Direct and Interactive Effects of Distress Tolerance and Anxiety Sensitivity on Generalized Anxiety and Depression

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• 作者：Nicholas P. Allan (1)
  Richard J. Macatee (1)
  Aaron M. Norr (1)
  Norman B. Schmidt (1)
  
• 关键词：Anxiety sensitivity ; Distress tolerance ; Latent variable interaction ; Generalized anxiety disorder ; Major depressive disorder
• 刊名：Cognitive Therapy and Research
• 出版年：2014
• 出版时间：October 2014
• 年：2014
• 卷：38
• 期：5
• 页码：530-540
• 全文大小：342 KB
• 参考文献：1. Aiken, L. S., & West, S. G. (1991). / Multiple regression: Testing and interpreting interactions. London: Sage.
  2. Allan, N. P., Capron, D. W., Lejuez, C. W., Reynolds, E. K., MacPherson, L., & Schmidt, N. B. (2014a). Developmental trajectories of anxiety symptoms in early adolescence: The influence of anxiety sensitivity. / Journal of Abnormal Child Psychology, / 42, 589鈥?00. CrossRef
  3. Allan, N. P., Capron, D. W., Raines, A. M., & Schmidt, N. B. (2014b). Unique relations among anxiety sensitivity factors and anxiety, depression, and suicidal ideation. / Journal of Anxiety Disorders, / 2, 266鈥?75. CrossRef
  4. American Psychiatric Association. (2013). / Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
  5. Amstadter, A. B., Daughters, S. B., MacPherson, L., Reynolds, E. K., Danielson, C. K., Wang, F., et al. (2012). Genetic associations with performance on a behavioral measure of distress intolerance. / Journal of Psychiatric Research, / 46, 87鈥?4. CrossRef
  6. Anestis, M. D., Gratz, K. L., Bagge, C. L., & Tull, M. T. (2012). The interactive role of distress tolerance and borderline personality disorder in suicide attempts among substance users in residential treatment. / Comprehensive Psychiatry, / 53, 1208鈥?216. CrossRef
  7. Beck, A. T., Steer, R. A., & Brown, G. K. (1996). / Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation.
  8. Beesdo, K., Pine, D. S., Lieb, R., & Wittchen, H. (2010). Incidence and risk patterns of anxiety and depressive disorders and categorization of generalized anxiety disorder. / Archives of General Psychiatry, / 67, 47鈥?7. CrossRef
  9. Bernstein, A., Zvolensky, M. J., Vujanovic, A. A., & Moos, R. (2009). Integrating anxiety sensitivity, distress tolerance, and discomfort intolerance: A hierarchical model of affect sensitivity and tolerance. / Behavior Therapy, / 40, 291鈥?01. CrossRef
  10. Bornovalova, M. A., Gratz, K. L., Daughters, S. B., Hunt, E. D., & Lejuez, C. W. (2012). Initial RCT of a distress tolerance treatment for individuals with substance use disorders. / Drug and Alcohol Dependence, / 122, 70鈥?6. CrossRef
  11. Brown, T. A. (2003). Confirmatory factor analysis of the Penn State Worry Questionnaire: Multiple factors or method effects? / Behaviour Research and Therapy, / 41, 1411鈥?426. CrossRef
  12. Brown, R. A., Lejuez, C. W., Strong, D. R., Kahler, C. W., Zvolensky, M. J., Carpenter, L. L., et al. (2009). A prospective examination of distress tolerance and early smoking lapse in adult self-quitters. / Nicotine & Tobacco Research, / 11, 493鈥?02. CrossRef
  13. Buckner, J. D., Keough, M. E., & Schmidt, N. B. (2007). Problematic alcohol and cannabis use among young adults: The roles of depression and discomfort and distress tolerance. / Addictive Behaviors, / 32, 1957鈥?963. CrossRef
  14. Capron, D. W., Norr, A. M., Macatee, R. J., & Schmidt, N. B. (2013). Distress tolerance and anxiety sensitivity cognitive concerns: Testing the incremental contributions of affect dysregulation constructs on suicidal ideation and suicide attempt. / Behavior Therapy, / 44, 349鈥?58. CrossRef
  15. Carter, R. M., Wittchen, H.-U., Pfister, H., & Kessler, R. C. (2001). One-year prevalence of subthreshold and threshold DSM-IV generalized anxiety disorder in a nationally representative sample. / Depression and Anxiety, / 13, 78鈥?8. CrossRef
  16. Cox, B. J., Enns, M. W., Freeman, P., & Walker, J. R. (2001). Anxiety sensitivity and major depression: Examination of affective state dependence. / Behaviour Research and Therapy, / 39, 1349鈥?356. CrossRef
  17. Cox, B. J., Taylor, S., & Enns, M. W. (1999). Fear of cognitive dyscontrol in relation to depression symptoms: Comparisons between original and alternative measures of anxiety sensitivity. / Journal of Behavior Therapy and Experimental Psychiatry, / 30, 301鈥?11. CrossRef
  18. Cummings, J. R., Bornovalova, M. A., Ojanen, T., Hunt, E., MacPherson, L., & Lejuez, C. (2013). Time doesn鈥檛 change everything: The longitudinal course of distress tolerance and its relationship with externalizing and internalizing symptoms during early adolescence. / Journal of Abnormal Child Psychology, / 41, 735鈥?48. CrossRef
  19. Curran, P. J., West, S. G., & Finch, J. F. (1996). The robustness of test statistics to nonnormality and specification error in confirmatory factor analysis. / Psychological Methods, / 1, 16鈥?9. CrossRef
  20. Dennhardt, A. A., & Murphy, J. G. (2011). Associations between depression, distress tolerance, delay discounting, and alcohol-related problems in European American and African American college students. / Psychology of Addictive Behaviors, / 25, 595鈥?04. CrossRef
  21. Ellis, A. J., Fischer, K. M., & Beevers, C. G. (2010). Is dysphoria about being red and blue? Potentiation of anger and reduced distress tolerance among dysphoric individuals. / Cognition and Emotion, / 24, 596鈥?08. CrossRef
  22. First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1997). / Structured clinical interview for DSM-IV Axis I (SCID-I), clinician version. Washington, DC: American Psychiatric Press.
  23. Garber, J., & Hollon, S. D. (1991). What can specificity designs say about causality in psychopathology research? / Psychological Bulletin, / 110, 129鈥?36.
  24. Gorka, S. M., Ali, B., & Daughters, S. B. (2012). The role of distress tolerance in the relationship between depressive symptoms and problematic alcohol use. / Psychology of Addictive Behaviors, / 26, 621鈥?26. CrossRef
  25. Grant, D. M., Beck, J. G., & Davila, J. (2007). Does anxiety sensitivity predict symptoms of panic, depression, and social anxiety? / Behaviour Research and Therapy, / 45, 2247鈥?255. CrossRef
  26. Hettema, J. M. (2008). What is the genetic relationship between anxiety and depression? In / American journal of medical genetics part C: Seminars in medical genetics (Vol. 148, pp. 140鈥?46). Wiley Online Library. Retrieved from http://onlinelibrary.wiley.com.proxy.lib.fsu.edu/doi/1.1002/ajmg.c.30171/full.
  27. Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. / Structural Equation Modeling: A Multidisciplinary Journal, / 6, 1鈥?5. CrossRef
  28. Huang, K., Szabo, M., & Han, J. (2009). The relationship of low distress tolerance to excessive worrying and cognitive avoidance. / Behaviour Change, / 26, 223鈥?34. CrossRef
  29. Jaccard, J., & Wan, C. K. (1995). Measurement error in the analysis of interaction effects between continuous predictors using multiple regression: Multiple indicator and structural equation approaches. / Psychological Bulletin, / 117, 348鈥?57. CrossRef
  30. Kendler, K. S., Gardner, C. O., Gatz, M., & Pedersen, N. L. (2007). The sources of co-morbidity between major depression and generalized anxiety disorder in a Swedish national twin sample. / Psychological Medicine, / 37, 453鈥?62. CrossRef
  31. Kenny, D. A., & McCoach, D. B. (2003). Effect of the number of variables on measures of fit in structural equation modeling. / Structural Equation Modeling, / 10, 333鈥?51. CrossRef
  32. Keough, M. E., Riccardi, C. J., Timpano, K. R., Mitchell, M. A., & Schmidt, N. B. (2010). Anxiety symptomatology: The association with distress tolerance and anxiety sensitivity. / Behavior Therapy, / 41, 567鈥?74. CrossRef
  33. Keough, M. E., & Schmidt, N. B. (2012). Refinement of a brief anxiety sensitivity reduction intervention. / Journal of Consulting and Clinical Psychology, / 80, 766鈥?72. CrossRef
  34. Kessler, R. C., DuPont, R. L., Berglund, P., & Wittchen, H.-U. (1999). Impairment in pure and comorbid generalized anxiety disorder and major depression at 12 months in two national surveys. / American Journal of Psychiatry, / 156, 1915鈥?923.
  35. Kessler, R. C., McGonagle, K. A., Swartz, M., Blazer, D. G., & Nelson, C. B. (1993). Sex and depression in the National Comorbidity Survey I: Lifetime prevalence, chronicity and recurrence. / Journal of Affective Disorders, / 29, 85鈥?6. CrossRef
  36. Kleiman, E. M., & Riskind, J. H. (2012). Cognitive vulnerability to comorbidity: Looming cognitive style and depressive cognitive style as synergistic predictors of anxiety and depression symptoms. / Journal of Behavior Therapy and Experimental Psychiatry, / 43, 1109鈥?114. CrossRef
  37. Klein, A. G., & Muth茅n, B. O. (2007). Quasi-maximum likelihood estimation of structural equation models with multiple interaction and quadratic effects. / Multivariate Behavioral Research, / 42, 647鈥?73. CrossRef
  38. Kline, R. B. (2011). / Principles and practice of structural equation modeling (3rd ed.). New York, NY: The Guilford Press.
  39. Kuzma, J. M., & Black, D. W. (2004). Integrating pharmacotherapy and psychotherapy in the management of anxiety disorders. / Current Psychiatry Reports, / 6, 268鈥?73. CrossRef
  40. Leyro, T. M., Zvolensky, M. J., & Bernstein, A. (2010). Distress tolerance and psychopathological symptoms and disorders: A review of the empirical literature among adults. / Psychological Bulletin, / 136, 576鈥?00. CrossRef
  41. Lobbestael, J., Leurgans, M., & Arntz, A. (2011). Inter-rater reliability of the structured clinical interview for DSM-IV Axis I disorders (SCID-I) and Axis II disorders (SCID II). / Clinical Psychology and Psychotherapy, / 18, 75鈥?9. CrossRef
  42. Macatee, R. J., Capron, D. W., Guthrie, W., Schmidt, N. B., & Cougle, J. R. (2014). Distress tolerance and pathological worry: Incremental contributions and prospective associations (submitted).
  43. MacCallum, R. C., & Austin, J. T. (2000). Applications of structural equation modeling in psychological research. / Annual Review of Psychology, / 51, 201鈥?26. CrossRef
  44. MacCallum, R. C., Browne, M. W., & Sugawara, H. M. (1996). Power analysis and determination of sample size for covariance structure modeling. / Psychological Methods, / 1, 130鈥?49. CrossRef
  45. McHugh, R. K., & Otto, M. W. (2012). Refining the measurement of distress intolerance. / Behavior Therapy, / 43, 641鈥?51. CrossRef
  46. McHugh, R. K., Reynolds, E. K., Leyro, T. M., & Otto, M. W. (2013). An examination of the association of distress intolerance and emotion regulation with avoidance. / Cognitive Therapy and Research, / 37, 363鈥?67. CrossRef
  47. Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the Penn State Worry Questionnaire. / Behaviour Research and Therapy, / 28, 487鈥?95. CrossRef
  48. Mitchell, M. A., Riccardi, C. J., Keough, M. E., Timpano, K. R., & Schmidt, N. B. (2013). Understanding the associations among anxiety sensitivity, distress tolerance, and discomfort intolerance: A comparison of three models. / Journal of Anxiety Disorders, / 27, 147鈥?54. CrossRef
  49. Moffitt, T. E., Harrington, H., Caspi, A., Kim-Cohen, J., Goldberg, D., Gregory, A. M., et al. (2007). Depression and generalized anxiety disorder: Cumulative and sequential comorbidity in a birth cohort followed prospectively to age 32聽years. / Archives of General Psychiatry, / 64, 651鈥?60. CrossRef
  50. Moshagen, M. (2012). The model size effect in SEM: Inflated goodness-of-fit statistics are due to the size of the covariance matrix. / Structural Equation Modeling: A Multidisciplinary Journal, / 19, 86鈥?8. CrossRef
  51. Muth茅n, L. K., & Muth茅n, B. O. (1998鈥?008). / Mplus user鈥檚 guide (5th ed.) Los Angeles, CA: Author.
  52. Naragon-Gainey, K. (2010). Meta-analysis of the relations of anxiety sensitivity to the depressive and anxiety disorders. / Psychological Bulletin, / 136, 128鈥?50. CrossRef
  53. Norr, A. M., Oglesby, M. E., Capron, D. W., Raines, A. M., Korte, K. J., & Schmidt, N. B. (2013). Evaluating the unique contribution of intolerance of uncertainty relative to other cognitive vulnerability factors in anxiety psychopathology. / Journal of Affective Disorders, / 151, 136鈥?42. CrossRef
  54. Olatunji, B. O., & Wolitzky-Taylor, K. B. (2009). Anxiety sensitivity and the anxiety disorders: A meta-analytic review and synthesis. / Psychological Bulletin, / 135, 974鈥?99. CrossRef
  55. Osman, A., Downs, W. R., Barrios, F. X., Kopper, B. A., Guttierrez, P. M., & Chiros, C. E. (1997). Factor structure and psychometric characteristics of the Beck Depression Inventory-II. / Journal of Psychopathology and Behavioral Assessment, / 19, 359鈥?76. CrossRef
  56. Otto, M. W., Pollack, M. H., Fava, M., Uccello, R., & Rosenbaum, J. F. (1995). Elevated Anxiety Sensitivity Index scores in patients with major depression: Correlates and changes with antidepressant treatment. / Journal of Anxiety Disorders, / 9, 117鈥?23. CrossRef
  57. Rector, N. A., Szacun-Shimizu, K., & Leybman, M. (2007). Anxiety sensitivity within the anxiety disorders: Disorder-specific sensitivities and depression comorbidity. / Behaviour Research and Therapy, / 45, 1967鈥?975. CrossRef
  58. Reiss, S., & McNally, R. J. (1985). The expectancy model of fear. In S. Reiss & R. R. Bootzin (Eds.), / Theoretical issues in behavior therapy. New York: Academic Press.
  59. Reiss, S., Peterson, R. A., Gursky, D. M., & McNally, R. J. (1986). Anxiety sensitivity, anxiety frequency and the prediction of fearfulness. / Behaviour Research and Therapy, / 24, 1鈥?. CrossRef
  60. Riskind, J. H., Black, D., & Shahar, G. (2010). Cognitive vulnerability to anxiety in the stress generation process: Interaction between the looming cognitive style and anxiety sensitivity. / Journal of Anxiety Disorders, / 24(124), 128.
  61. Rodriguez, B. F., Bruce, S. E., Pagano, M. E., Spencer, M. A., & Keller, M. B. (2004). Factor structure and stability of the Anxiety Sensitivity Index in a longitudinal study of anxiety disorder patients. / Behaviour Research and Therapy, / 42, 79鈥?1. CrossRef
  62. Roy, M.-A., Neale, M. C., Pedersen, N. L., Mathe, A. A., & Kendler, K. S. (1995). A twin study of generalized anxiety disorder and major depression. / Psychological Medicine, / 25, 1037鈥?050. CrossRef
  63. Schmidt, N. B., Capron, D. W., Raines, A. M., & Allan, N. P. (in press). Randomized clinical trial evaluating the efficacy of a brief intervention targeting anxiety sensitivity cognitive concerns. / Journal of Consulting and Clinical Psychology.
  64. Schmidt, N. B., Eggleston, A. M., Woolaway-Bickel, K., Fitzpatrick, K. K., Vasey, M. W., & Richey, J. A. (2007). Anxiety Sensitivity Amelioration Training (ASAT): A longitudinal primary prevention program targeting cognitive vulnerability. / Journal of Anxiety Disorders, / 21, 302鈥?19. CrossRef
  65. Schmidt, N. B., Lerew, D. R., & Joiner, T. E. (2000). Prospective evaluation of the etiology of anxiety sensitivity: Test of a scar model. / Behaviour Research and Therapy, / 38, 1083鈥?095. CrossRef
  66. Schmidt, N. B., Zvolensky, M. J., & Maner, J. K. (2006). Anxiety sensitivity: Prospective prediction of panic attacks and Axis I pathology. / Journal of Psychiatric Research, / 40, 691鈥?99. CrossRef
  67. Simons, J. S., & Gaher, R. M. (2005). The Distress Tolerance Scale: Development and validation of a self-report measure. / Motivation and Emotion, / 29, 83鈥?02. CrossRef
  68. Starr, L. R., & Davila, J. (2012). Responding to anxiety with rumination and hopelessness: Mechanism of anxiety-depression symptom co-occurrence? / Cognitive Therapy and Research, / 36, 321鈥?37. CrossRef
  69. Stein, M. B., Jang, K. L., & Livesley, W. J. (1999). Heritability of anxiety sensitivity: A twin study. / American Journal of Psychiatry, / 156, 246鈥?51.
  70. Taylor, S., Koch, W. J., & McNally, R. J. (1992). How does anxiety sensitivity vary across the anxiety disorders. / Journal of Anxiety Disorders, / 6, 249鈥?59. CrossRef
  71. Taylor, S., Koch, W. J., Woody, S., & McLean, P. (1996). Anxiety sensitivity and depression: How are they related? / Journal of Abnormal Psychology, / 105, 474鈥?79. CrossRef
  72. Taylor, S., Zvolensky, M. J., Cox, B. J., Deacon, B., Heimberg, R. G., Ledley, D. R., et al. (2007). Robust dimensions of anxiety sensitivity: Development and initial validation of the Anxiety Sensitivity Index-3. / Psychological Assessment, / 19, 176鈥?88. CrossRef
  73. Tull, M. T., & Gratz, K. L. (2008). Further examination of the relationship between anxiety sensitivity and depression: The mediating role of experiential avoidance and difficulties engaging in goal-directed behavior when distressed. / Journal of Anxiety Disorders, / 22, 199鈥?10. CrossRef
  74. Vanheule, S., Desmet, M., Groenvynck, H., Rosseel, Y., & Fontaine, J. (2008). The factor structure of the Beck Depression Inventory-II: An evaluation. / Assessment, / 15, 177鈥?87. CrossRef
  75. Viana, A. G., & Rabian, B. (2008). Perceived attachment: Relations to anxiety sensitivity, worry, and GAD symptoms. / Behaviour Research and Therapy, / 46, 737鈥?47. CrossRef
  76. Watson, D., Gamez, W., & Simms, L. J. (2005). Basic dimensions of temperament and their relation to anxiety and depression: A symptom-based perspective. / Journal of Research in Personality, / 39, 46鈥?6. CrossRef
  77. Williams, A. D., Thompson, J., & Andrews, G. (2013). The impact of psychological distress tolerance in the treatment of depression. / Behaviour Research and Therapy, / 51, 469鈥?75. CrossRef
  78. Zavos, H., Gregory, A. M., & Eley, T. C. (2012). Longitudinal genetic analysis of anxiety sensitivity. / Developmental Psychology, / 48, 204鈥?12. CrossRef
  
• 作者单位：Nicholas P. Allan (1)
  Richard J. Macatee (1)
  Aaron M. Norr (1)
  Norman B. Schmidt (1)
  
  1. Department of Psychology, Florida State University, P.O. Box 3064301, Tallahassee, FL, 32306-4301, USA
  
• ISSN：1573-2819

文摘

Anxiety sensitivity and distress tolerance are both hypothesized risk factors for generalized anxiety disorder (GAD) and major depressive disorder (MDD). However, it is unclear whether these factors synergistically influence GAD and MDD and related symptoms. Using latent variable methods, direct and interactive relations between anxiety sensitivity and distress tolerance with worry and depressive symptoms and with GAD and MDD diagnoses were examined in 347 outpatients. Interactive effects of anxiety sensitivity and distress tolerance were found for worry and GAD/MDD. The interactions generally suggested that anxiety sensitivity confers a greater risk for worry and GAD/MDD at higher levels of distress tolerance, and that distress tolerance confers a greater risk for worry and GAD/MDD at lower levels of anxiety sensitivity. Given the interactive effects of anxiety sensitivity and distress tolerance for GAD/MDD, interventions targeting both risk factors may prove more efficacious than targeting each individually.