痛苦耐受力作为焦虑敏感性与肠道特异性焦虑之间潜在机制的作用。
The Role of Distress Tolerance as a Potential Mechanism Between Anxiety Sensitivity and Gut-Specific Anxiety.
作者信息
Wright Casey D, Nelson Cecelia I, Brumbaugh Jamey T, McNeil Daniel W
机构信息
Department of Psychology, Eberly College of Arts and Sciences, West Virginia University, 53 Campus Drive, PO Box 6040, Morgantown, WV, 26505, USA.
Department of Dental and Rural Practice, School of Dentistry, West Virginia University, Morgantown, WV, USA.
出版信息
Int J Behav Med. 2020 Dec;27(6):717-725. doi: 10.1007/s12529-020-09912-6.
BACKGROUND
The link between anxiety/fear and gut dysfunction has been robustly documented in both physical and mental health literatures. The current study explored distress tolerance as a potential mechanism in the relation between anxiety sensitivity and gut-specific anxiety.
METHOD
A cross-sectional sample of 828 adults completed measures of distress tolerance, gut-specific anxiety, and anxiety sensitivity. Multiple linear regression analyses were conducted to determine variable associations, including potential mediating factors.
RESULTS
The results demonstrated a bidirectional relation between anxiety sensitivity and gut-specific anxiety (ß = 0.23, p < 0.001; ß = 0.22, p < 0.001). Findings suggest distress tolerance is a significant mediator that may partially explain the relation between gut-specific anxiety and anxiety sensitivity more broadly (ß = 0.11, CI [0.07-0.14]). Mediation results were consistent when individual subscales of distress tolerance or anxiety sensitivity were incorporated.
CONCLUSION
The outcome of the present study merits additional examination of the psychosomatic nature of distress tolerance as a potential clinical target for individuals with both anxiety and gut-related disorders.
背景
焦虑/恐惧与肠道功能障碍之间的联系在身心健康文献中已有充分记载。本研究探讨了痛苦耐受性作为焦虑敏感性与肠道特异性焦虑之间关系的潜在机制。
方法
对828名成年人进行横断面抽样，完成痛苦耐受性、肠道特异性焦虑和焦虑敏感性的测量。进行多元线性回归分析以确定变量关联，包括潜在的中介因素。
结果
结果显示焦虑敏感性与肠道特异性焦虑之间存在双向关系（β = 0.23，p < 0.001；β = 0.22，p < 0.001）。研究结果表明，痛苦耐受性是一个重要的中介因素，可能更广泛地部分解释肠道特异性焦虑与焦虑敏感性之间的关系（β = 0.11，CI [0.07 - 0.14]）。当纳入痛苦耐受性或焦虑敏感性的各个子量表时，中介结果是一致的。
结论
本研究结果值得进一步探讨痛苦耐受性的身心本质，将其作为焦虑和肠道相关疾病患者的潜在临床靶点。
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