Intolerance of uncertainty, anxiety sensitivity, and health anxiety during the COVID-19 pandemic: Exploring temporal relationships using cross-lag analysis.
Intolerance of uncertainty, anxiety sensitivity, and health anxiety during the COVID-19 pandemic: Exploring temporal relationships using cross-lag analysis.
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DOI：
10.1016/j.janxdis.2022.102660
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发表时间：
2023-01
影响因子：
10.3
通讯作者：
Spielberg, Jeffrey M.
中科院分区：
文献类型：
--
作者：
Bredemeier, Keith;Church, Leah D.;Bounoua, Nadia;Feler, Bridget;Spielberg, Jeffrey M.
对不确定性的不耐受（IU）和焦虑敏感性（AS）作为可能导致健康焦虑的因素已被广泛讨论和探索。我们认为，IU 和 AS 是 COVID-19 大流行期间许多人面临的突出问题，并且可能在大流行期间健康焦虑的发展或加剧中发挥作用。研究调查了大流行期间 IU 和 AS 与健康焦虑之间的联系，但这些关系尚未使用纵向研究设计一起进行测试。在本研究中，使用在线调查平台收集了 301 名成年人在 COVID-19 大流行期间（早期阶段）相隔 6 个月的两个时间点的 IU、AS 和健康焦虑的测量结果。利用交叉滞后分析来同时估计这三个变量之间的横截面和纵向关联。观察到了强有力的横断面关联，IU 前瞻性地预测了健康焦虑和 AS 的变化。没有出现其他具有统计学意义的前瞻性关联。目前的研究结果支持 IU 在健康焦虑中的假定作用，表明 AS 和健康焦虑之间的一些观察到的联系可能是由 IU 的共同差异驱动的。 IU 可能是大流行期间监测和针对健康焦虑干预措施的重要因素。
Intolerance of uncertainty (IU) and anxiety sensitivity (AS) have been widely discussed and explored as factors that may contribute to health anxiety. We propose that IU and AS are salient issues for many during the COVID-19 pandemic, and may play a role in the development or exacerbation of health anxiety during the pandemic. Studies have examined links between IU and AS with health anxiety during the pandemic, but these relationships have not been tested together using a longitudinal study design. In the present study, measures of IU, AS, and health anxiety were collected from 301 adults at two time points 6 months apart during (early stages of) the COVID-19 pandemic using an online survey platform. Cross-lagged analysis was utilized to simultaneously estimate cross-sectional and longitudinal associations between these three variables. Robust cross-sectional associations were observed, and IU prospectively predicted changes in both health anxiety and AS. No other statistically significant prospective associations emerged. Present findings support the putative role of IU in health anxiety, suggesting that some observed links between AS and health anxiety could be driven by shared variance with IU. IU may be an important factor to monitor and target in health anxiety interventions during the pandemic.
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