University of Oxford, The Oxford Institute for Clinical Psychology Training and Research, Isis Education Centre, Warneford Hospital, Oxford OX3 7JX, UK.
University of Oxford, Department of Experimental Psychology and The Oxford Institute for Clinical Psychology Training and Research, Isis Education Centre, Warneford Hospital, Oxford OX3 7JX, UK.
Clin Psychol Rev. 2024 Nov;113:102483. doi: 10.1016/j.cpr.2024.102483. Epub 2024 Aug 13.
The cognitive theory of panic disorder proposes that individuals with panic disorder have a relatively enduring tendency to catastrophically misinterpret bodily sensations resulting in panic attacks.
We investigated whether the evidence is consistent with the theory and its predictions, if updates are required and sought to identify future research considerations.
We searched Scopus, Web of Science, PsycInfo, EMBASE, MEDLINE and CINAHL (1986 to July 2024). Inclusion criteria were studies collecting quantitative data derived from panic disorder patients, testing one of the predictions and using appropriate outcome measures. Exclusion criteria were non-English language publications, all participants under the age of 18 and studies that were not published in a peer-reviewed journal. Quality was assessed using 'QualSyst' and synthesis was based on each prediction tested. PROPSERO registration #CRD42022332211.
53 studies were identified amongst 49 publications. There was substantial evidence for all predictions. Three studies did not support the prediction tested and none were inconsistent.
Most studies were 'medium' in quality and were predominately from female samples.
Findings are consistent with the theory and its predictions. Higher quality research is needed and implications for future research are discussed.
惊恐障碍的认知理论提出，惊恐障碍患者具有相对持久的倾向，即灾难性地误解身体感觉，导致惊恐发作。
我们调查了这些证据是否与该理论及其预测一致，如果需要更新，以及确定未来的研究注意事项。
我们在 Scopus、Web of Science、PsycInfo、EMBASE、MEDLINE 和 CINAHL（1986 年至 2024 年 7 月）中进行了检索。纳入标准为收集来自惊恐障碍患者的定量数据的研究，检验该理论的一个预测，并使用适当的结果测量。排除标准为非英语出版物、所有参与者年龄均在 18 岁以下以及未在同行评议期刊上发表的研究。使用 'QualSyst' 评估质量，并根据每个测试的预测进行综合。PROPSERO 注册号为 CRD42022332211。
在 49 篇出版物中确定了 53 项研究。所有预测都有大量证据支持。有三项研究不支持所测试的预测，也没有一项研究结果不一致。
大多数研究的质量为“中等”，且主要来自女性样本。
研究结果与该理论及其预测一致。需要更高质量的研究，并讨论了对未来研究的影响。
