)
  • When experiencing joy and happiness
  • What is the negative emotional and physiological response to real or perceived imminent threat called?

  • Fear (correct)
  • Worry
  • Apprehension
  • Anxiety
  • What happens when fear and anxiety are absent?

    <p>Risk-taking behavior increases</p> Signup and view all the answers

    Which of the following is NOT one of the lecture learning outcomes for this week?

    <p>Recognise commonalities in aetiology across the anxiety disorders, as well as the factors that shape the expression of specific anxiety disorders</p> Signup and view all the answers

    What is the title of Mini-lecture 1?

    <p>The phenomenology of anxiety disorders</p> Signup and view all the answers

    How old is Mabel?

    <p>67</p> Signup and view all the answers

    Which factor is emphasized in the behaviorist theory of anxiety disorders?

    <p>Conditioned fear</p> Signup and view all the answers

    What is the role of beliefs in cognitive theories of anxiety?

    <p>Beliefs about our vulnerability to threat</p> Signup and view all the answers

    Which factor is associated with a perceived lack of control?

    <p>Behavioural inhibition</p> Signup and view all the answers

    What is a characteristic feature of generalised anxiety disorder (GAD)?

    <p>Excessive anxiety and worry about a number of different events</p> Signup and view all the answers

    Which of the following is a symptom of generalized anxiety disorder?

    <p>Restlessness or feeling keyed up or on edge</p> Signup and view all the answers

    Which anxiety disorder is more likely to be comorbid with major depression?

    <p>Generalized anxiety disorder</p> Signup and view all the answers

    Which type of therapy focuses on adjusting cognitive processes directly in the treatment of generalized anxiety disorder?

    <p>Cognitive behavioural therapy</p> Signup and view all the answers

    What are the DSM-5-TR diagnostic criteria for panic disorder?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is a specific aetiology of panic disorder?

    <p>Conditioned associations and beliefs related to internal bodily sensations</p> Signup and view all the answers

    What is the most successful approach for treating panic disorder?

    <p>A combination of cognitive behavioural therapy and pharmacological treatment</p> Signup and view all the answers

    Which of the following is a diagnostic criterion for agoraphobia?

    <p>Fear or anxiety about being outside of the home alone</p> Signup and view all the answers

    What is the relationship between agoraphobia and panic disorder according to the DSM-5?

    <p>Both agoraphobia and panic disorder can be diagnosed together</p> Signup and view all the answers

    Which of the following is a characteristic of anxiety disorders according to the ICD-11?

    <p>Significant impairment in personal areas of functioning</p> Signup and view all the answers

    According to the DSM-5, which of the following is not an anxiety disorder?

    <p>Selective mutism</p> Signup and view all the answers

    What is the estimated heritability of panic disorder?

    <p>More than 50%</p> Signup and view all the answers

    Which part of the brain is most associated with anxiety?

    <p>Amygdala</p> Signup and view all the answers

    Which of the following is a specific criteria for diagnosing specific phobia according to DSM-5-TR?

    <p>Fear or anxiety that is out of proportion to the actual danger</p> Signup and view all the answers

    What is the first-line psychotherapy for agoraphobia?

    <p>Exposure therapy</p> Signup and view all the answers

    What is the fear-of-fear hypothesis?

    <p>A cognitive model of agoraphobia</p> Signup and view all the answers

    What is the main quality of a phobia?

    <p>It involves the formation of fear associations with certain stimuli</p> Signup and view all the answers

    Which of the following is NOT one of the lecture learning outcomes for this week?

    <p>Describe treatment approaches that are common across the anxiety disorders and how treatment approaches are modified for the specific anxiety disorders</p> Signup and view all the answers

    What is the estimated heritability of panic disorder?

    <p>50%</p> Signup and view all the answers

    Which anxiety disorder is more likely to be comorbid with major depression?

    <p>Generalized anxiety disorder</p> Signup and view all the answers

    Which of the following is a common behavioral response to fear?

    <p>Freezing</p> Signup and view all the answers

    In non-pathological anxiety, when does it typically occur?

    <p>In anticipation of an event that has the potential to go badly</p> Signup and view all the answers

    What is the cognitive component of anxiety?

    <p>Worry</p> Signup and view all the answers

    What is the negative emotional and physiological response to real or perceived imminent threat called?

    <p>Fear</p> Signup and view all the answers

    Which of the following is a symptom of panic disorder?

    <p>Muscle tension</p> Signup and view all the answers

    What is the first-line psychotherapy for panic disorder?

    <p>Cognitive behavioural therapy (CBT)</p> Signup and view all the answers

    What is the estimated heritability of generalized anxiety disorder (GAD)?

    <p>30-40%</p> Signup and view all the answers

    Which anxiety disorder is more likely to be comorbid with major depression?

    <p>Generalized anxiety disorder</p> Signup and view all the answers

    Which of the following is NOT a characteristic feature of anxiety disorders according to the ICD-11?

    <p>Distinctive set of cognitions and bodily sensations</p> Signup and view all the answers

    Which of the following neurotransmitters has consistent evidence implicating its dysfunction in anxiety disorders?

    <p>Serotonin</p> Signup and view all the answers

    Which of the following personality dimensions is NOT associated with an increased risk for anxiety disorders?

    <p>Introversion</p> Signup and view all the answers

    What is the estimated heritability of specific phobias according to twin studies?

    <p>Less than 20%</p> Signup and view all the answers

    Which of the following is the most widely used pharmacological treatment for panic disorder?

    <p>benzodiazepines (GABA)</p> Signup and view all the answers

    What is the relapse rate once medication is discontinued for panic disorder?

    <p>70-90%</p> Signup and view all the answers

    Which of the following situations is NOT included in the DSM-5-TR diagnostic criteria for agoraphobia?

    <p>Being in crowded places</p> Signup and view all the answers

    How long does the fear, anxiety, or avoidance need to persist for a diagnosis of agoraphobia according to the DSM-5-TR?

    <p>6 months or more</p> Signup and view all the answers

    Which factor is associated with the tendency to experience novel/unfamiliar stimuli and situations as potentially threatening?

    <p>Behavioural inhibition</p> Signup and view all the answers

    What is the underlying cognitive mechanism that causes individuals to believe that they are vulnerable to threats?

    <p>Beliefs about vulnerability</p> Signup and view all the answers

    Which group of monkeys showed more anxiety when exposed to a stressor at age 3 in the study conducted by Insel et al. (1988)?

    <p>Yoked group</p> Signup and view all the answers

    What is a risk factor for anxiety that involves attending more to threat information in the environment?

    <p>Excessive attention to threat</p> Signup and view all the answers

    Which of the following is a specific aetiology of agoraphobia?

    <p>Fear of falling in the elderly</p> Signup and view all the answers

    What is the first-line psychotherapy for agoraphobia?

    <p>Exposure therapy</p> Signup and view all the answers

    What are the DSM-5-TR diagnostic criteria for specific phobia?

    <p>Marked fear or anxiety about a specific object or situation</p> Signup and view all the answers

    What is the main quality of a phobia?

    <p>It involves the avoidance of an object or situation</p> Signup and view all the answers

    Study Notes

    Anxiety Disorders: Overview, Phenomenology, and Risk Factors

    • Anxiety disorders are the most common psychological disorder in Australia, affecting 14% of the population over a 12-month period.
    • The anxiety disorders covered in this week's lectures include separation anxiety disorder, selective mutism, specific phobia, social anxiety disorder, panic disorder, agoraphobia, and generalised anxiety disorder.
    • Anxiety disorders share common risk factors, including genetic predisposition, with heritability ranging from 20-50% depending on the specific disorder.
    • Having a family member with social anxiety disorder increases the risk of developing other anxiety disorders as well.
    • Genetic vulnerability to anxiety disorders is polygenic, meaning it involves multiple genes that contribute to distinct biological and psychological factors.
    • The limbic system, particularly the amygdala, is associated with anxiety and fear responses.
    • In individuals with anxiety disorders, the medial prefrontal cortex fails to regulate an overactive amygdala, leading to heightened fear responses.
    • Neurotransmitter dysfunction, such as deficits in serotonin, higher levels of norepinephrine, and decreased GABA activity, has been implicated in anxiety disorders, although the evidence is inconsistent.
    • Fear and anxiety are powerful motivators of behavior due to the asymmetry of possible outcomes, with fear serving as a survival mechanism.
    • Non-pathological anxiety occurs in situations where there is anticipation of potential negative outcomes, such as exams, presentations, job interviews, and first dates.
    • Pathological anxiety is characterized by excessive fear and anxiety, leading to significant distress and impairment in various areas of functioning.
    • Panic attacks, which are a distinct syndrome related to anxiety and fear, can occur in multiple psychological disorders, not just anxiety disorders.

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    Description

    Test your knowledge on panic disorder and its specific etiology. This quiz covers topics such as conditioned associations, beliefs related to bodily sensations, and biological sensitivity to norepinephrine.

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