Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-25T11:37:16.710Z Has data issue: false hasContentIssue false
  • English
  • Français

Parental Representations of Patients with Panic Disorder and Generalised Anxiety Disorder

Published online by Cambridge University Press:  02 January 2018

Derrick Silove ,
Gordon Parker ,
Dusan Hadzi-Pavlovic ,
Vijaya Manicavasagar  and
Alex Blaszczynski
Derrick Silove*
Affiliation:
University of New South Wales
Gordon Parker
Affiliation:
University of New South Wales
Dusan Hadzi-Pavlovic
Affiliation:
Division of Psychiatry, Prince Henry Hospital
Vijaya Manicavasagar
Affiliation:
Anxiety Management Unit, Prince of Wales Hospital
Alex Blaszczynski
Affiliation:
Anxiety Management Unit, Prince of Wales Hospital
*
∗Psychiatric Unit, Prince of Wales Hospital, Randwick, NSW, Australia 2031
Get access Rights & Permissions [Opens in a new window]

Abstract

Previous studies using the Parental Bonding Instrument have shown a general trend for neurotic subjects to score their parents as less caring and more protective. Such a finding was broadly replicated in a study of 80 clinically anxious subjects and age- and sex-matched controls. Although direct comparisons of PBI scores failed to reveal clear-cut differences between generalised anxiety (GA) and panic disorder (PD) subgroups, logistic regression analyses revealed higher odds ratios for parental assignment to aberrant categories in the GA group, with PD patients reporting a more limited pattern of overprotective parenting only. Our findings suggest that adverse parental behaviour may be relevant to the pathogenesis of GA, while parental ‘affectionate constraint’ may be a parental response to early manifestations of PD.

Type
Papers
Information
The British Journal of Psychiatry , Volume 159 , Issue 6 , December 1991 , pp. 835 - 841
Copyright
Copyright © 1991 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Adena, M. A. & Wilson, S. R. (1982) Generalised Linear Models in Epidemiological Research: Case–Control Studies. Sydney: The INSTAT Foundation.Google Scholar
American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised). Washington, DC: APA.Google Scholar
Arrindell, W. A., Emmelkamp, P. M. G, Monsma, A., et al (1983) The role of perceived parental rearing practices in the aetiology of phobic disorders: a controlled study. British Journal of Psychiatry, 43, 183–187.Google Scholar
Arrindell, W. A., Kwee, M. G. T., Methurst, G. J., et al (1989) Perceived parental rearing styles of agoraphobic and socially phobic inpatients. British Journal of Psychiatry, 155, 526–535.CrossRefGoogle ScholarPubMed
Baker, B. & Merskey, H. (1982) Parental representations of hypochondriacal patients from a psychiatric hospital. British Journal of Psychiatry, 141, 233–238.Google Scholar
Bowlby, J. (1973) Attachment and Loss, Vol. II: Separation, Anxiety and Anger. London: Hogarth Press.Google Scholar
Bowlby, J. (1977) The making and breaking of affectional bonds. British Journal of Psychiatry, 130, 201–210.Google Scholar
Breslow, N. E. & Day, N. E. (1980) Statistical Methods in Cancer Research, Vol. I: The Analysis of Case-Control Studies. Lyon: International Agency for Research on Cancer.Google Scholar
Congalton, A. (1969) Status Ranking List of Occupation in Australia. Melbourne: Cheshire.Google Scholar
Gerlsma, C., Emmelkamp, P. M. G. & Arrindell, W. A. (1990) Anxiety, depression and perception of early parenting: a metaanalysis. Clinical Psychology Review, 10, 251–277.CrossRefGoogle Scholar
Kendler, K. S., Heath, A., Martin, N. G., et al (1986) Symptoms of anxiety and depression in a volunteer twin population. Archives of General Psychiatry, 43, 213–221.CrossRefGoogle Scholar
McFarlane, A. C. (1988) The international classification of impairments, disabilities and handicaps: its usefulness in classifying and understanding biopsychosocial phenomena. Australian and New Zealand Journal of Psychiatry, 22, 31–42.Google Scholar
Merskey, H., Lau, C. L., Russell, E. S., et al (1987) Screening for psychiatric morbidity: the pattern of psychological illness and premorbid characteristics in four chronic pain populations. Pain, 30, 141–157.Google Scholar
Parker, G. (1979a) Reported parental characteristics in relation to trait depression and anxiety levels in a non-clinical group. Australian and New Zealand Journal of Psychiatry, 13, 260–264.CrossRefGoogle Scholar
Parker, G. (1979b) Reported parental characteristics of agoraphobics and social phobics. British Journal of Psychiatry, 135, 555–560.Google Scholar
Parker, G. (1981) Parental representations of patients with anxiety neurosis. Acta Psychiatrica Scandinavica, 63, 33–36.Google Scholar
Parker, G. (1982) Parental representations and affective symptoms: examination for an hereditary link. British Journal of Medical Psychology, 55, 57–61.CrossRefGoogle ScholarPubMed
Parker, G. (1983) Parental Overprotection: A Risk Factor in Psychosocial Development. New York: Grune and Stratton.Google Scholar
Parker, G. (1986) Validating an experiential measure of parental style: the use of a twin sample. Acta Psychiatrica Scandinavica, 73, 22–27.CrossRefGoogle ScholarPubMed
Parker, G. (1989) The Parental Bonding Instrument: psychometric properties reviewed. Psychiatric Development, 4, 317–335.Google Scholar
Parker, G., Tupling, H. & Brown, L. B. (1979) A parental bonding instrument. British Journal of Medical Psychology, 52, 1–10.Google Scholar
Raskin, M., Peeke, H. V. S., Dickman, W., et al (1982) Panic and generalized anxiety disorder. Archives of General Psychiatry, 39, 687–689.Google Scholar
Rutter, M. (1972) Maternal Deprivation Reassessed. Harmondsworth: Penguin.Google Scholar
Sheehan, D. (1982) Current concepts in psychiatry: panic attacks and phobias. New England Journal of Medicine, 307, 156–158.Google Scholar
Silove, D. (1986) Perceived parental characteristics and reports of early parental deprivation in agoraphobic patients. Australian and New Zealand Journal of Psychiatry, 20, 365–369.Google Scholar
Spitzer, R. & Williams, J. (1985) Proposed revisions in the DSM–III–R classification of anxiety disorders based on research and clinical experience. In Anxiety and the Anxiety Disorders (eds Maser, A. Hussain Tuma& J. D.). London: Lawrence Erlbaum and Associates.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.