Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in:

21-01-2021 | Original Article

Anxiety Sensitivity Moderates the Impact of COVID-19 Perceived Stress on Anxiety and Functional Impairment

Auteurs: Kara Manning, Natasha D. Eades, Brooke Y. Kauffman, Laura J. Long, Angela L. Richardson, Lorra Garey, Michael J. Zvolensky, Matthew W. Gallagher

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 4/2021

Abstract

Background

The COVID-19 pandemic has had a profound negative impact on mental health symptoms and daily life functioning across the United States and worldwide. Past work has revealed that perceived stress relates to poorer outcomes, however, little work to date has examined factors that may exacerbate these outcomes, and no work to date has examined this relation in terms of COVID-19. Anxiety sensitivity is a promising individual difference factor that has shown to be related to mental health and functional impairment. Anxiety Sensitivity is also a vulnerability factor related to heightened stress perception.

Method

Therefore, the current study sought to examine the potential moderating role of anxiety sensitivity in the relation between COVID-19 specific perceived stress and global anxiety symptom severity, anxious arousal symptom severity, and functional impairment among 563 adults (58.1% male; M_age = 38.3 years; SD = 12.15).

Results

Results indicated a statistically significant interaction between COVID-19 perceived stress and anxiety sensitivity with global anxiety symptom severity, anxious arousal symptom severity, and functional impairment. Post-hoc analysis indicated that COVID-19 perceived stress was associated with an increased likelihood of clinically significant global anxiety symptom severity and anxious arousal symptom severity at higher levels of anxiety sensitivity.

Conclusions

The current study provides support for the role of anxiety sensitivity in identifying individuals at risk for clinically significant global anxiety symptom severity and anxious arousal symptom severity.

vorige artikel The Effects of Interpersonal Support on Treatment Outcomes Using Cognitive Processing Therapy

volgende artikel COVID-19 and Anxiety Sensitivity Across Two Studies in Argentina: Associations with COVID-19 Worry, Symptom Severity, Anxiety, and Functional Impairment

Allan, N. P., Capron, D. W., Raines, A. M., & Schmidt, N. B. (2014). Unique relations among anxiety sensitivity factors and anxiety, depression, and suicidal ideation. Journal of Anxiety Disorders, 28(2), 266–275. CrossRef

Baek, I. C., Lee, E. H., & Kim, J. H. (2019). Differences in anxiety sensitivity factors between anxiety and depressive disorders. Depression and Anxiety, 36(10), 968–974. CrossRef

Bardeen, J. R., Fergus, T. A., & Orcutt, H. K. (2013). Experiential avoidance as a moderator of the relationship between anxiety sensitivity and perceived stress. Behavior Therapy, 44(3), 459–469. CrossRef

Behenck, A. D. S., Wesner, A. C., Guimaraes, L. S. P., Manfro, G. G., Dreher, C. B., & Heldt, E. (2020). Anxiety Sensitivity and panic disorder: evaluation of the impact of cognitive-behavioral group therapy. Issues in Mental Health Nursing, 1–7.

Behrend, T. S., Sharek, D. J., Meade, A. W., & Wiebe, E. N. (2011). The viability of crowdsourcing for survey research. Behavior Research Methods, 43(3), 800–813. https://doi.org/10.3758/s13428-011-0081-0. CrossRefPubMed

Besser, A., & Zeigler-Hill, V. (2014). Positive personality features and stress among first-year university students: Implications for psychological distress, functional impairment, and self-esteem. Self and Identity, 13(1), 24–44. CrossRef

Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet.

Buhrmester, M. D., Talaifar, S., & Gosling, S. D. (2018). An Evaluation of Amazon’s mechanical turk, its rapid rise, and its effective use. Perspectives on Psychological Science, 13(2), 149–154. https://doi.org/10.1177/1745691617706516. CrossRefPubMed

Bureau, U. S. C. (2020). Household pulse survey: Measuring social and economic impacts during the COVID-19 Pandemic. Retrieved from https://www.census.gov/householdpulsedata.

Burnham, M. J., Le, Y. K., & Piedmont, R. L. (2018). Who is Mturk? Personal characteristics and sample consistency of these online workers. Mental Health, Religion & Culture, 21(9–10), 934–944. https://doi.org/10.1080/13674676.2018.1486394. CrossRef

Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385–396. CrossRef

Cohen, S., & Williamson, G. (1988). Perceived stress in a probability sample of the United States. In S. Spacapan & S. Oskamp (Eds.), The social psychology of health. Newbury Park, CA: Sage.

Covid, C., & Team, R. (2020). Severe outcomes among patients with coronavirus disease 2019 (COVID-19)—United States, February 12–March 16, 2020. MMWR, 69(12), 343–346.

Engineering, C. F. S. S. A. (2020). Coronavirus Resource Center.

Fauci, A. S., Lane, H. C., & Redfield, R. R. (2020). Covid-19—navigating the uncharted: Mass Medical Soc.

Gallagher, M. W., Zvolenksy, M. J., Long, L. J., Rogers, A. H., & Garey, L. (in press). The impact of COVID-19 experiences and associated stress on anxiety, depression, and functional impairment in American adults. Cognitive Therapy and Research.

Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press.

Isyanov, E. V., & Calamari, J. E. (2004). Does stress perception mediate the relationship between anxiety sensitivity and anxiety and depression symptoms? Anxiety, Stress & Coping, 17(2), 153–162. CrossRef

Lane, J. D., Seskevich, J. E., & Pieper, C. F. (2007). Brief meditation training can improve perceived stress and negative mood. Alternative Therapies in Health and Medicine, 13(1), 38–45. PubMed

Limcaoco, R. S. G., Mateos, E. M., Fernandez, J. M., & Roncero, C. (2020). Anxiety, worry and perceived stress in the world due to the COVID-19 pandemic, March 2020. Preliminary results. medRxiv.

McCracken, L. M., & Keogh, E. (2009). Acceptance, mindfulness, and values-based action may counteract fear and avoidance of emotions in chronic pain: Asn analysis of anxiety sensitivity. The Journal of Pain, 10(4), 408–415. CrossRef

McNally, R. J. (2002). Anxiety sensitivity and panic disorder. Biological Psychiatry, 52(10), 938–946. CrossRef

Mertens, G., Gerritsen, L., Duijndam, S., Salemink, E., & Engelhard, I. M. (2020). Fear of the coronavirus (COVID-19): Predictors in an online study conducted in March 2020. Journal of anxiety disorders, 102258.

Mundt, J. C., Marks, I. M., Shear, M. K., & Greist, J. H. (2002). the work and social adjustment scale: A simple measure of impairment in functioning. The British Journal of Psychiatry, 180, 461–464. https://doi.org/10.1192/bjp.180.5.461. CrossRefPubMed

Naragon-Gainey, K. (2010). Meta-analysis of the relations of anxiety sensitivity to the depressive and anxiety disorders. Psychological Bulletin, 136(1), 128. CrossRef

Norman, S. B., Campbell-Sills, L., Hitchcock, C. A., Sullivan, S., Rochlin, A., Wilkins, K. C., & Stein, M. B. (2011). Psychometrics of a brief measure of anxiety to detect severity and impairment: the Overall Anxiety Severity and Impairment Scale (OASIS). Journal of Psychiatric Research, 45(2), 262–268. https://doi.org/10.1016/j.jpsychires.2010.06.011. CrossRefPubMed

Norman, S. B., Hami Cissell, S., Means-Christensen, A. J., & Stein, M. B. (2006). Development and validation of an overall anxiety severity and impairment scale (OASIS). Depression and Anxiety, 23(4), 245–249. CrossRef

Panchal, N., Kamal, R., Orgera, K., Cox, C., Garfield, R., Hamel, L., & Chidambaram, P. (2020). The implications of COVID-19 for mental health and substance use. The Henry J. Kaiser Family Foundation, 21

Park, C. L., Russell, B. S., Fendrich, M., Finkelstein-Fox, L., Hutchison, M., & Becker, J. (2020). Americans’ COVID-19 stress, coping, and adherence to CDC guidelines. Journal of General Internal Medicine, 1.

Pedersen, G., Kvarstein, E. H., & Wilberg, T. (2017). The Work and Social Adjustment Scale: Psychometric properties and validity among males and females, and outpatients with and without personality disorders. Personal Mental Health, 11(4), 215–228. https://doi.org/10.1002/pmh.1382. CrossRef

Pfefferbaum, B., & North, C. S. (2020). Mental health and the Covid-19 pandemic. New England Journal of Medicine.

Rajkumar, R. P. (2020). COVID-19 and mental health: A review of the existing literature. Asian journal of psychiatry, 102066.

Reiss, S., & McNally, R. (1985). Expectancy model of fear. In S. Reiss & R. R. Bootzin (Eds.), Theoretical issues in behavior therapy inside: San Diego. CA: Academic Press.

Schmidt, N. B., Lerew, D. R., & Jackson, R. J. (1997). The role of anxiety sensitivity in the pathogenesis of panic: Prospective evaluation of spontaneous panic attacks during acute stress. Journal of Abnormal Psychology, 106(3), 355. CrossRef

Shear, M. K., Brown, T. A., Barlow, D. H., Money, R., Sholomskas, D. E., Woods, S. W., . . . Papp, L. A. (1997). Multicenter collaborative Panic Disorder Severity Scale. American Journal of Psychiatry, 154(11), 1571-1575. doi: https://doi.org/10.1176/ajp.154.11.1571

Smits, J. A., Berry, A. C., Rosenfield, D., Powers, M. B., Behar, E., & Otto, M. W. (2008). Reducing anxiety sensitivity with exercise. Depression and Anxiety, 25(8), 689–699. CrossRef

Smits, J. A., Zvolensky, M. J., Davis, M. L., Rosenfield, D., Marcus, B. H., Church, T. S., . . . Hopkins, L. B. (2016). The efficacy of vigorous-intensity exercise as an aid to smoking cessation in adults with high anxiety sensitivity: A randomized controlled trial. Psychosomatic medicine, 78(3), 354

Storch, E. A., Wu, M. S., Small, B. J., Crawford, E. A., Lewin, A. B., Horng, B., & Murphy, T. K. (2014). Mediators and moderators of functional impairment in adults with obsessive–compulsive disorder. Comprehensive Psychiatry, 55(3), 489–496. CrossRef

Taylor, S., Zvolensky, M. J., Cox, B. J., Deacon, B., Heimberg, R. G., Ledley, D. R., . . . Cardenas, S. J. (2007). Robust dimensions of anxiety sensitivity: Development and initial validation of the Anxiety Sensitivity Index-3. Psychological Assessment, 19(2), 176-188. doi: https://doi.org/10.1037/1040-3590.19.2.176

VanKim, N. A., & Nelson, T. F. (2013). Vigorous physical activity, mental health, perceived stress, and socializing among college students. American journal of health promotion, 28(1), 7–15. CrossRef

Wuyek, L. A., Antony, M. M., & McCabe, R. E. (2011). Psychometric properties of the panic disorder severity scale: Clinician-administered and self-report versions. Clinical Psychology & Psychotherapy, 18(3), 234–243. https://doi.org/10.1002/cpp.703. CrossRef

Yao, H., Chen, J.-H., & Xu, Y.-F. (2020). Patients with mental health disorders in the COVID-19 epidemic. The Lancet Psychiatry, 7(4), e21. CrossRef

Zvolensky, M. J., Goodie, J. L., Ruggiero, K. J., Black, A. L., Larkin, K. T., & Taylor, B. K. (2002). Perceived stress and anxiety sensitivity in the prediction of anxiety-related responding: A multichallenge evaluation. Anxiety, Stress & Coping, 15(3), 211–229. CrossRef

Titel: Anxiety Sensitivity Moderates the Impact of COVID-19 Perceived Stress on Anxiety and Functional Impairment
Auteurs: Kara Manning
Natasha D. Eades
Brooke Y. Kauffman
Laura J. Long
Angela L. Richardson
Lorra Garey
Michael J. Zvolensky
Matthew W. Gallagher
Publicatiedatum: 21-01-2021
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 4/2021
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-021-10207-7

Bohn Stafleu van Loghum

Tip

Swipe om te navigeren naar een ander artikel

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Background

Method

Results

Conclusions

Log in om toegang te krijgen

Andere artikelen Uitgave 4/2021

The Effects of Stoic Training and Adaptive Working Memory Training on Emotional Vulnerability in High Worriers

Heightened Sense of Incompleteness in Excoriation (Skin-Picking) Disorder

Social Anxiety Disorder and the Fear of Death: An Empirical Investigation of the Terror Management Approach towards Understanding Clinical Anxiety

COVID-19 and Anxiety Sensitivity Across Two Studies in Argentina: Associations with COVID-19 Worry, Symptom Severity, Anxiety, and Functional Impairment

Inhibitory Control Moderates the Effect of Anxiety on Vagally Mediated Heart Rate Variability: Findings from a Community Sample of Young School-Aged Children

Money Versus Social Rank: An Empirical Investigation of Unfairness in Social Anxiety