Simpson Tracy, Jakupcak Matthew, Luterek Jane A
VA Puget Sound Health Care System, Seattle Division, and the Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA 98108, USA.
J Trauma Stress. 2006 Aug;19(4):481-91. doi: 10.1002/jts.20128.
This study evaluated anxiety sensitivity, cognitive avoidance, and alexithymia and their relationship to posttraumatic stress disorder (PTSD) and alcohol use indices concurrently and prospectively in an outpatient substance abuse treatment sample that screened positive for PTSD (N=58). Anxiety sensitivity accounted for substantial variance in the PTSD clusters, reexperiencing, avoidance, and hyperarousal, both concurrently and prospectively. Cognitive avoidance accounted for additional variance with concurrent PTSD avoidance symptoms. Anxiety sensitivity and cognitive avoidance were largely not associated with alcohol use indices. Alexithymia was largely redundant with cognitive avoidance and was, therefore, not included in the regression analyses. Theoretical and treatment implications of these findings are discussed in the context of individuals with dually diagnosed PTSD and substance abuse disorders.
本研究在一个创伤后应激障碍（PTSD）筛查呈阳性的门诊物质滥用治疗样本（N = 58）中，同时并前瞻性地评估了焦虑敏感性、认知回避和述情障碍及其与创伤后应激障碍（PTSD）和酒精使用指标的关系。焦虑敏感性在PTSD的各个集群（再体验、回避和过度警觉）中，无论在同时期还是前瞻性方面，都解释了相当大的变异。认知回避与同时期的PTSD回避症状解释了额外的变异。焦虑敏感性和认知回避在很大程度上与酒精使用指标无关。述情障碍在很大程度上与认知回避冗余，因此未纳入回归分析。在同时患有PTSD和物质滥用障碍的个体背景下，讨论了这些发现的理论和治疗意义。
