Skip to main content
Top
Gepubliceerd in:

20-05-2021 | Original Article

Anxiety Sensitivity and Distress Tolerance Predict Changes in Internalizing Symptoms in Individuals Exposed to Interpersonal Trauma

Auteurs: Rachel M. Ranney, Erin Berenz, Lance M. Rappaport, Ananda Amstadter, Danielle Dick, Spit for Science Working Group

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 1/2022

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Background

College students demonstrate high rates of depression and anxiety, particularly among students with self-reported history of trauma exposure. Neuroticism, a personality trait characterized by emotional instability and negative affect, is consistently associated with internalizing symptoms; however, our understanding of malleable risk characteristics that help to clarify these associations between neuroticism and internalizing symptoms is limited. The current study investigated whether anxiety sensitivity (AS) and/or distress tolerance (DT) would predict changes in internalizing symptoms (depression and anxiety), beyond the effects of neuroticism, in a high-risk sample of college students.

Methods

Participants were 316 college students (75.9% women) with self-reported history of interpersonal trauma exposure who participated in a university-wide longitudinal study of emotional health. Participants completed assessments of personality, AS, DT, depression, and anxiety over three time points spanning an average of 26 months.

Results

Results of structural equation modeling demonstrated that higher AS predicted increases in depression and anxiety, and lower DT predicted increases in depression and anxiety (controlling for neuroticism). Neuroticism did not predict changes in depression or anxiety.

Conclusions

These findings contribute to our understanding of the role of AS and DT in the development of depression and anxiety in trauma-exposed college students.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Voetnoten
1
The pattern of results from step one and step two (the final model) also remained unchanged when additional covariates were investigated, including trauma load and duration of time participants took to complete the study.
 
Literatuur
go back to reference Allan, N. P., Oglesby, M. E., Uhl, A., & Schmidt, N. B. (2017). Cognitive risk factors explain the relations between neuroticism and social anxiety for males and females. Cognitive Behaviour Therapy, 46(3), 224–238.PubMed Allan, N. P., Oglesby, M. E., Uhl, A., & Schmidt, N. B. (2017). Cognitive risk factors explain the relations between neuroticism and social anxiety for males and females. Cognitive Behaviour Therapy, 46(3), 224–238.PubMed
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed.). American Psychiatric Association.CrossRef American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed.). American Psychiatric Association.CrossRef
go back to reference Auerbach, R. P., Alonso, J., Axinn, W. G., Cuijpers, P., Ebert, D. D., Green, J. G., Hwang, I., Kessler, R. C., Liu, H., Mortier, P., Nock, M. K., Pinder-Amaker, S., Sampson, N. A., Aguilar-Gaxiola, S., Al-Hamzawi, A., Andrade, L. H., Benjet, C., Caldas-de-Almeida, J. M.,…Bruffaerts, R. (2016). Mental disorders among college students in the world health organization world mental health surveys. Psychological Medicine, 46(14), 2955–2970. https://doi.org/10.1017/S0033291716001665CrossRefPubMedPubMedCentral Auerbach, R. P., Alonso, J., Axinn, W. G., Cuijpers, P., Ebert, D. D., Green, J. G., Hwang, I., Kessler, R. C., Liu, H., Mortier, P., Nock, M. K., Pinder-Amaker, S., Sampson, N. A., Aguilar-Gaxiola, S., Al-Hamzawi, A., Andrade, L. H., Benjet, C., Caldas-de-Almeida, J. M.,…Bruffaerts, R. (2016). Mental disorders among college students in the world health organization world mental health surveys. Psychological Medicine, 46(14), 2955–2970. https://​doi.​org/​10.​1017/​S003329171600166​5CrossRefPubMedPubMedCentral
go back to reference Bardeen, J. R., & Fergus, T. A. (2016). Emotional distress intolerance, experiential avoidance, and anxiety sensitivity: The buffering effect of attentional control on associations with posttraumatic stress symptoms. Journal of Psychopathology and Behavioral Assessment, 38(2), 320–329. https://doi.org/10.1007/s10862-015-9522-xCrossRef Bardeen, J. R., & Fergus, T. A. (2016). Emotional distress intolerance, experiential avoidance, and anxiety sensitivity: The buffering effect of attentional control on associations with posttraumatic stress symptoms. Journal of Psychopathology and Behavioral Assessment, 38(2), 320–329. https://​doi.​org/​10.​1007/​s10862-015-9522-xCrossRef
go back to reference Bardeen, J. R., Tull, M. T., Dixon-Gordon, K., Stevens, E. N., & Gratz, K. L. (2015a). Attentional control as a moderator of the relationship between difficulties accessing effective emotion regulation strategies and distress tolerance. Journal of Psychopathology and Behavioral Assessment, 37(1), 79–84. https://doi.org/10.1007/s10862-014-9433-2CrossRef Bardeen, J. R., Tull, M. T., Dixon-Gordon, K., Stevens, E. N., & Gratz, K. L. (2015a). Attentional control as a moderator of the relationship between difficulties accessing effective emotion regulation strategies and distress tolerance. Journal of Psychopathology and Behavioral Assessment, 37(1), 79–84. https://​doi.​org/​10.​1007/​s10862-014-9433-2CrossRef
go back to reference Blumenthal, D. R., Neemann, J., & Murphy, C. M. (1998). Lifetime exposure to interparental physical and verbal aggression and symptom expression in college students. Violence and Victims, 13(2), 175–196.CrossRefPubMed Blumenthal, D. R., Neemann, J., & Murphy, C. M. (1998). Lifetime exposure to interparental physical and verbal aggression and symptom expression in college students. Violence and Victims, 13(2), 175–196.CrossRefPubMed
go back to reference Bucholz, K. K., Cadoret, R., Cloninger, C. R., Dinwiddie, S. H., Hesselbrock, V. M., Nurnberger, J. I., Reich, T., Schmidt, I., & Schuckit, M. A. (1994). A new, semi-structured psychiatric interview for use in genetic linkage studies: A report on the reliability of the SSAGA. Journal of Studies on Alcohol, 55(2), 149–158. https://doi.org/10.15288/jsa.1994.55.149CrossRefPubMed Bucholz, K. K., Cadoret, R., Cloninger, C. R., Dinwiddie, S. H., Hesselbrock, V. M., Nurnberger, J. I., Reich, T., Schmidt, I., & Schuckit, M. A. (1994). A new, semi-structured psychiatric interview for use in genetic linkage studies: A report on the reliability of the SSAGA. Journal of Studies on Alcohol, 55(2), 149–158. https://​doi.​org/​10.​15288/​jsa.​1994.​55.​149CrossRefPubMed
go back to reference Derogatis, L. E., & Cleary, P. A. (1977). Confirmation of the dimensional structure of the SCL-90: A study in construct validation. Journal of Clinical Psychology, 33(4), 981–989.CrossRef Derogatis, L. E., & Cleary, P. A. (1977). Confirmation of the dimensional structure of the SCL-90: A study in construct validation. Journal of Clinical Psychology, 33(4), 981–989.CrossRef
go back to reference Dick, D. M., Nasim, A., Edwards, A. C., Salvatore, J. E., Cho, S. B., Adkins, A., Meyers, J., Yan, J., Cooke, M., Clifford, J., Goyal, N., Halberstadt, L., Ailstock, K., Neale, Z., Opalesky, J., Hancock, L., Donovan, K. K., Sun, C., Riley, B., & Kendler, K. S. (2014). Spit for Science: Launching a longitudinal study of genetic and environmental influences on substance use and emotional health at a large US university. Frontiers in Genetics, 5, 47. https://doi.org/10.3389/fgene.2014.00047CrossRefPubMedPubMedCentral Dick, D. M., Nasim, A., Edwards, A. C., Salvatore, J. E., Cho, S. B., Adkins, A., Meyers, J., Yan, J., Cooke, M., Clifford, J., Goyal, N., Halberstadt, L., Ailstock, K., Neale, Z., Opalesky, J., Hancock, L., Donovan, K. K., Sun, C., Riley, B., & Kendler, K. S. (2014). Spit for Science: Launching a longitudinal study of genetic and environmental influences on substance use and emotional health at a large US university. Frontiers in Genetics, 5, 47. https://​doi.​org/​10.​3389/​fgene.​2014.​00047CrossRefPubMedPubMedCentral
go back to reference Eysenck, H. J. (1967). Biological bases of personality. Springfield, IL: Charles C Thomas. Eysenck, H. J. (1967). Biological bases of personality. Springfield, IL: Charles C Thomas.
go back to reference Gray, M. J., Litz, B. T., Hsu, J. L., & Lombardo, T. W. (2004). Psycho- metric properties of the life events checklist. Assessment, 11, 330–341.CrossRefPubMed Gray, M. J., Litz, B. T., Hsu, J. L., & Lombardo, T. W. (2004). Psycho- metric properties of the life events checklist. Assessment, 11, 330–341.CrossRefPubMed
go back to reference Green, B. L., Goodman, L. A., Krupnick, J. L., Corcoran, C. B., Petty, R. M., Stockton, P., & Stern, N. M. (2000). Outcomes of single versus multiple trauma exposure in a screening sample. Journal of Traumatic Stress, 13(2), 271–285.CrossRefPubMed Green, B. L., Goodman, L. A., Krupnick, J. L., Corcoran, C. B., Petty, R. M., Stockton, P., & Stern, N. M. (2000). Outcomes of single versus multiple trauma exposure in a screening sample. Journal of Traumatic Stress, 13(2), 271–285.CrossRefPubMed
go back to reference Harris, P. A., Taylor, R., Thielke, R., Payne, J., Gonzalez, N., & Conde, J. G. (2009). Research electronic data capture (REDCap)—A metadata—Driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Informatics, 42, 377–381.CrossRefPubMed Harris, P. A., Taylor, R., Thielke, R., Payne, J., Gonzalez, N., & Conde, J. G. (2009). Research electronic data capture (REDCap)—A metadata—Driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Informatics, 42, 377–381.CrossRefPubMed
go back to reference Hashoul-Andary, R., Assayag-Nitzan, Y., Yuval, K., Aderka, I. M., Litz, B., & Bernstein, A. (2016). A longitudinal study of emotional distress intolerance and psychopathology following exposure to a potentially traumatic event in a community sample. Cognitive Therapy and Research, 40(1), 1–13. https://doi.org/10.1007/s10608-015-9730-4CrossRef Hashoul-Andary, R., Assayag-Nitzan, Y., Yuval, K., Aderka, I. M., Litz, B., & Bernstein, A. (2016). A longitudinal study of emotional distress intolerance and psychopathology following exposure to a potentially traumatic event in a community sample. Cognitive Therapy and Research, 40(1), 1–13. https://​doi.​org/​10.​1007/​s10608-015-9730-4CrossRef
go back to reference Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria verus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6, 1–55.CrossRef Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria verus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6, 1–55.CrossRef
go back to reference Hudek-Knežević, J., Kardum, I., & Maglica, B. K. (2005). The sources of stress and coping styles as mediators and moderators of the relationship between personality traits and physical symptoms. Review of Psychology, 12(2), 91–101. Hudek-Knežević, J., Kardum, I., & Maglica, B. K. (2005). The sources of stress and coping styles as mediators and moderators of the relationship between personality traits and physical symptoms. Review of Psychology, 12(2), 91–101.
go back to reference John, O. P., & Srivastava, S. (1999). The Big Five trait taxonomy: History, measurement and theoretical perspectives. In L. A. Pervin & O. P. John (Eds.), Handbook of personality: Theory and research (pp. 102–138). Guilford. John, O. P., & Srivastava, S. (1999). The Big Five trait taxonomy: History, measurement and theoretical perspectives. In L. A. Pervin & O. P. John (Eds.), Handbook of personality: Theory and research (pp. 102–138). Guilford.
go back to reference Lilienfeld, S. O. (1999). Anxiety sensitivity and the structure of personality. In S. Taylor (Ed.), Anxiety sensitivity: Theory, research and treatment of the fear of anxiety.Lawrence Erlbaum Associates. Lilienfeld, S. O. (1999). Anxiety sensitivity and the structure of personality. In S. Taylor (Ed.), Anxiety sensitivity: Theory, research and treatment of the fear of anxiety.Lawrence Erlbaum Associates.
go back to reference Martin, C. G., Cromer, L. D., DePrince, A. P., & Freyd, J. J. (2013). The role of cumulative trauma, betrayal, and appraisals in understanding trauma symptomatology. Psychological Trauma: Theory, Research, Practice, and Policy, 5(2), 110–118. https://doi.org/10.1037/a0025686CrossRef Martin, C. G., Cromer, L. D., DePrince, A. P., & Freyd, J. J. (2013). The role of cumulative trauma, betrayal, and appraisals in understanding trauma symptomatology. Psychological Trauma: Theory, Research, Practice, and Policy, 5(2), 110–118. https://​doi.​org/​10.​1037/​a0025686CrossRef
go back to reference McNally, R. J. (2002). Anxiety sensitivity and panic disorder. Biological Psychiatry, 52, 938–946.CrossRefPubMed McNally, R. J. (2002). Anxiety sensitivity and panic disorder. Biological Psychiatry, 52, 938–946.CrossRefPubMed
go back to reference Medina, J., Hopkins, L., Powers, M., Baird, S. O., & Smits, J. (2015). The effects of a hatha yoga intervention on facets of distress tolerance. Cognitive Behaviour Therapy, 44(4), 288–300.CrossRefPubMedPubMedCentral Medina, J., Hopkins, L., Powers, M., Baird, S. O., & Smits, J. (2015). The effects of a hatha yoga intervention on facets of distress tolerance. Cognitive Behaviour Therapy, 44(4), 288–300.CrossRefPubMedPubMedCentral
go back to reference Renner, F., Penninx, B. W. J. H., Peeters, F., Cuijpers, P., & Huibers, M. J. H. (2013). Two-year stability and change of neuroticism and extraversion in treated and untreated persons with depression: Findings from the netherlands study of depression and anxiety (NESDA). Journal of Affective Disorders, 150(2), 201–208. https://doi.org/10.1016/j.jad.2013.03.022CrossRefPubMed Renner, F., Penninx, B. W. J. H., Peeters, F., Cuijpers, P., & Huibers, M. J. H. (2013). Two-year stability and change of neuroticism and extraversion in treated and untreated persons with depression: Findings from the netherlands study of depression and anxiety (NESDA). Journal of Affective Disorders, 150(2), 201–208. https://​doi.​org/​10.​1016/​j.​jad.​2013.​03.​022CrossRefPubMed
go back to reference Rosenthal, B. S. (2000). Exposure to community violence in adolescence: Trauma symptoms. Adolescence, 35(138), 271–284.PubMed Rosenthal, B. S. (2000). Exposure to community violence in adolescence: Trauma symptoms. Adolescence, 35(138), 271–284.PubMed
go back to reference Schmidt, N. B., Capron, D. W., Raines, A. M., & Allan, N. P. (2014). Randomized clinical trial evaluating the efficacy of a brief intervention targeting anxiety sensitivity cognitive concerns. Journal of Consulting and Clinical Psychology, 82(6), 1023–1033. https://doi.org/10.1037/a0036651CrossRefPubMed Schmidt, N. B., Capron, D. W., Raines, A. M., & Allan, N. P. (2014). Randomized clinical trial evaluating the efficacy of a brief intervention targeting anxiety sensitivity cognitive concerns. Journal of Consulting and Clinical Psychology, 82(6), 1023–1033. https://​doi.​org/​10.​1037/​a0036651CrossRefPubMed
go back to reference Smith, D. J., Escott-Price, V., Davies, G., Bailey, M. E. S., Colodro-Conde, L., Ward, J., Vedernikov, A., Marioni, R., Cullen, B., Lyall, D., Hagenaars, S. P., Liewald, D. C. M., Luciano, M., Gale, C. R., Ritchie, S. J., Hayward, C., Nicholl, B., Bulik-Sullivan, B., Adams, M.,…O’Donovan, M. C. (2016). Genome-wide analysis of over 106000 individuals identifies 9 neuroticism-associated loci. Molecular Psychiatry, 21(6), 749–757. https://doi.org/10.1038/mp.2016.49CrossRefPubMedPubMedCentral Smith, D. J., Escott-Price, V., Davies, G., Bailey, M. E. S., Colodro-Conde, L., Ward, J., Vedernikov, A., Marioni, R., Cullen, B., Lyall, D., Hagenaars, S. P., Liewald, D. C. M., Luciano, M., Gale, C. R., Ritchie, S. J., Hayward, C., Nicholl, B., Bulik-Sullivan, B., Adams, M.,…O’Donovan, M. C. (2016). Genome-wide analysis of over 106000 individuals identifies 9 neuroticism-associated loci. Molecular Psychiatry, 21(6), 749–757. https://​doi.​org/​10.​1038/​mp.​2016.​49CrossRefPubMedPubMedCentral
go back to reference Taylor, S., Zvolensky, M. J., Cox, B. J., Deacon, B., Heimberg, R. G., Ledley, D. R., Abramowitz, J. S., Holaway, R. M., Sandin, B., Stewart, S. H., Coles, M., Eng, W., Daly, E. S., Arrindell, W. A., Bouvard, M., & Cardenas, S. J. (2007). Robust dimensions of anxiety sensitivity: Development and initial validation of the Anxiety Sensitivity Index-3. Psychological Assessment, 19, 176–188. https://doi.org/10.1037/1040-3590.19.2.176CrossRefPubMed Taylor, S., Zvolensky, M. J., Cox, B. J., Deacon, B., Heimberg, R. G., Ledley, D. R., Abramowitz, J. S., Holaway, R. M., Sandin, B., Stewart, S. H., Coles, M., Eng, W., Daly, E. S., Arrindell, W. A., Bouvard, M., & Cardenas, S. J. (2007). Robust dimensions of anxiety sensitivity: Development and initial validation of the Anxiety Sensitivity Index-3. Psychological Assessment, 19, 176–188. https://​doi.​org/​10.​1037/​1040-3590.​19.​2.​176CrossRefPubMed
go back to reference Trafton, J. A., & Gifford, E. V. (2011). Biological bases of distress tolerance. In M. J. Zvolensky, A. Bernstein, & A. A. Vujanovic (Eds.), Distress tolerance: Theory, research, and clinical applications; distress tolerance: Theory, research, and clinical applications (pp. 80–102). Guilford Press. Trafton, J. A., & Gifford, E. V. (2011). Biological bases of distress tolerance. In M. J. Zvolensky, A. Bernstein, & A. A. Vujanovic (Eds.), Distress tolerance: Theory, research, and clinical applications; distress tolerance: Theory, research, and clinical applications (pp. 80–102). Guilford Press.
go back to reference Zinbarg, R. E., Mohlman, J., & Hong, N. M. (1999). Dimensions of anxiety sensitivity. In S. Taylor (Ed.), Anxiety sensitivity: Theory, research, and treatment of the fear of anxiety (pp. 83–114). Erlbaum. Zinbarg, R. E., Mohlman, J., & Hong, N. M. (1999). Dimensions of anxiety sensitivity. In S. Taylor (Ed.), Anxiety sensitivity: Theory, research, and treatment of the fear of anxiety (pp. 83–114). Erlbaum.
Metagegevens
Titel
Anxiety Sensitivity and Distress Tolerance Predict Changes in Internalizing Symptoms in Individuals Exposed to Interpersonal Trauma
Auteurs
Rachel M. Ranney
Erin Berenz
Lance M. Rappaport
Ananda Amstadter
Danielle Dick
Spit for Science Working Group
Publicatiedatum
20-05-2021
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 1/2022
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-021-10234-4

Andere artikelen Uitgave 1/2022

Cognitive Therapy and Research 1/2022 Naar de uitgave