Relations between common and specific factors of anxiety sensitivity and distress tolerance and fear, distress, and alcohol and substance use disorders

Relations between common and specific factors of anxiety sensitivity and distress tolerance and fear, distress, and alcohol and substance use disorders
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DOI:
10.1016/j.janxdis.2015.05.002
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发表时间:
2015-06-01
影响因子:
10.3
通讯作者:
Schmidt, Norman B.
Schmidt, Norman B.
中科院分区:
医学2区
文献类型:
--
作者:
Allan, Nicholas P.;Macatee, Richard J.;Schmidt, Norman B.

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尽管有人推测精神病理学危险因素焦虑敏感性(AS)和痛苦耐受性(DT)高度重叠,但没有研究检验核心情感敏感性结构是否可以解释这种关系。据推测,在 808 名寻求治疗的个体样本中(M 年龄 = 35.11,SD = 14.94),AS 和 DT 的最佳拟合验证性因素分析模型将包含与 DT 正交的共同潜在情感敏感性因素和低阶 AS 因素(身体、认知和社会问题)。还假设这些因素与恐惧、痛苦和酒精/药物滥用障碍之间会出现特定关系。最佳拟合模型包含与 DT 正交的常见情感敏感性因子和低阶 AS 因子。虽然情感敏感性和 DT 因素与恐惧、痛苦和酒精/物质使用障碍相关,但 AS 认知问题仅与痛苦障碍相关,AS 社会问题仅与恐惧障碍相关。 (C) 2015 Elsevier Ltd. 保留所有权利。
Whereas it has been speculated that the psychopathology risk factors anxiety sensitivity (AS) and distress tolerance (DT) are highly overlapping, no studies have examined whether a core affect sensitivity construct explains this relation. It was hypothesized that, in a sample of 808 treatment-seeking individuals (M-age = 35.11, SD = 14.94), the best-fitting confirmatory factor analysis model of AS and DT would comprise a common underlying affect sensitivity factor orthogonal to DT and lower-order AS factors (physical, cognitive, and social concerns). It was also hypothesized that specific relations between the factors and fear, distress, and alcohol/substance use disorders would emerge. The best-fitting model comprised a common affect sensitivity factor orthogonal to DT and lower-order AS factors. Whereas the affect sensitivity and DT factors were associated with fear, distress, and alcohol/substance use disorders, AS cognitive concerns was only related to distress disorders and AS social concerns was only related to fear disorders. (C) 2015 Elsevier Ltd. All rights reserved.