Assessment

Question 1

Panic Disorder with Agoraphobia

Answer 1

Structured and semi-structured interviews, behavioural tests, self-report questionnaire, self-monitoring, and computerised assessment

Question 2

Purpose of Assessment for Panic Disorder with Agoraphobia

Answer 2

Capture particular aspects of PDA, methods may be helpful for treatment planing and ongoing evaluation

Question 3

Anxiety Disorders Interview Schedule-IV

Answer 3

clinician-administered, semistructured diagnostic interview, DSM IV diagnoses; assess full range of anxiety disorders, mood disorders, and commonly comorbid conditions, screen for substance abuse disorders and psychotic disorders and provide a full medical history; provides data regarding onset, course, and other features associated with anxiety disorders. based on continuous ratings of severity; mostly used in research settings; good interrater reliability

Question 4

Schedule for Affective Disorders and Schizophrenia - Lifetime version, modified for Anxiety Disorders, Updated for DSM-IV (SADS-LA-IV)

Answer 4

Semistructured clinical interview that assesses a variety of psychiatric conditions; provides information in a variety of spheres that are not typically assessed in structured interview; does not follow DSM-IV but combines criteria for anxiety disorders in the Research Diagnostic Criteria and in the DSM-IV; initially designed to capture relationships among diagnostic conditions and to assess for past episodes; provides information on anxiety, mood, and substance use disorders, assesses for separation anxiety disorders in childhood, hypochondriasis, somatisation disorder, tic disorders, and major psychotic disorders. Allows for additional information not typically queried in a structured interview but may be more cumbersome than other clinician-administered instruments

Question 5

Panic Attack Questionnaire-Revised (PAQ-R)

Answer 5

Panic frequency and Severity; Measures phenomenology of panic attacks, including symptoms, triggers, and coping styles, clinician administered; 20-30 minutes administration time; detailed clinical interview that provides info on phenomenology of panic attacks, including panic symptoms, situational triggers, and coping styles; provides clinical and qualitative data, demographic data, family history of panic, course of panic attacks over time, severity of panic symptoms, expectancies about panic, perceived control, functional impairment, suicidal ideation, and coping strategies; no score

Question 6

Panic Disorder Severity Scale (PDSS)

Answer 6

Panic frequency and Severity; Severity of diagnosis, 7 items, either self- or clinician- administered, 5-10 minutes; 5 point scale; includes frequency of panic, anxiety-focused on future panic, distress during panic, interoceptive avoidance, situational avoidance, interference in social functioning, and interference in work functioning; cronbach’s of .65; simple method for clinicians to rate severity of panic-related symptoms in those diagnosed with PD; can be used to track disorder

Question 7

Panic and Agoraphobia Scale (PAS)

Answer 7

Panic frequency and Severity; Severity of Diagnosis, 13 items, either self- or clinician-administered, 5-10 minutes; has two versions; specifically designed for use in drug trials; assesses variety of aspects of PDA, including duration, severity, and frequency of panic attack attacks, panic-related avoidance, functional impairment, and anticipatory anxiety; cronbach’s .88

Question 8

Panic Attack Symptoms Questionnaire PASQ)

Answer 8

Panic frequency and Severity; Duration of symptoms during a panic attack, 36 items, clinician-administered, 10 minutes; lists 36 common panic symptoms, patients asked to rate duration with which they experience these symptoms during a typical panic attack. 6-point, Likert-type scale, ranging from “did not experience this” to “protracted period”. Cronbach’s Alpha = 0.88; Now part of a larger, self-report measure known as the Comprehensive Panic Profile;

Question 9

Panic-Associated Symptoms Scale (PASS)

Answer 9

Panic frequency and Severity; Severity of Diagnosis, 9 items, either self- or clinician-administered, 10 minutes; requires that patient receive psychoeducation and complete a diary of panic related symptoms for 1 week. On the basis of the patient’s report, clinician completes the PASS which includes 5 rating scales; cronbach’s of .69, poor internal consistency

Question 10

Panic-Agoraphobic Spectrum Questionnaire (P-ASQ)

Answer 10

Panic frequency and Severity; Behaviors associated with agoraphobia, 144 items, clinician administered, 20 minutes; items grouped on subdomains: panic attack symptoms, anxious expectation, phobic and/or avoid ant features, reassurance sensitivity, substance sensitivity, general stress sensitivity, and separation sensitivity; If present, rated on 6-point scale; no psychometric data available

Question 11

Agoraphobic Cognitions Questionnaire (ACQ)

Answer 11

Cognitive measures; frequency of catastrophic cognitions; 15 items, self-administered, 5 minutes; assesses frequency of frightening or maladaptive thoughts about the consequences of panic and anxiety on a 5-point Likert scale; contains an “other” response but it is not included in the mean score; good test-retest reliability r=.86; good internal consistency .80 (Cronbach’s)

Question 12

Agoraphobic Cognitions Scale (ACS)

Answer 12

Cognitive measures; degree of fear of situations, 10 items, self-administered, 5 minutes; Assesses perceived negative consequences of panic that was designed to be used as an outcome measure, 4-point Likert scale; fear of losing control, fear of bodily capacitation, fear of embarrassing action;

Question 13

Agoraphobic Self-Statement Questionnaire (ASQ)

Answer 13

Cognitive measures; frequency of positive and negative thoughts during exposure to an anxiety-provoking situation; 25 items, 5-point Likert scale (0-4) self-administered, 5 minutes

Question 14

Cognition Checklist-Anxiety Scale (CCL-A)

Answer 14

Cognitive Measures; anxious and depressed thoughts, 26 items, self-administered, 5-10 minutes; 5 point Likert Scale; good to be used as research tools

Question 15

Catastrophic Cognitions Questionnaire- Modified (CCQ-M)

Answer 15

Cognitive Measures; catastrophic thoughts about bodily sensations and personal reactions; 21 items, self-administered, 10-20 minutes; measures emotional catastrophes, mental catastrophes, and physical catastrophes

Question 16

Panic Appraisal Inventory (PAI)

Answer 16

Cognitive Measures; Anticipation of panic in a variety of situations, anticipated consequences of panic, and perceived ability to cope with panic, and perceived ability to cope with panic; 45 items, self-administered, 10-20 minutes; Rate the likelihood that they will have a panic attack in 15 different situations

Question 17

Panic Belief Questionnaire (PBQ)

Answer 17

Cognitive Measures; Beliefs about panic disorder, 42 items, self-administered, 10-20 minutes; including beliefs about panic itself and about one’s ability to cope with it; 6 point Likert scale from “totally disagree” to “totally agree” Cronbach’s alpha = 0.94

Question 18

Anxiety Control Questionnaire (ACQ2)

Answer 18

Measure of perceived control; perceived control over anxiety-related events, 30 items, self-administered, 10-15 minutes; 6-point Likert scale ranging from 0 to 5. Sensitive to change following CBT

Question 19

Albany Panic and Phobia Questionnaire (APPQ)

Answer 19

Measure of panic-related avoidance; interoceptive, social, and situational avoidance; 27 items, self-administered, 5-10 minutes

Question 20

Mobility Inventory for Agoraphobia (MI)

Answer 20

Measure of panic-related avoidance; avoidance of agoraphobic situations; 27 items, self-administered, 5-10 minutes

Question 21

Fear Questionnaire (FQ)

Answer 21

Measures of panic-related avoidance; avoidance of situations related to agoraphobia, social phobia, and blood phobia, 15 items, self-administered, 5-10 minutes

Question 22

Phobic Avoidance Rating Scale (PARS)

Answer 22

Measures of panic-related avoidance; agoraphobic avoidance, 13 items, clinician-administered, 10-15 minutes

Question 23

Texas Safety Maneuver Scale (TSMS)

Answer 23

Measure of panic-related avoidance; 50 items, self-administered, 5-10 minutes;

Question 24

Anxiety Sensitivity Index (ASI)

Answer 24

Measure of sensation-focused fear and vigilance; 16 items, measure of anxiety over panic-related sensations; 5 point Likert scale; cronbach’s .88;

Question 25

Bodily Sensations Questionnaire

Answer 25

Measure of sensaion-focused fear and vigilance; 18 item measure of anxiety focused on bodily sensations; 5-point Likert scale; allows respondents to record an “other” response, not included in the mean score

Question 26

Bodily Sensations Interpretation Questionnaire (BISQ)

Answer 26

Measure of sensation-focused fear and vigilance; provides a description of 27 ambiguous situations, the individual is asked why and responds with an open-ended interpretation of the situation; four sub scales: panic body sensations, general events, social events, and other symptoms

Question 27

Variables to Assess during a clinical interview for a client with panic attack disorder

Answer 27

Thoughts and beliefs regarding panic attacks
Anxiety over experiencing physical sensations
Panic-related behaviours
Nocturnal panic attacks
Cultural factors
Medical 
Substance-Related Factors
Suicide Risk

Question 28

Essential areas for assessment of PDA

Answer 28

Diagnostic assessment using a structured clinical interview to assess PDA and comorbid disorders
Measure of panic attack severity, anticipatory anxiety, and phobic symptoms
Degree of impairment, overall severity,a nd improvement
Type and frequency of interval treatments
Medial conditions
Uses of panic attack diaries
Assessment of life events
Assessment of quality of life