在自然主义治疗环境中,焦虑敏感性对强迫症状和焦虑症状的影响。

The Contribution of Anxiety Sensitivity to Obsessive-Compulsive and Anxiety Symptoms in a Naturalistic Treatment Setting.

作者信息

Kaczkurkin Antonia N, Fitzgerald Hayley, Tyler Jeremy, Asnaani Anu

机构信息

Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA.

Department of Psychological and Brain Sciences, Boston University, Boston, MA, USA.

出版信息

Cognit Ther Res. 2018 Oct;42(5):661-673. doi: 10.1007/s10608-018-9909-6. Epub 2018 Mar 30.

Abstract

Anxiety sensitivity, a fear of arousal-related sensations, is prevalent in a number of disorders. We examined the relationship between internalizing symptoms and the anxiety sensitivity components of physical, social, and cognitive concerns in a sample of 165 patients seeking treatment in a clinic specializing in CBT for anxiety-related disorders. Social anxiety symptoms were associated with greater social concerns. Cognitive concerns were characteristic of both depression and generalized anxiety symptoms, suggesting these two classes of symptoms may share AS symptomatology. Physical concerns were specifically related to panic symptoms. Although obsessive-compulsive symptoms were related to cognitive concerns using univariate regression, these symptoms were not strongly related to any of the anxiety sensitivity components when the correlation between disorders was taken into account. Thus, within the internalizing symptoms studied here, the anxiety sensitivity domains were most relevant to panic, social anxiety, generalized anxiety, and depressive symptoms and less related to obsessive-compulsive symptoms.

摘要

焦虑敏感性,即对与唤醒相关的感觉的恐惧,在许多疾病中都很普遍。我们在一个专门针对焦虑相关疾病进行认知行为疗法(CBT)治疗的诊所中,对165名寻求治疗的患者样本,研究了内化症状与身体、社交和认知担忧的焦虑敏感性成分之间的关系。社交焦虑症状与更大的社交担忧相关。认知担忧是抑郁和广泛性焦虑症状的特征,表明这两类症状可能共享焦虑敏感性症状学。身体担忧与惊恐症状特别相关。虽然使用单变量回归时,强迫症状与认知担忧有关,但在考虑疾病之间的相关性时,这些症状与任何焦虑敏感性成分都没有强烈关联。因此,在这里研究的内化症状中,焦虑敏感性领域与惊恐、社交焦虑、广泛性焦虑和抑郁症状最相关,而与强迫症状的相关性较小。

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