Specificity of Peritraumatic Fear in Predicting Anxious Reactivity to a Biological Challenge among Traumatic Event-Exposed Adolescents
Specificity of Peritraumatic Fear in Predicting Anxious Reactivity to a Biological Challenge among Traumatic Event-Exposed Adolescents
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DOI：
10.1007/s10608-011-9380-0
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发表时间：
2012-08-01
影响因子：
2.8
通讯作者：
Babson, Kimberly A.
中科院分区：
文献类型：
--
作者：
Badour, Christal L.;Feldner, Matthew T.;Babson, Kimberly A.
理论暗示创伤周围的恐惧为基础的内感受性条件反射的发展恐慌频谱的问题，创伤性事件暴露。相对较少的实证工作直接调查这一假设。目前的研究测试的假设，围创伤恐惧的水平将预测焦虑反应，一个完善的3分钟自愿过度通气程序管理63名青少年谁经历了DSM-IV-TR定义的创伤事件。这种关系进行了检查后，控制的方差占创伤后应激症状，性别，年龄，焦虑敏感性，一般症状的精神病理学，和围创伤无助和厌恶。正如预测的那样，创伤周围的恐惧与过度换气引起的身体唤醒的焦虑反应有关。特异性测试表明，这种关系是特定的创伤周围的恐惧。现在需要进行前瞻性研究，以更好地阐明创伤周围恐惧与随后对身体唤醒和恐慌谱问题的焦虑反应之间的关系。
Theory implicates peritraumatic fear-based interoceptive conditioning in the development of panic spectrum problems subsequent to traumatic event exposure. Relatively little empirical work has directly investigated this hypothesis. The current study tested the hypothesis that level of peritraumatic fear would predict anxious reactivity to a well-established 3-min voluntary hyperventilation procedure administered to 63 adolescents who had experienced a DSM-IV-TR-defined traumatic event. This relation was examined after controlling for variance accounted for by posttraumatic stress symptoms, sex, age, anxiety sensitivity, general symptoms of psychopathology, and both peritraumatic helplessness and disgust. As predicted, peritraumatic fear was related to anxious reactivity to hyperventilation-elicited bodily arousal. Specificity tests suggested this relation was specific to peritraumatic fear. Prospective research is now needed to better elucidate the relation between peritraumatic fear and subsequent development of anxious reactivity to bodily arousal and panic spectrum problems.