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Behavior Modification
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Anxiety Sensitivity

A Missing Piece to the Agoraphobia-Without-Panic Puzzle

Chris Hayward

Stanford University, CA, hayward{at}stanford.edu

Kimberly A. Wilson

Stanford University, CA

This article reviews the controversy surrounding the diagnosis of agoraphobia without panic attacks and proposes a key role for anxiety sensitivity in explaining agoraphobic avoidance among those who have never experienced panic. Although rare in clinical samples, agoraphobia without panic is commonly observed in population-based surveys, including more recent studies in which misclassification bias is addressed. Differential treatment seeking may partially explain these discrepant findings; however, it remains unclear why agoraphobic avoidance develops in the absence of panic. Because anxiety sensitivity is a dispositional analogue of panic, it is proposed that high anxiety sensitivity is a risk factor for agoraphobic avoidance in the absence of frank panic attacks. Preliminary evidence to support this contention is reviewed.

Key Words: anxiety sensitivity • agoraphobia • panic attack

Behavior Modification, Vol. 31, No. 2, 162-173 (2007)
DOI: 10.1177/0145445506297015
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Home page
 Behav ModifHome page
M. J. Zvolensky and N. B. Schmidt
Introduction to Anxiety Sensitivity: Recent Findings and New Directions
Behav Modif, March 1, 2007; 31(2): 139 - 144.
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