Direct and Interactive Effects of Distress Tolerance and Anxiety Sensitivity on Generalized Anxiety and Depression
Direct and Interactive Effects of Distress Tolerance and Anxiety Sensitivity on Generalized Anxiety and Depression
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DOI：
10.1007/s10608-014-9623-y
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发表时间：
2014-10-01
影响因子：
2.8
通讯作者：
Schmidt, Norman B.
中科院分区：
文献类型：
--
作者：
Allan, Nicholas P.;Macatee, Richard J.;Schmidt, Norman B.
焦虑敏感性和痛苦耐受性都是广泛性焦虑症(GAD)和重度抑郁障碍(MDD)的假想危险因素。然而，目前尚不清楚这些因素是否协同影响GAD和MDD及其相关症状。采用潜变量分析方法，对347例门诊患者焦虑敏感度、痛苦耐受性与焦虑、抑郁症状及GAD、MDD诊断之间的直接关系和交互作用关系进行了研究。焦虑敏感度和痛苦耐受性对焦虑和GAD/MDD有交互作用。这些交互作用一般表明，焦虑敏感性在较高的痛苦耐受性水平上会增加焦虑和GAD/MDD的风险，而在较低的焦虑敏感性水平上，痛苦耐受性会增加焦虑和GAD/MDD的风险。考虑到焦虑敏感性和对GAD/MDD的痛苦耐受性的交互作用，针对这两个危险因素的干预可能比单独针对其中一个更有效。
Anxiety sensitivity and distress tolerance are both hypothesized risk factors for generalized anxiety disorder (GAD) and major depressive disorder (MDD). However, it is unclear whether these factors synergistically influence GAD and MDD and related symptoms. Using latent variable methods, direct and interactive relations between anxiety sensitivity and distress tolerance with worry and depressive symptoms and with GAD and MDD diagnoses were examined in 347 outpatients. Interactive effects of anxiety sensitivity and distress tolerance were found for worry and GAD/MDD. The interactions generally suggested that anxiety sensitivity confers a greater risk for worry and GAD/MDD at higher levels of distress tolerance, and that distress tolerance confers a greater risk for worry and GAD/MDD at lower levels of anxiety sensitivity. Given the interactive effects of anxiety sensitivity and distress tolerance for GAD/MDD, interventions targeting both risk factors may prove more efficacious than targeting each individually.