非临床惊恐发作史和痛苦耐受力对 PTSD 症状严重程度的主要和交互作用。
Main and interactive effects of a nonclinical panic attack history and distress tolerance in relation to PTSD symptom severity.
机构信息
Department of Psychology, University of Vermont, Burlington, VT 05405-0134, United States.
出版信息
J Anxiety Disord. 2011 Mar;25(2):185-91. doi: 10.1016/j.janxdis.2010.09.001. Epub 2010 Sep 15.
Abstract
The current study investigated the main and interactive effects of a nonclinical panic attack history and distress tolerance in relation to PTSD symptoms. The sample consisted of 91 adults (62.6% women; M(age)=23.45, SD=9.56) who met DSM-IV criteria for trauma exposure, 53.8% of whom met criteria for a recent (past 2 years) history of nonclinical panic attacks. Results indicated that distress tolerance, as measured by the Distress Tolerance Scale (Simons & Gaher, 2005), was significantly related to all PTSD symptom clusters, and a nonclinical panic attack history was significantly related to PTSD re-experiencing and hyperarousal symptoms. The interaction of a nonclinical panic attack history and distress tolerance significantly predicted unique variance in only PTSD hyperarousal symptoms. Implications and future directions are discussed for the role of nonclinical panic attacks and distress tolerance in PTSD symptom expression.
摘要
本研究调查了非临床惊恐发作史和痛苦耐受力的主要和交互作用与 PTSD 症状的关系。样本由 91 名成年人（62.6%为女性；M(年龄)=23.45，SD=9.56）组成，他们符合 DSM-IV 创伤暴露标准，其中 53.8%符合近期（过去 2 年）非临床惊恐发作史标准。结果表明，痛苦耐受力（由痛苦耐受力量表（Simons & Gaher，2005）测量）与所有 PTSD 症状群显著相关，而非临床惊恐发作史与 PTSD 再体验和警觉性增高症状显著相关。非临床惊恐发作史和痛苦耐受力的交互作用仅显著预测了 PTSD 警觉性增高症状的独特方差。讨论了非临床惊恐发作和痛苦耐受力在 PTSD 症状表现中的作用和未来方向。
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