Cisler Josh M, Olatunji Bunmi O, Sawchuk Craig N, Lohr Jeffrey M
Psychology Department, University of Arkansas, AR 72701, USA.
J Anxiety Disord. 2008 Jun;22(5):915-23. doi: 10.1016/j.janxdis.2007.09.006. Epub 2007 Sep 18.
Research evidence consistently demonstrates a relation between disgust and anxiety-related pathology. Despite ample evidence implicating a functional role of disgust in anxiety, limited research has focused on the process by which disgust influences anxiety. Recent evidence indicates that fear of responding with disgust predicts contamination fears, thus elucidating a process by which disgust contributes to contamination fears. In the current study, we tested whether fear of responding with disgust is specific to contamination fears or generalizes to blood-injection-injury (BII) fears. Undergraduate psychology students (N=259) completed measures of anxiety sensitivity (AS), trait anxiety, disgust, contamination fears, and BII fears. Data analysis revealed main effects of both AS and disgust in predicting both contamination and BII fears. The interaction between AS and disgust (i.e., being fearful of responding with disgust), however, predicted only contamination fears and not BII fears. The results suggest that fear of responding with disgust is a unique maintenance process specific to contamination fears. Theoretical and clinical implications for both contamination and BII fears are discussed.
研究证据始终表明厌恶与焦虑相关的病理学之间存在关联。尽管有充分的证据表明厌恶在焦虑中起功能性作用,但专注于厌恶影响焦虑过程的研究有限。最近的证据表明,对以厌恶做出反应的恐惧预示着对污染的恐惧,从而阐明了厌恶导致对污染恐惧的一个过程。在当前的研究中,我们测试了对以厌恶做出反应的恐惧是特定于对污染的恐惧还是会泛化到对血液-注射-伤害(BII)的恐惧。本科心理学专业学生(N = 259)完成了焦虑敏感性(AS)、特质焦虑、厌恶、对污染的恐惧和对BII的恐惧的测量。数据分析显示,AS和厌恶在预测对污染和BII的恐惧方面均有主效应。然而,AS与厌恶之间的相互作用(即害怕以厌恶做出反应)仅预测了对污染的恐惧,而未预测对BII的恐惧。结果表明,对以厌恶做出反应的恐惧是特定于对污染恐惧的独特维持过程。讨论了对污染和BII恐惧的理论及临床意义。