The structure and intensity of self-reported autonomic arousal symptoms across anxiety disorders and obsessive-compulsive disorder

Berle, D; Starcevic, V; Milicevic, D; Hannan, A; Dale, E; Skepper, B; Viswasam, K; Brakoulias, V

The structure and intensity of self-reported autonomic arousal symptoms across anxiety disorders and obsessive-compulsive disorder

Berle, D

Starcevic, V Milicevic, D Hannan, A Dale, E Skepper, B Viswasam, K Brakoulias, V

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Publication Type:: Journal Article
Citation:: Journal of Affective Disorders, 2016, 199 pp. 81 - 86
Issue Date:: 2016-07-15

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Field	Value	Language
dc.contributor.author	Berle, D https://orcid.org/0000-0002-4861-2220	en_US
dc.contributor.author	Starcevic, V	en_US
dc.contributor.author	Milicevic, D	en_US
dc.contributor.author	Hannan, A	en_US
dc.contributor.author	Dale, E	en_US
dc.contributor.author	Skepper, B	en_US
dc.contributor.author	Viswasam, K	en_US
dc.contributor.author	Brakoulias, V	en_US
dc.date.available	2016-04-11	en_US
dc.date.issued	2016-07-15	en_US
dc.identifier.citation	Journal of Affective Disorders, 2016, 199 pp. 81 - 86	en_US
dc.identifier.issn	0165-0327	en_US
dc.identifier.uri	http://hdl.handle.net/10453/122443
dc.description.abstract	© 2016 Elsevier B.V. All rights reserved. Background Heightened autonomic arousal symptoms (AAS) are assumed to be a central feature of anxiety disorders. However, it is unclear whether the magnitude and profile of AAS vary across anxiety disorders and whether heightened AAS characterises obsessive-compulsive disorder (OCD). Aims We sought to determine whether the intensity and structure of AAS varied across anxiety disorders and OCD. Method A sample of 459 individuals with a primary anxiety disorder or OCD were administered the Symptom Checklist-90R. Nine items referring to prototypic AAS were included in a latent class analysis. Results A 2-class solution (high and low AAS classes) best fitted the data. Participants comprising the high AAS class scored uniformly high across all assessed AAS symptoms. Older age and the presence of panic disorder, social anxiety disorder and generalized anxiety disorder predicted membership in the high AAS class. No OCD symptom dimension was significantly associated with membership in the high AAS class. Limitation AAS were assessed using a self-report measure and replication is needed using other methodologies. Conclusions These findings suggest that OCD may be sufficiently distinct from anxiety disorders and do not support subtyping of anxiety disorders on the basis of the predominant type of AAS. Therapeutic approaches that target AAS might best be applied in the treatment of panic disorder, social anxiety disorder and generalized anxiety disorder.	en_US
dc.relation.ispartof	Journal of Affective Disorders	en_US
dc.relation.isbasedon	10.1016/j.jad.2016.04.010	en_US
dc.subject.classification	Psychiatry	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Arousal	en_US
dc.subject.mesh	Anxiety Disorders	en_US
dc.subject.mesh	Obsessive-Compulsive Disorder	en_US
dc.subject.mesh	Panic Disorder	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Self Report	en_US
dc.title	The structure and intensity of self-reported autonomic arousal symptoms across anxiety disorders and obsessive-compulsive disorder	en_US
dc.type	Journal Article
utslib.citation.volume	199	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	11 Medical and Health Sciences	en_US
utslib.for	17 Psychology and Cognitive Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Graduate School of Health
utslib.copyright.status	open_access
pubs.publication-status	Published	en_US
pubs.volume	199	en_US

Abstract:

© 2016 Elsevier B.V. All rights reserved. Background Heightened autonomic arousal symptoms (AAS) are assumed to be a central feature of anxiety disorders. However, it is unclear whether the magnitude and profile of AAS vary across anxiety disorders and whether heightened AAS characterises obsessive-compulsive disorder (OCD). Aims We sought to determine whether the intensity and structure of AAS varied across anxiety disorders and OCD. Method A sample of 459 individuals with a primary anxiety disorder or OCD were administered the Symptom Checklist-90R. Nine items referring to prototypic AAS were included in a latent class analysis. Results A 2-class solution (high and low AAS classes) best fitted the data. Participants comprising the high AAS class scored uniformly high across all assessed AAS symptoms. Older age and the presence of panic disorder, social anxiety disorder and generalized anxiety disorder predicted membership in the high AAS class. No OCD symptom dimension was significantly associated with membership in the high AAS class. Limitation AAS were assessed using a self-report measure and replication is needed using other methodologies. Conclusions These findings suggest that OCD may be sufficiently distinct from anxiety disorders and do not support subtyping of anxiety disorders on the basis of the predominant type of AAS. Therapeutic approaches that target AAS might best be applied in the treatment of panic disorder, social anxiety disorder and generalized anxiety disorder.

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http://hdl.handle.net/10453/122443