Skip to main content
Top
Gepubliceerd in: Cognitive Therapy and Research 4/2018

19-01-2018 | Original Article

Interactive Effects of Traumatic Brain Injury and Anxiety Sensitivity on PTSD Symptoms: A Replication and Extension in Two Clinical Samples

Auteurs: Brian J. Albanese, Richard J. Macatee, Joseph W. Boffa, Craig J. Bryan, Michael J. Zvolensky, Norman B. Schmidt

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 4/2018

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

Traumatic brain injury is prevalent and linked with heightened risk for post-traumatic stress symptoms, yet little research has investigated the role of well-established cognitive-affective risk factors in explaining this association. The present study addressed this gap by evaluating if elevations in anxiety sensitivity global score and subscales (cognitive concerns, physical concerns, social concerns) potentiated the effects of traumatic brain injury history on post-traumatic stress symptoms in two clinical samples: trauma-exposed smokers (n = 256; study 1) and trauma-exposed treatment-seeking adults (n = 117; study 2). Both samples revealed a significant interaction such that traumatic brain injury was more strongly linked with post-traumatic stress symptoms among those with high anxiety sensitivity cognitive concerns. In addition, anxiety sensitivity cognitive concerns demonstrated a stronger relationship with post-traumatic stress symptoms among those with a traumatic brain injury history. Taken together, these results of both studies underscore the importance of anxiety sensitivity cognitive concerns in the association of traumatic brain injury and posttraumatic stress symptoms.
Voetnoten
1
Analyses were also conducted using the presence/absence of any other medical illness (indexed by the MHF) as an additional covariate, and the same pattern of results emerged. In addition, the interaction of AS total and subscale scores with the history of other medical illness on PTSS was also examined, but non-significant (p’s > .30). To keep the analyses in studies 1 and 2 consistent, only results without medical illness history are presented.
 
Literatuur
go back to reference Albanese, B. J., Macatee, R. J., Allan, N. P., Short, N. A., Norr, A. M., & Schmidt, N. B. (in press). Interactive effects of anxiety sensitivity and attentional control on post-traumatic stress in community and clinical populations. Psychiatry: Interpersonal and Biological Processes. Albanese, B. J., Macatee, R. J., Allan, N. P., Short, N. A., Norr, A. M., & Schmidt, N. B. (in press). Interactive effects of anxiety sensitivity and attentional control on post-traumatic stress in community and clinical populations. Psychiatry: Interpersonal and Biological Processes.
go back to reference Bardeen, J. R., & Fergus, T. A. (2015). 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. https://doi.org/10.1007/s10862-015-9522-x.CrossRef Bardeen, J. R., & Fergus, T. A. (2015). 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. https://​doi.​org/​10.​1007/​s10862-015-9522-x.CrossRef
go back to reference Bovin, M. J., Marx, B. P., Weathers, F. W., Gallagher, M. W., Rodriguez, P., Schnurr, P. P., & Keane, T. M. (2016). Psychometric properties of the PTSD checklist for diagnostic and statistical manual of mental disorders—Fifth edition (PCL-5) in veterans. Psychological Assessment, 28(11), 1379–1391. https://doi.org/10.1037/pas0000254.CrossRefPubMed Bovin, M. J., Marx, B. P., Weathers, F. W., Gallagher, M. W., Rodriguez, P., Schnurr, P. P., & Keane, T. M. (2016). Psychometric properties of the PTSD checklist for diagnostic and statistical manual of mental disorders—Fifth edition (PCL-5) in veterans. Psychological Assessment, 28(11), 1379–1391. https://​doi.​org/​10.​1037/​pas0000254.CrossRefPubMed
go back to reference Capron, D. W., & Schmidt, N. B. (2016). Development and randomized trial evaluation of a novel computer-delivered anxiety sensitivity intervention. Behaviour Research and Therapy, 81, 47–55.CrossRefPubMed Capron, D. W., & Schmidt, N. B. (2016). Development and randomized trial evaluation of a novel computer-delivered anxiety sensitivity intervention. Behaviour Research and Therapy, 81, 47–55.CrossRefPubMed
go back to reference McDermott, M. J., Tull, M. T., Gratz, K. L., Daughters, S. B., & Lejuez, C. (2009). The role of anxiety sensitivity and difficulties in emotion regulation in posttraumatic stress disorder among crack/cocaine dependent patients in residential substance abuse treatment. Journal of Anxiety Disorders, 23(5), 591–599.CrossRefPubMedPubMedCentral McDermott, M. J., Tull, M. T., Gratz, K. L., Daughters, S. B., & Lejuez, C. (2009). The role of anxiety sensitivity and difficulties in emotion regulation in posttraumatic stress disorder among crack/cocaine dependent patients in residential substance abuse treatment. Journal of Anxiety Disorders, 23(5), 591–599.CrossRefPubMedPubMedCentral
go back to reference Norr, A. M., Albanese, B. J., Boffa, J. W., Short, N. A., & Schmidt, N. B. (2016). The relationship between gender and PTSD symptoms: Anxiety sensitivity as a mechanism. Personality and Individual Differences, 90, 210–213.CrossRef Norr, A. M., Albanese, B. J., Boffa, J. W., Short, N. A., & Schmidt, N. B. (2016). The relationship between gender and PTSD symptoms: Anxiety sensitivity as a mechanism. Personality and Individual Differences, 90, 210–213.CrossRef
go back to reference Raines, A. M., Walton, J. L., McManus, E. S., Cuccurullo, L.-A. J., Chambliss, J., Uddo, M., & Franklin, C. L. (2017). Associations between lower order anxiety sensitivity dimensions and DSM-5 posttraumatic stress disorder symptoms. Cognitive Behaviour Therapy, 46(2), 162–173.CrossRefPubMed Raines, A. M., Walton, J. L., McManus, E. S., Cuccurullo, L.-A. J., Chambliss, J., Uddo, M., & Franklin, C. L. (2017). Associations between lower order anxiety sensitivity dimensions and DSM-5 posttraumatic stress disorder symptoms. Cognitive Behaviour Therapy, 46(2), 162–173.CrossRefPubMed
go back to reference Reiss, S., & McNally, R. (1985a). Expectancy model of fear. In S. Reiss & R. R. Bootzin (Eds.), Theoretical issues in behavior therapy (pp. 107–121). San Diego, CA: Academic Press. Reiss, S., & McNally, R. (1985a). Expectancy model of fear. In S. Reiss & R. R. Bootzin (Eds.), Theoretical issues in behavior therapy (pp. 107–121). San Diego, CA: Academic Press.
go back to reference Reiss, S., & McNally, R. J. (1985b). Expectancy model of fear. Theoretical Issues in Behavior Therapy, 107–121. Reiss, S., & McNally, R. J. (1985b). Expectancy model of fear. Theoretical Issues in Behavior Therapy, 107–121.
go back to reference Scheftner, W., & Endicott, J. (1984). Medical history form II. Available from Dr. Scheftener at Rush-Presbyterian-St. Luke’s Medical Center. Paper presented at the 1753 West Congress Parkway, Chicago, IL. Scheftner, W., & Endicott, J. (1984). Medical history form II. Available from Dr. Scheftener at Rush-Presbyterian-St. Lukes Medical Center. Paper presented at the 1753 West Congress Parkway, Chicago, IL.
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 Counseling and Clinical Psychology, 82(6), 1023–1033. https://doi.org/10.1037/a0036651.CrossRef 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 Counseling and Clinical Psychology, 82(6), 1023–1033. https://​doi.​org/​10.​1037/​a0036651.CrossRef
go back to reference Schneiderman, A. I., Braver, E. R., & Kang, H. K. (2008). Understanding sequelae of injury mechanisms and mild traumatic brain injury incurred during the conflicts in Iraq and Afghanistan: Persistent postconcussive symptoms and posttraumatic stress disorder. American Journal of Epidemiology, 167(12), 1446–1452. https://doi.org/10.1093/aje/kwn068.CrossRefPubMed Schneiderman, A. I., Braver, E. R., & Kang, H. K. (2008). Understanding sequelae of injury mechanisms and mild traumatic brain injury incurred during the conflicts in Iraq and Afghanistan: Persistent postconcussive symptoms and posttraumatic stress disorder. American Journal of Epidemiology, 167(12), 1446–1452. https://​doi.​org/​10.​1093/​aje/​kwn068.CrossRefPubMed
go back to reference Schwab, K. A., Baker, G., Ivins, B. J., Sluss-tiller, M., Lux, W., & Warden, D. (2006). The brief traumatic brain injury screen (BTBIS). Neurology, 66(5), A235. Schwab, K. A., Baker, G., Ivins, B. J., Sluss-tiller, M., Lux, W., & Warden, D. (2006). The brief traumatic brain injury screen (BTBIS). Neurology, 66(5), A235.
go back to reference Spielberger, C. D. (1983). Manual for the State-Trait Anxiety Inventory STAI (form Y)(“self-evaluation questionnaire”). Spielberger, C. D. (1983). Manual for the State-Trait Anxiety Inventory STAI (form Y)(“self-evaluation questionnaire”).
go back to reference Tucker, P., Pfefferbaum, B., Nixon, S. J., & Dickson, W. (2000). Predictors of post-traumatic stress symptoms in Oklahoma City: Exposure, social support, peri-traumatic responses. The Journal of Behavioral Health Services and Research, 27(4), 406–416.CrossRefPubMed Tucker, P., Pfefferbaum, B., Nixon, S. J., & Dickson, W. (2000). Predictors of post-traumatic stress symptoms in Oklahoma City: Exposure, social support, peri-traumatic responses. The Journal of Behavioral Health Services and Research, 27(4), 406–416.CrossRefPubMed
go back to reference Weathers, F. J., Litz., B. T., Keane, T. M., Palmieri, P. A., Markx, B. P., & Schnurr, P. P. (2013). The PTSD checklist for DSM-5 (PCL-5). Boston, MA: National Center for PTSD. Weathers, F. J., Litz., B. T., Keane, T. M., Palmieri, P. A., Markx, B. P., & Schnurr, P. P. (2013). The PTSD checklist for DSM-5 (PCL-5). Boston, MA: National Center for PTSD.
go back to reference WHO. (1992). The ICD-10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines: Geneva: World Health Organization. WHO. (1992). The ICD-10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines: Geneva: World Health Organization.
go back to reference Zvolensky, M. J., Paulus, D. J., Bakhshaie, J., Garza, M., Ochoa-Perez, M., Medvedeva, A.,.. . Schmidt, N. B. (2016). Interactive effect of negative affectivity and anxiety sensitivity in terms of mental health among Latinos in primary care. Psychiatry Research, 243, 35–42.CrossRefPubMed Zvolensky, M. J., Paulus, D. J., Bakhshaie, J., Garza, M., Ochoa-Perez, M., Medvedeva, A.,.. . Schmidt, N. B. (2016). Interactive effect of negative affectivity and anxiety sensitivity in terms of mental health among Latinos in primary care. Psychiatry Research, 243, 35–42.CrossRefPubMed
Metagegevens
Titel
Interactive Effects of Traumatic Brain Injury and Anxiety Sensitivity on PTSD Symptoms: A Replication and Extension in Two Clinical Samples
Auteurs
Brian J. Albanese
Richard J. Macatee
Joseph W. Boffa
Craig J. Bryan
Michael J. Zvolensky
Norman B. Schmidt
Publicatiedatum
19-01-2018
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 4/2018
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-017-9883-4

Andere artikelen Uitgave 4/2018

Cognitive Therapy and Research 4/2018 Naar de uitgave