Reardon John M, Williams Nathan L
University of Arkansas, AR 72701, USA.
J Anxiety Disord. 2007;21(5):625-43. doi: 10.1016/j.janxdis.2006.09.013. Epub 2006 Oct 27.
Mood and anxiety disorders share considerable phenomenological and diagnostic overlap. Several models have advanced the understanding of the phenomenological overlap of anxiety and depression; however, identification of disorder-specific etiological mechanisms remains elusive. Recently, research has advanced several cognitive vulnerability-stress models proposing that one's characteristic way of attending to, interpreting, and remembering negative events contributes vulnerability to psychopathology. These cognitive vulnerabilities may elucidate specific etiological mechanisms that distinguish mood and anxiety pathology. The present study examines the specificity of three cognitive vulnerability constructs, the looming cognitive style, anxiety sensitivity, and explanatory style, in the prediction of latent anxiety disorder symptoms and latent depression symptoms. Structural equation modeling analyses indicated that the looming cognitive style demonstrated specificity predicting only anxiety disorder symptoms whereas anxiety sensitivity and a pessimistic explanatory style predicted both anxiety disorder and mood disorder symptoms. Implications for future research are discussed.
情绪和焦虑障碍在现象学和诊断上有相当大的重叠。有几种模型增进了对焦虑和抑郁现象学重叠的理解;然而,确定特定障碍的病因机制仍然难以捉摸。最近,研究提出了几种认知易感性-应激模型,认为个体关注、解释和记忆负面事件的特征方式会导致心理病理学易感性。这些认知易感性可能阐明区分情绪和焦虑病理学的特定病因机制。本研究考察了三种认知易感性结构——逼近认知风格、焦虑敏感性和解释风格——在预测潜在焦虑障碍症状和潜在抑郁症状方面的特异性。结构方程模型分析表明,逼近认知风格仅对焦虑障碍症状的预测具有特异性,而焦虑敏感性和悲观解释风格则对焦虑障碍和情绪障碍症状均有预测作用。文中还讨论了对未来研究的启示。