Panic And Agoraphobia Scale
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The Panic and Agoraphobia Scale (PAS) is a rating scale developed for measuring severity of
agoraphobia Agoraphobia is a mental and behavioral disorder, specifically an anxiety disorder characterized by symptoms of anxiety in situations where the person perceives their environment to be unsafe with no easy way to escape. These situations can in ...
with or without
panic attack Panic attacks are sudden periods of intense fear and discomfort that may include palpitations, sweating, chest pain or chest discomfort, shortness of breath, trembling, dizziness, numbness, confusion, or a feeling of impending doom or of losing ...
s. __TOC__


Background

The Panic and Agoraphobia Scale (PAS) is primarily used for monitoring the efficacy of both medication and psychotherapy treatments of
agoraphobia Agoraphobia is a mental and behavioral disorder, specifically an anxiety disorder characterized by symptoms of anxiety in situations where the person perceives their environment to be unsafe with no easy way to escape. These situations can in ...
, as well as a screening tool for the disorder. It is available in both self-rated and clinician-rated versions and the scale structure is compatible with
DSM-IV The ''Diagnostic and Statistical Manual of Mental Disorders'' (DSM; latest edition: DSM-5-TR, published in March 2022) is a publication by the American Psychiatric Association (APA) for the classification of mental disorders using a common langua ...
and
ICD-10 ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a medical classification list by the World Health Organization (WHO). It contains codes for diseases, signs and symptoms, ...
classifications.


Translations

In addition to the English version, translations are available in many languages, including French, German, Greek, Hebrew, Italian, Yiddish, Chinese, Thai, and others.Bandelow B. (1999) The Panic and Agoraphobia Scale (PAS) Hogrefe & Huber Publishing.


Scoring

The total of the score of scale indicates the severity of the disorder. The PAS contains 13 questions (items) based on a five-point
Likert scale A Likert scale ( , commonly mispronounced as ) is a psychometric scale commonly involved in research that employs questionnaires. It is the most widely used approach to scaling responses in survey research, such that the term (or more fully the ...
(0 to 4). Two or three items contribute each of five subscales, which cover the spectrum of agoraphobia
symptom Signs and symptoms are the observed or detectable signs, and experienced symptoms of an illness, injury, or condition. A sign for example may be a higher or lower temperature than normal, raised or lowered blood pressure or an abnormality showin ...
clusters: #
panic attacks Panic attacks are sudden periods of intense fear and discomfort that may include palpitations, sweating, chest pain or chest discomfort, shortness of breath, trembling, dizziness, numbness, confusion, or a feeling of impending doom or of losing ...
# agoraphobic avoidance #
anticipatory anxiety Panic attacks are sudden periods of intense fear and discomfort that may include palpitations, sweating, chest pain or chest discomfort, shortness of breath, trembling, dizziness, Hypoesthesia, numbness, confusion, or a feeling of impending doom ...
#
disability Disability is the experience of any condition that makes it more difficult for a person to do certain activities or have equitable access within a given society. Disabilities may be Cognitive disability, cognitive, Developmental disability, dev ...
# worries about health


Efficacy

The Panic and Agoraphobia Scale has been shown to be an effective instrument for measuring the severity of agoraphobia and panic attacks, as well as monitoring treatment results.Tural U, Fidane H, Alkin T, Bandelow B Assessing the severity of panic disorder and agoraphobia: validity, reliability and objectivity of the Turkish translation of the Panic and Agoraphobia Scale (P&A). J Anxiety Disord. 2002,16(3):331-40


See also

*
Panic Disorder Severity Scale The Panic Disorder Severity Scale (PDSS) is a questionnaire developed for measuring the severity of panic disorder. The clinician-administered PDSS is intended to assess severity and considered a reliable tool for monitoring of treatment outcome. S ...
*
List of diagnostic classification and rating scales used in psychiatry The following diagnostic systems and rating scales are used in psychiatry and clinical psychology. This list is by no means exhaustive or complete. For instance, in the category of depression, there are over two dozen depression rating scales tha ...


References

{{Reflist


External links


Online version of the PAS
Anxiety screening and assessment tools