Allan Nicholas P, Norr Aaron M, Capron Daniel W, Raines Amanda M, Zvolensky Michael J, Schmidt Norman B
Department of Psychology, Florida State University, Tallahasssee, FL 32306-4301, USA.
Department of Psychology, University of Houston, Houston, TX 77004, USA.
J Psychopathol Behav Assess. 2015 Mar;37(1):67-78. doi: 10.1007/s10862-014-9437-y.
Anxiety sensitivity (AS) comprises three lower-order dimensions, physical concerns, cognitive concerns, and social concerns, all of which are related to unipolar mood and anxiety disorders (emotional distress disorders). The pattern of these relations suggests that AS cognitive concerns might be best classified as associated with emotional distress disorders clustered together as distress disorders whereas AS physical concerns might be best classified as associated with emotional distress disorders clustered together as fear disorders. In contrast, AS social concerns appears to be generally associated with both fear and distress disorders. To test the specificity of lower-order AS dimensions, structural equation modeling was employed in a sample of 579 individuals ( age = 36.87 years, = 13.47; 51.6% male) constituting a sample at risk for psychopathology as these individuals were seeking smoking cessation treatment. AS physical concerns was associated with the fear disorders dimension, even when controlling for negative affect (NA). AS cognitive concerns was associated with the distress disorder dimension, only when the effects of NA were not included. Finally, AS social concerns demonstrated non-specific relations with both the distress and fear disorders dimensions. Given that measures of AS and psychopathology were collected concurrently, these findings cannot address the role of lower-order AS dimensions as risk factors for specific psychopathology clusters. These results provide further support for the hierarchical model of emotional distress disorders as well as implicate AS cognitive and physical concerns as important variables at the intermediate level of this model.
焦虑敏感性（AS）包括三个低阶维度，即身体担忧、认知担忧和社交担忧，所有这些都与单相情绪和焦虑障碍（情绪困扰障碍）有关。这些关系模式表明，AS认知担忧可能最好归类为与作为困扰障碍聚集在一起的情绪困扰障碍相关，而AS身体担忧可能最好归类为与作为恐惧障碍聚集在一起的情绪困扰障碍相关。相比之下，AS社交担忧似乎通常与恐惧和困扰障碍都有关。为了检验低阶AS维度的特异性，在一个由579名个体（年龄=36.87岁，标准差=13.47；51.6%为男性）组成的样本中采用了结构方程模型，这些个体构成了一个有心理病理学风险的样本，因为他们正在寻求戒烟治疗。即使在控制了消极情绪（NA）之后，AS身体担忧仍与恐惧障碍维度相关。只有在不包括NA的影响时，AS认知担忧才与困扰障碍维度相关。最后，AS社交担忧与困扰和恐惧障碍维度均表现出非特异性关系。鉴于AS和心理病理学的测量是同时收集的，这些发现无法解决低阶AS维度作为特定心理病理学集群风险因素的作用。这些结果为情绪困扰障碍的层次模型提供了进一步支持，并暗示AS认知和身体担忧是该模型中间水平的重要变量。
