Further investigation of the association between anxiety sensitivity and posttraumatic stress disorder: Examining the influence of emotional avoidance
Further investigation of the association between anxiety sensitivity and posttraumatic stress disorder: Examining the influence of emotional avoidance
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DOI：
10.1016/j.jcbs.2015.05.002
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发表时间：
2015-07-01
影响因子：
5
通讯作者：
Gratz, Kim L.
中科院分区：
文献类型：
--
作者：
Bardeen, Joseph R.;Tull, Matthew T.;Gratz, Kim L.
焦虑敏感性（AS）和回避情绪的倾向都被认为是创伤后应激障碍（PTSD）发展和维持的易感因素。此外，横断面和前瞻性研究都提供了证据表明，情绪回避和AS相互作用，以预测焦虑症状，这样的AS可能只与焦虑相关的病理那些谁表现出的倾向，以避免他们的情绪。本研究的目的是，以确定是否这种主持人模型扩展到PTSD的物质依赖患者的样本。具体来说，这项研究检查了AS是否与PTSD仅在高（与低）水平的负面情绪回避的个体中相关。正如预测的那样，Logistic回归分析的结果显示，在预测PTSD状态时，消极情绪回避和AS之间存在显著的相互作用。随访分析显示，高负性情绪回避的参与者AS和PTSD状态之间存在显着的正相关;然而，对于那些低负性情绪回避的参与者，AS与PTSD无关。即使将相关协变量纳入模型，这一发现仍然存在。结果证实了假设，并与现存的焦虑风险文献相一致。(C)2015年，加入社会科学院。爱思唯尔公司出版All rights reserved.
Anxiety sensitivity (AS) and the tendency to avoid emotions have both been identified as vulnerability factors for the development and maintenance of posttraumatic stress disorder (PTSD). Furthermore, both cross-sectional and prospective research have provided evidence that emotional avoidance and AS interact to predict anxiety symptoms, such that AS may only be associated with anxiety-related pathology among those who exhibit a tendency to avoid their emotions. The purpose of the present study was to determine if this moderator model extends to PTSD within a sample of substance dependent patients. Specifically, this study examined if AS is associated with PTSD only among individuals with high (vs. low) levels of negative emotional avoidance. As predicted, results of a logistic regression analysis revealed a significant interaction between negative emotional avoidance and AS in predicting PTSD status. Followup analyses revealed a significant positive association between AS and PTSD status for participants high in negative emotional avoidance; however, AS was not associated with PTSD for those low in negative emotional avoidance. This finding remained even when relevant covariates were included in the model. Results confirm hypotheses and are consistent with the extant anxiety-risk literature. (C) 2015 Association for Contextual Behavioral Science. Published by Elsevier Inc. All rights reserved.