健康焦虑、沉思与消极情绪：一项中介分析
Health anxiety, rumination, and negative affect: a mediational analysis.
作者信息
Marcus David K, Hughes Kathleen T, Arnau Randolph C
机构信息
Department of Psychology, University of Southern Mississippi, Hattiesburg, MS, USA.
出版信息
J Psychosom Res. 2008 May;64(5):495-501. doi: 10.1016/j.jpsychores.2008.02.004.
OBJECTIVE
A ruminative cognitive style has been associated with a variety of mood and anxiety disorders. This study examined whether a ruminative cognitive style is associated with health anxiety, even when controlling for negative affect.
METHOD
College students (N=198) completed measures of health anxiety, rumination, and negative affect and estimated the likelihood that ambiguous symptoms were indicative of catastrophic illnesses. These data were analyzed using structural equation modeling.
RESULTS
A ruminative cognitive style was both indirectly associated with health anxiety via its strong relationship with negative affect and was also directly associated with health anxiety. Furthermore, catastrophizing ambiguous symptoms was also directly related to health anxiety.
CONCLUSION
High health anxiety individuals not only hold dysfunctional beliefs about health and illness but they also think about their distress in a ruminative manner. A more complete cognitive-behavioral model of health anxiety should include not only cognitive contents ("what") but also cognitive style ("how").
目的
沉思型认知风格与多种情绪和焦虑障碍有关。本研究探讨了即使在控制消极情绪的情况下，沉思型认知风格是否与健康焦虑有关。
方法
198名大学生完成了健康焦虑、沉思和消极情绪的测量，并估计了模糊症状表明患有灾难性疾病的可能性。使用结构方程模型对这些数据进行分析。
结果
沉思型认知风格通过与消极情绪的紧密关系与健康焦虑间接相关，同时也与健康焦虑直接相关。此外，将模糊症状灾难化也与健康焦虑直接相关。
结论
高健康焦虑个体不仅对健康和疾病持有功能失调的信念，而且还以沉思的方式思考自己的痛苦。一个更完整的健康焦虑认知行为模型不仅应包括认知内容（“什么”），还应包括认知风格（“如何”）。
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