Wilson Kimberly A, Hayward Chris
Department of Psychiatry and Behavioral Sciences, Stanford University Medical Center, Stanford University, 401 Quarry Road, Stanford, CA 94305-5722, USA.
Behav Res Ther. 2006 Apr;44(4):601-9. doi: 10.1016/j.brat.2005.04.005. Epub 2005 Jul 14.
Examination of the prospective relation between anxiety sensitivity (AS) and behavioral avoidance is largely absent from the literature. In a longitudinal study of a community sample of 2246 adolescents, participants completed the Anxiety Sensitivity Index (ASI; Reiss, Peterson, Gursky, & McNally (1986). Behaviour Research & Therapy, 24, 1-8), State-Trait Anxiety Inventory (STAI; Spielberger (1983). STAI: Manual for the Stait-Trait Anxiety Inventory. Palo Alto: Consulting Psychologists Press), and the Fear Questionnaire (Marks & Matthews (1979). Behaviour Research & Therapy, 17, 263-267) on an annual basis. To stringently test AS's ability to prospectively predict behavioral avoidance, linear regression was used to test whether AS factors predicted variance in follow-up behavioral avoidance scores after controlling for gender, trait anxiety, panic attacks, and baseline avoidance. Results indicted that the mental and physical subscales of the ASI predicted change in behavioral avoidance. The findings of the study are consistent with the view that AS may serve as a precursor to avoidant behavior and that, regardless of whether or not acute panic has been experienced, those who fear autonomic arousal may be more likely to avoid situations in which those sensations may be present.
焦虑敏感性（AS）与行为回避之间的前瞻性关系在很大程度上未见于文献。在一项对2246名青少年社区样本的纵向研究中，参与者每年完成焦虑敏感性指数（ASI；Reiss、Peterson、Gursky和McNally（1986年）。《行为研究与治疗》，24卷，第1 - 8页）、状态 - 特质焦虑量表（STAI；Spielberger（1983年）。《STAI：状态 - 特质焦虑量表手册》。帕洛阿尔托：咨询心理学家出版社）以及恐惧问卷（Marks和Matthews（1979年）。《行为研究与治疗》，17卷，第263 - 267页）。为了严格测试AS前瞻性预测行为回避的能力，在控制了性别、特质焦虑、惊恐发作和基线回避之后，使用线性回归来测试AS因素是否能预测后续行为回避分数的方差。结果表明，ASI的心理和身体分量表预测了行为回避的变化。该研究结果与以下观点一致：AS可能是回避行为的先兆，并且，无论是否经历过急性惊恐发作，那些害怕自主唤醒的人可能更有可能避免那些可能出现这些感觉的情境。
