Anxiety B
Anxiety B
Different aspects of
Anxiety
Phenomenological
Affective: dread, tension, worry
Cognitive: expectations of an
inability to cope, impaired
cognitive ability
Behavioural
Impaired motor functioning and
avoidance
Physiological
increased blood pressure, heart
rate, breathing; disruptions in GI
functioning and dizziness
Types of Anxiety
Disorders
Panic Disorder
Generalized Anxiety Disorder
Phobias
Posttraumatic Stress Disorder
Obsessive-Compulsive Disorder
Panic Disorder
Panic Attack
Cued (situationally bound) v.s.
Uncued (unexpected) panic
attacks
Panic Disorder
Panic Disorder:
Agoraphobia
Fear of being in a situation
where having a panic attack
would be dangerous or where
escape would be impossible
Generalized Anxiety
Disorder
Chronic state of diffuse anxiety
Phobias
Phobias involve
intense, persistent fear of
something that poses no real
threat
avoidance of the feared
object/situation
Specific Phobia
fear of circumscribed objects or
situations
Phobias
Algophobia
Astraphobia
Pathophobia
Monophobia
Mysophobia
Nyctophobia
Ochlophobia
-pain
-thunderstorms
-disease
-being alone
-contamination
-darkness
-crowds
Posttraumatic Stress
Disorder
Intense fear and helplessness in
response to events involving
actual or threatened death or
serious injury.
Acute Stress Disorder
symptoms last for 2 days - 4
weeks
Obsessive-Compulsive
Disorder
Obsession
unwanted thought or image that
keeps intruding into awareness
Compulsion
an action that a person feels
compelled to repeat again and
again despite a lack of desire to
do so
The Psychodynamic
Approach to Anxiety
Anxiety is a signal that the ego
is having a hard time mediating
between reality, id and
superego.
Different anxiety disorders are
the result of different defense
mechanisms used to cope.
The Psychodynamic
Approach to Anxiety:
Attachment Theories
Bowlby
disturbances in parent-child bond
leads to anxious attachment and
a vulnerability to anxiety
disorders later in life
The Behavioural
Approach to Anxiety
Mowrer (1948) Avoidance
learning
1) classical (respondent)
conditioning
2) negative reinforcement
The Behavioural
Approach to Anxiety
Barlow (1988) Anxiety
Sensitivity or Fear of Fear
The Behavioural
Approach to Anxiety
Treatment:
systematic desensitization
exposure
flooding
The Biological
Approach to Anxiety
Genetic Component
family and twin studies suggest a
genetic component in most
anxiety disorders
panic disorder shows the strongest
genetic component and
generalized anxiety disorder the
least
The Biological
Approach to Anxiety
Suffocation false alarm
hypothesis of panic disorder
serotonin and basal ganglia
abnormalities in OCD
hormonal theory of PTSD
State-dependent learning
Cognitive Appraisal
Stimulus--->Appraisal--->
Response
evaluation of stimulus based on
memories, beliefs, and
expectations
Information Processing
Schema
how we understand the
information we take in from the
environment
Selective Attention
what information we take in
Cognitive Approach to
Panic Disorder
Catastrophic interpretations of
bodily sensations
Feeling of control
Some Problems:
panic attacks during sleep
why do catastrophic
interpretations develop
Bodybags
Nam
Firefight
Landmine
Explosion
Airlift
Attentional bias in
Social Phobia
Fixation Cross:
1000ms
Pair of
Pictures:
500ms
Probe Display:
until response
E
Temporal
sequence of
events for
each trial
F/E
judgement
Participants
Two kinds of participants (high
and low social anxiety)
Participants were university
students selected for high and
low social anxiety (FNE, also
measured trait anxiety)
Experimental Conditions
Two kinds of experimental
conditions (threat and no threat)
Threat: Half of the participants
were told the experiment was an
assessment of social skills and
public speaking ability.
Picture Displays
Three kinds of picture displays
(positive, negative and neutral
face, each paired with a
household object)
Experimental Design
Two kinds of participants (high
and low social anxiety)
Two kinds of experimental
conditions (threat and no threat)
Three kinds of faces (negative,
neutral and positive) each
displayed with a household
object (clocks, chairs etc.)
Bias Score
Bias
Score =
RT to
identify
probe when the face and
probe are in
opposite
positions
RT to
identify
probe when
the face and
probe are in
the same
position
Fixation Cross:
1000ms
Pair of
Pictures:
500ms
Probe Display:
until response
E
Temporal
sequence of
events for
each trial
F/E
judgement
Results
In the social threat condition,
the high socially anxious
participants avoided negative
and positive faces,
whereas the low socially
anxious participants showed no
bias.
Discussion of Results
Lavy and van den Hout (1993)
found that spider phobics show
an attentional bias towards
pictures of spiders.
Why are spider phobics and social
phobics different?
Discussion of Results
How might this attentional bias
(to avoid emotionally
expressive faces) contribute to
the maintenance of social
phobia?