Department of Psychology, University of Houston, Houston, Texas, USA.
Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Cogn Behav Ther. 2022 Nov;51(6):470-485. doi: 10.1080/16506073.2022.2070539. Epub 2022 May 13.
Despite the promise of past research on anxiety sensitivity (AS) and posttraumatic stress, extant work is limited, given (1) most studies consist of non-Hispanic White and middle-aged samples, (2) few have demonstrated incremental validity to general emotional traits and social determinants of health, and (3) limited work has characterized how AS relates to specific Posttraumatic Stress Disorder (PTSD) symptom clusters among those with (probable) PTSD. The current study evaluated the role of AS in relation to PTSD symptom clusters among a racially/ethnically diverse sample of young adults with probable PTSD. Participants included young adults who met the clinical cut-off for probable PTSD per the Posttraumatic Diagnostic Scale. Results indicated that AS was significantly related to overall posttraumatic stress symptom severity; the effect was evident after adjusting for a range of covariates including neuroticism and subjective social status. AS also was incrementally associated with arousal and hyperreactivity, changes in mood and cognition, and intrusion PTSD symptom clusters. In contrast to expectation, no effect for AS was evident for the avoidance PTSD symptom cluster. The current data uniquely add to the existing AS PTSD literature by showcasing distinct symptom cluster patterns among a racially/ethnically diverse sample of young adults with probable PTSD.
尽管过去有关焦虑敏感 (AS) 和创伤后应激的研究有一定的前景,但现有的研究仍然有限,原因如下:(1) 大多数研究都集中在非西班牙裔白人和中年人群中;(2) 很少有研究能够证明其对一般情绪特征和健康的社会决定因素具有增量有效性;(3) 关于 AS 与特定创伤后应激障碍 (PTSD) 症状群之间的关系,相关研究也很有限,而这些研究对象是患有(可能)PTSD 的人群。本研究评估了在一个种族/民族多样化的年轻成年人 PTSD 可能性样本中,AS 与 PTSD 症状群之间的关系。参与者包括符合创伤后诊断量表临床截点的年轻成年人。结果表明,AS 与总体创伤后应激症状严重程度显著相关;在调整了神经质和主观社会地位等一系列协变量后,这种影响仍然明显。AS 还与唤醒和过度反应、情绪和认知变化以及侵入性 PTSD 症状群呈递增相关。与预期相反,AS 对回避 PTSD 症状群没有影响。目前的数据通过展示在一个种族/民族多样化的年轻成年人 PTSD 可能性样本中不同的症状群模式,为现有的 AS PTSD 文献增添了独特的内容。