Northern Illinois University, University of Mississippi Medical Center, Jackson, MS, USA.
Behav Ther. 2013 Sep;44(3):459-69. doi: 10.1016/j.beth.2013.04.001. Epub 2013 Apr 13.
Given the significant deleterious effects of stress on psychological and physical well-being, the present two-part study sought to clarify relations among putative vulnerability factors (i.e., anxiety sensitivity, experiential avoidance) for perceived stress. Relations among anxiety sensitivity, experiential avoidance, and perceived stress were examined using a large college student sample (N=400) in Study 1 and were replicated using a large community sample (N=838) in Study 2. As predicted, experiential avoidance moderated the relationship between anxiety sensitivity and perceived stress. Contrary to expectations, simple effects in both studies revealed that anxiety sensitivity shared a significant positive association with perceived stress at low, but not high, levels of experiential avoidance. The moderating role of experiential avoidance was found to be robust to the effects of general distress. Moreover, anxiety sensitivity and experiential avoidance evidenced a differential pattern of relations with perceived stress than was evidenced with related negative affective states (i.e., anxiety and depression). The present results suggest that experiential avoidance appears to be a vulnerability factor of particular importance for understanding the phenomenology of perceived stress. Conceptual and clinical implications are discussed.
鉴于压力对心理和身体健康有重大的不良影响,本研究分为两部分,旨在澄清潜在的易感性因素(即焦虑敏感、经验性回避)与感知压力之间的关系。研究 1 采用了一个大型大学生样本(N=400),研究 2 采用了一个大型社区样本(N=838),对焦虑敏感、经验性回避和感知压力之间的关系进行了检验。正如预测的那样,经验性回避调节了焦虑敏感与感知压力之间的关系。与预期相反,两项研究的简单效应表明,在经验性回避的低水平而非高水平上,焦虑敏感与感知压力呈显著正相关。经验性回避的调节作用在控制了一般困扰的影响后仍然稳健。此外,焦虑敏感和经验性回避与感知压力的关系模式与与相关负性情感状态(即焦虑和抑郁)的关系模式不同。本研究结果表明,经验性回避似乎是理解感知压力现象学的一个特别重要的易感性因素。讨论了概念和临床意义。