Anxiety sensitivity and social support in veterans with emotional disorders.

Anxiety sensitivity and social support in veterans with emotional disorders.
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DOI:
10.1002/jclp.23554
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发表时间:
2023-10
影响因子:
3
通讯作者:
Gros, Daniel F.
Gros, Daniel F.
中科院分区:
心理学4区
文献类型:
--
作者:
Pavlacic, Jeffrey M.;Witcraft, Sara M.;Allan, Nicholas P.;Gros, Daniel F.

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了解社会支持在预测精神病理学高于转诊断风险因素方面的增量价值,可以说明将社会因素利用到现有的基于证据的情绪障碍退伍军人干预措施中的好处。这项横断面研究的目的是扩大我们的理解与情绪障碍的退伍军人的焦虑敏感性和精神病理学方面的域之间的关联。我们还确定了社会支持是否预测焦虑敏感域和战斗暴露以上的精神病理学,并探讨了这些关系的路径模型。五十六名寻求治疗的情绪障碍退伍军人完成了诊断访谈和人口统计学、社会支持、症状测量(例如,创伤后应激障碍、抑郁、焦虑和压力)和转诊断风险因素(即,焦虑敏感性)。经过数据筛选,150人被纳入回归分析。使用回归分析与横截面数据,认知焦虑敏感性的关注预测创伤后应激障碍和抑郁症以上的战斗曝光。认知和身体的关注预测焦虑,认知和社会的关注预测压力。在战斗暴露和焦虑敏感性之上,社会支持预测了PTSD和抑郁症。关注社会支持与临床样本中的转诊断机制是至关重要的。这些研究结果告知transdiagnosis干预措施和建议纳入临床背景下的transdiagnosis因素的评估。
An understanding of the incremental value of social support in predicting psychopathology above transdiagnostic risk factors could speak to the benefit of leveraging social factors into existing, evidence-based interventions in veterans with emotional disorders. This cross-sectional study aimed to expand our understanding of associations between domains of anxiety sensitivity and facets of psychopathology in veterans with emotional disorders. We also determined whether social support predicted psychopathology above anxiety sensitivity domains and combat exposure and explored these relationships with a path model. One hundred and fifty-six treatment-seeking veterans with emotional disorders completed diagnostic interviews and assessments of demographics, social support, symptom measures (e.g., PTSD, depression, anxiety, and stress), and transdiagnostic risk factors (i.e., anxiety sensitivity). After data screening, 150 were included in regressions. Using regression analyses with cross-sectional data, cognitive anxiety sensitivity concerns predicted PTSD and depression above combat exposure. Cognitive and physical concerns predicted anxiety, and cognitive and social concerns predicted stress. Above combat exposure and anxiety sensitivity, social support predicted PTSD and depression. Focusing on social support in tandem with transdiagnostic mechanisms in clinical samples is critical. These findings inform transdiagnostic interventions and recommendations related to incorporation of assessment of transdiagnostic factors in clinical contexts.
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