A multi-factor model of panic disorder: Results of a preliminary study integrating the role of perfectionism, stress, physiological anxiety and anxiety sensitivity

  • Cristina Mae Wood Facultad de Psicología. Buzón 23 Universidad Complutense de Madrid Campus de Somosaguas 28223 Madrid
  • Antonio Cano-Vindel Facultad de Psicología. Buzón 23 Universidad Complutense de Madrid Campus de Somosaguas 28223 Madrid
  • José Martín Salguero Facultad de Psicología Universidad de Málaga Campus de Teatinos s/n. 29071 Málaga.
Keywords: anxiety sensitivity, panic disorder, perfectionism, physiological anxiety, stress.


Background: Panic disorder (PD) is a highly prevalent and disabling mental health problem associated with different factors including perfectionism, stress, physiological anxiety, and anxiety sensitivity regarding physical concerns; however, no studies have analyzed the joint relationship between these factors and PD in a multi-factor model using structural equation modeling.  Method: A cross-sectional study was carried out to collect data on these factors and self-reported DSM-IV past-year PD symptoms in a large sample of the general population (N=936).  Results: Perceived stress had a significant effect in increasing physiological anxiety, which in turn had an important association with physical concerns.  Perfectionism and perceived stress had an indirect relation with past year PD via the mediator role of physiological anxiety and physical concerns.  Physical concerns, on one hand, seemed to mediate the impact between perfectionism and PD and, on the other, partially mediated the role between physiological anxiety and PD.  Conclusions: Although there is considerable evidence on the association between each of these factors and PD, this model can be considered a broader and productive framework of research on the nature and treatment of PD.

Author Biographies

Cristina Mae Wood, Facultad de Psicología. Buzón 23 Universidad Complutense de Madrid Campus de Somosaguas 28223 Madrid
Miembro del grupo de investigación "Cognición, Emoción y Salud" del Departamento de Psicología Básica II (Procesos Cognitivos)
Antonio Cano-Vindel, Facultad de Psicología. Buzón 23 Universidad Complutense de Madrid Campus de Somosaguas 28223 Madrid
Departamento de Psicología Básica II (Procesos Cognitivos). Catedrático.
José Martín Salguero, Facultad de Psicología Universidad de Málaga Campus de Teatinos s/n. 29071 Málaga.
Profesor del Departamento de Personalidad, Evaluación y Tratamiento Psicológico


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How to Cite
Wood, C., Cano-Vindel, A., & Salguero, J. (2015). A multi-factor model of panic disorder: Results of a preliminary study integrating the role of perfectionism, stress, physiological anxiety and anxiety sensitivity. Anales De Psicología / Annals of Psychology, 31(2), 481-487. https://doi.org/10.6018/analesps.31.2.184241
Clinical and Health Psychology