The cognitive theory of panic disorder proposes that individuals with panic disorder have a relatively enduring tendency to catastrophically misinterpret bodily sensations resulting in panic attacks. We investigated whether the evidence is consistent with the theory and its predictions, if updates are required and sought to identify future research considerations. We searched Scopus, Web of Science, PsycInfo, EMBASE, MEDLINE and CINAHL (1986 to July 2024). Inclusion criteria were studies collecting quantitative data derived from panic disorder patients, testing one of the predictions and using appropriate outcome measures. Exclusion criteria were non-English language publications, all participants under the age of 18 and studies that were not published in a peer-reviewed journal. Quality was assessed using ‘QualSyst’ and synthesis was based on each prediction tested. PROPSERO registration #CRD42022332211. 53 studies were identified amongst 49 publications. There was substantial evidence for all predictions. Three studies did not support the prediction tested and none were inconsistent. Most studies were ‘medium’ in quality and were predominately from female samples. Findings are consistent with the theory and its predictions. Higher quality research is needed and implications for future research are discussed.

中文翻译：

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恐慌症的认知理论：系统叙述回顾


恐慌症的认知理论认为，患有恐慌症的人有一种相对持久的倾向，会灾难性地误解身体感觉，从而导致恐慌发作。我们调查了证据是否与理论及其预测一致，是否需要更新，并试图确定未来的研究考虑因素。我们检索了 Scopus、Web of Science、PsycInfo、EMBASE、MEDLINE 和 CINAHL（1986 年至 2024 年 7 月）。纳入标准是收集来自恐慌症患者的定量数据、测试其中一项预测并使用适当的结果测量的研究。排除标准是非英语出版物、所有 18 岁以下的参与者以及未在同行评审期刊上发表的研究。使用“QualSyst”评估质量，并根据每个测试的预测进行合成。 PROPSERO 注册#CRD42022332211。在 49 份出版物中确定了 53 项研究。所有的预测都有大量证据支持。三项研究不支持测试的预测，而且没有一项不一致。大多数研究的质量为“中等”，并且主要来自女性样本。研究结果与理论及其预测一致。需要更高质量的研究，并讨论了对未来研究的影响。