Viana Andres G, Rabian Brian
Department of Psychology, 314 Moore Building, The Pennsylvania State University, University Park, PA 16802, USA.
J Anxiety Disord. 2009 Dec;23(8):1126-31. doi: 10.1016/j.janxdis.2009.07.017. Epub 2009 Jul 21.
This study examined the relation between dimensions of anxiety sensitivity (AS) and depression symptoms in 94 moderate-to-high worriers (mean age=19.02 years, SD=2.07; age range=18-36; 76.6% females). Two hypotheses were tested: (1) AS as a unitary construct would significantly predict depression symptoms even after controlling for worry and GAD symptoms, and (2) the fear of cognitive dyscontrol and the fear of publicly observable anxiety reactions dimensions of AS would significantly predict depression symptoms even after controlling for worry and GAD symptoms. Consistent with hypotheses, hierarchical linear multiple regressions showed that AS as a unitary construct, as well as the fear of publicly observable anxiety reactions and fear of cognitive dyscontrol dimensions, significantly predicted depression symptoms even after controlling for worry and GAD symptoms. A discussion of findings in the context of the specificity and nonspecificity of AS is provided, along with potential implications for clinicians and researchers working with moderate-to-high worriers.
本研究调查了94名中度至高度担忧者（平均年龄=19.02岁，标准差=2.07；年龄范围=18 - 36岁；76.6%为女性）的焦虑敏感性（AS）维度与抑郁症状之间的关系。检验了两个假设：（1）即使在控制了担忧和广泛性焦虑症（GAD）症状之后，作为一个单一结构的AS仍能显著预测抑郁症状；（2）即使在控制了担忧和GAD症状之后，AS的对认知失控的恐惧和对公开可见的焦虑反应维度仍能显著预测抑郁症状。与假设一致，分层线性多元回归表明，作为一个单一结构的AS，以及对公开可见的焦虑反应的恐惧和对认知失控的恐惧维度，即使在控制了担忧和GAD症状之后，仍能显著预测抑郁症状。本文在AS的特异性和非特异性背景下对研究结果进行了讨论，并为针对中度至高度担忧者的临床医生和研究人员提供了潜在的启示。
