@article{ref1,
title="Does 'fear of dying' indicate a more severe presentation of panic disorder?",
journal="Journal of anxiety disorders",
year="2016",
author="Gazarian, Douglas and Multach, Matthew D. and Ellison, William D. and Chelminski, Iwona and Dalrymple, Kristy and Zimmerman, Mark",
volume="40",
number="",
pages="52-57",
abstract="Research suggests a relationship between the presence of fearful cognitions and panic disorder (PD) severity. With little existing evidence addressing the clinical significance of individual panic-cognitions, the current study examined presentation and impairment differences among 331 outpatients with PD according to whether they experience &quot;fear of dying&quot; (FOD) during panic attacks. Patients reporting FOD (n=153) were compared to patients denying FOD (n=178) on variables indicating PD severity (e.g., number of symptoms) and psychiatric impairment (e.g., hospitalizations). PD patients with FOD reported a greater number of panic symptoms, agoraphobia diagnoses, and were more likely to be seeking treatment primarily for PD. We found no clinical impairment or comorbidity differences between groups. <br><br>RESULTS suggest that panic attacks with FOD are related to a more acute presentation of PD. Such results substantiate past research connecting cognitive distress and PD severity and further suggest that FOD may be particularly relevant to this relationship.<br><br>Copyright © 2016 Elsevier Ltd. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0887-6185",
doi="10.1016/j.janxdis.2016.04.005",
url="http://dx.doi.org/10.1016/j.janxdis.2016.04.005"
}