Chondriacal Concerns in Panic Disorder
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\?'¿ Somatization and Hypochondriacal Concerns in Panic Disorder by Patricia Furer A Thesis Subrnitted to the Faculty of Graduate Studies in Partial Fulfitment of the Requirements for the Degree of DOCTOR OF PHTLOSOPHY Departrnent of Psychology University of Manitoba Ialinnipeg, Manitoba (c) Lee6 N,{onarLibrav Bibliothèque nationale l*l du Canada Acquisitions and Direction des acquisitions et Bibliographic Services Branch des services bibliographiques 395 Wellington Street 395, rue Wellington Ottawa, Ontario Ottawa (Ontario) K1A ON4 K.lA ON4 Yout l¡le VoUe rélércnce Our líle Nolrc rélérence The author has granted an L'auteur a accordé une licence irrevocable non-exclus¡ve licence irrévocable et non exclusive allowing the National Library of permettant à la Bibliothèque Canada to reproduce, loan, nationale du Canada de distribute or sell cop¡es of reproduire, prêter, distribuer ou his/her thesis by any means and vendre des copies de sa thèse in any form or format, making de quelque manière et sous this thesis available to interested quelque forme que ce soit pour persons. mettre des exemplaires de cette thèse à la disposition des personnes intéressées. The author retains ownership of L'auteur conserve la propriété du the copyright in his/her thesis. droit d'auteur qu¡ protège sa Neither the thesis nor substantial thèse. Ni la thèse ni des extraits extracts from it may be printed or substantiels de celle-ci ne otherwise reproduced without doivent être imprimés ou his/her perm¡ss¡on. autrement reproduits sans son autorisation. ISBN 0-612-13136-X Canadä Nome Disserlolion Abslracts lnternational and Mdsters Ahstræ,h Internatíonal ore orronqed bv brood. qenerol subiea coteoories. Pleose select the one sub¡ect which most neorþ describes lhe content oF yovr d¡tre-¿ot¡on or theiis] Enter the Lo"tp"iJiig four-dígit code in üe spoces provided. fo[6fÀ-hl IJMI 5UBJECT CODE Subiect Cotegories ÏHE HUThANTTIES ÂND SOCIÂl SCIENCES (oruIUHIGTIONS ÂHD TI{T ARTS f"y{cb$/ ......0525 PHII.OSOPHY, RII,IGION AND A¡ch¡teoure..............................O7Ð Rædim ...................................0535 THTOTOGY A¡l Hisþrv................................0377 .........0527 Rdic¡où¡ ph¡|osophv.......... ......................0Á22 Glrmo ..'.................................. OSOO Sci¡iñcc ........................... -...- -.-O71 4 ' Dqnce ......................................0378 Sændory................................ Rdioioi¡ 0533 ö€î€rql Fine A¡t¡ ........0357 Socisl Scíences .........................0534 ..............................031 I lnb¡mfon Scienc ø...................0723 Socioloqvof ....o3¿o BiUicol Srudiæ ....................0321 Joumqlism................................ 0391 speciqlL'................................... 0529 Clersy ................................ 03t 9 Librqlr Scieme ......................... 0399 Timhs Troinim ....................... 0530 Histõrv of ............................0320 -C¡mmunicolions............... PhiloÉphyof Moss OTOS Techmbcy .....I........................ 07¡ o _ ......................æ42 Tæts andÁle€sur€rn€nls ............ 0288 lhælogy .................................. O4ó9 Vocotíom|......... ..........-............ O7A7 so(lÄt. s(lH{(ts IAIIGUÄGT, UTTRÂTURE À}ID Studiæ uNGUtSil(S .....................o3u I¡nqrcæ rliôn ............-............O51 ¿ ..............0326 ë€iäol ............. .................oó79 ..............0327 Çmrinuing ................ qq! é ............................o51 7 A¡rcien! ............................... 0289 Lr'ng¡rirlics ........................... 0290 Generol .............................. 031 0 ,ylod€m ..................-........... 0291 Aøunlinq .........................O2f2 Lilsoþre Bonling ...-........... ..-..... -.......O77 O Ge¡re¡ol .............................. o4ot Monqc€menl....................... 04tl dossicql Mqrkdinq ...........................O338 Corn¡rqolive .,.... ..... -..,........ OE 5 Conodion Stüdie¡ ..................... 0385 Medisql .................-.--.--....on7 Eorcmie lvlpdsm .............................. o2çe Gen€rol ..............................o50¡ Alricon ............................... 031 ó 4grior|turo1......................... O5O3 Anericon,.......,................... 0591 CómmerceBusin€ss ............. 0505 A¡iqn .................................0305 Finonce ....................,..,...... 0508 Csnodion {Enclishl .............. 0352 !-lÞto.y................................ 0509 concdion (Frõrch'............... o¡ss Lcbor .................................051 0 Ensl¡sh ...............................0593 . Jhæry................................ 051 I Germonic ...........................031 I Folklore ..'.................................. 0358 [olin Amsicon ....................031 2 Çægrophy............................... 03óó Middls Mu¡ic ................. ..................... -0522 Eogem .................... 03l 5 Geronlolngy ............................. 035¡ Romqnce ............................ 031 3 llrs¡ory Ph¡losophv of ............................ 0999 qnd Ph¡icci1..i................................. os23 Slwic Ecst Europeon.....O3ll Gár¡srql .............................. o5l8 rHE SGTENCES AND ENGINEER,TNG EtotoctGt sctilffs ...........................0320 Speech foùobgy................Or'óO Ao¡iculture- ......................-....0372 Io¡coloqy ...............,.......... 0383 Generol .......... ..... -.....-.-......0479 .........................o373 Home Econoiñica ...................... 038ó {qronomv .......................... 0285 Añimol Cúlture ond Nuhition ............ .......-......O0 5 Animol Potholoqy ................O47 ó Food Scie¡rce oñä Ted¡mbcv ...................... 0359 Foretrv orÈWildliÍe .-.- --.....O47 I PlcU Culture .......................OÁ79 Plont Potho|osy ...................0480 Plont Ph¡,siolãgy .................. 08l 7 Rome Momqemml ......... -,,0777 I{IÄIII{ AND TNV¡RONMTilTAI. Woõd T€chnõloqy ...............o7Áó s0tNGs Orsonic.............................. 0490 Biclory Pl¡ãrmoceutico1.................... O49l Gìíterol .............................. o3oó Pl¡nicol .............. ................OÁ94 Anqürmy ............................0287 Polnner .............................. 0¿95 BioCstísiics ......................... 0308 RoéIistion ............ -. -.......... 07 5Á Molhemolics............................. O¿05 Phwia ' Gensol ..............................OéOs Aoudic¡ ............................ 098ó AsÌrcmvond Astrophhics..................... OóOó ....._..............o41 0 Aùrcq*Éiic Science............ OóO8 ....................0307 Á.r,om¡¿................ ................o7 AB Elehonicr ....................03¡7 snd Elætn-d¡y .....0æ7 PSY(HOIOGY ....................0¿l ó Elemenlorv Po¡icles o# Genero1...............,......,......,......0ó2t .................... 04t3 Hiqh Enä¡qy........ .............0798 Fluidond Plãémo.................O759 Belrcviorol ................................ 0384 Rodiclion ............................ 0821 d¡nico|............. ........................ 0622 Molerulor ........................... OéO9 VAerinory Scienc e...............O77 I Dwebpmentol .......................... 0ó20 Nucleqr ........................,..... Oót O _ þ"þsr.:...... ..............-.......oA72 E¡ceriñentol ............................ Oó23 bþÐhB¡6- Op|ics ................ ................ 07 52 'cÍne<ol Rodiotion............................07 lndustriol .........Oó2A ............ .........,........o29ó 56 Perrcno|iv................................0ó25 solid srore ..........................0ót Medicql .............................. O7ó0 I Phlaioloqícol ............................ 0989 S1otisÌics ................................... 0¿ó3 Psfchobóbgy........................... O3¿9 IARTH S(ltlt(ts Applied *ie¡rces Psychomelrics ........................... 0ó3 2 Bl¡sæclrenú¡trv.. ............ -......... O 425 Aåålied Mechonic¡ ...................03¿ó séio1............... ........................0451 Geõchenrislry .'.........,......... -..... - On ó Gþuler Science ..................... 098¿ THE UNIYERSITY OF MANITOBA FACUTY OF GRADUATE STUDIES COPYRIGHT PERMISSION SO}IATIZAÏION AIID ETPOCEONDRIACAL CONCERNS IN PANIC DISORDER BY PATRICIA FIIRER A ThesisÆracticum submitted to the Faculty of Graduate Studies of the University of Manitoba in partial fulfillment of the requirements for the degree of DOCTOR OF PEITSOPEY @ 1996 Permission has been granted to the LIBRARY OF TIIE IINTYERSITY OF MANITOBA to lend or sell copies of this thesis/practicum, to the NATIONAI LIBRARY OF CA¡IADA to microfilm this thesis/practicum and to lend or sell copies of the film, and to TINTVERSITY IdICROFILMS INC. to publish an abstract of this thesis/practicum.. This reproduction or copy of this thesis has been made available by authority of the copyright owner solely for the purpose of private study and research, and may only be reproduced and copied as permitted by copyright laws or with express written authorization from the copyright owner. ACKNOWLEDGEMENTS I wish to express my sincere gratitude to rny thesis advisor, Dr. John warker, for the advice and encouragement he provided during this research" úüithout Dr. lrlalker's endless energy and. enthusiasm, this project would never have been completed.. I would also like to thank my academic advisor, Dr. carry Martin, for his many years of generous support. I am especially appreciative of his flexibility in encouraging ne to pursue this area of research. I am also grateful to the other members of my committee, Dr. Murray Stein, Dr. Rayleen Deluca, and Dr. RusseII Noyes,