Use of the Panic Attack Questionnaire-IV to assess non-clinical panic attacks and limited symptom panic attacks in student and community samples

J Anxiety Disord. 2008 Oct;22(7):1159-71. doi: 10.1016/j.janxdis.2007.12.002. Epub 2007 Dec 23.

Abstract

Since its development in the mid-1980s, the Panic Attack Questionnaire (PAQ) has been one of the more, if not the most, commonly used self-report tools for assessing panic attacks. The usage of the instrument, however, has come amid potential concerns that instructions and descriptions may lead to an over-estimate of the prevalence of panic attacks. Furthermore, the instrument has not been revised since 1992, despite changes in DSM-IV criteria and more recent developments in the understanding of panic attacks. As a result, this paper describes a revision of the PAQ to improve the instruction and descriptive set, and to fully assess features of panic derived from recent conceptualizations. Students meeting DSM-IV panic attack criteria and those endorsing panic attacks, but not meeting criteria, showed few differences with the exception that those not meeting DSM-IV criteria typically reported a longer onset-to-peak intensity time than did Panickers. Results were cross-validated and extended using an independent Community Sample. A full descriptive phenomenology of panic attacks is described, and future directions for studying panic attacks using the PAQ are presented.

Publication types

  • Validation Study

MeSH terms

  • Adaptation, Psychological
  • Adolescent
  • Adult
  • Community Mental Health Services / statistics & numerical data*
  • Diagnostic and Statistical Manual of Mental Disorders
  • Female
  • Humans
  • Male
  • Panic Disorder* / diagnosis
  • Panic Disorder* / psychology
  • Panic Disorder* / therapy
  • Prevalence
  • Students / psychology*
  • Students / statistics & numerical data*
  • Surveys and Questionnaires*