Skip to main content
Top
Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment 2/2013

01-06-2013

Main and Interactive Effects of Distress Tolerance and Negative Affect Intensity in Relation to PTSD Symptoms among Trauma-Exposed Adults

Auteurs: Anka A. Vujanovic, Ashley S. Hart, Carrie M. Potter, Erin C. Berenz, Barbara Niles, Amit Bernstein

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 2/2013

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

The present investigation evaluated the main and interactive effects of distress tolerance and negative affect intensity in relation to posttraumatic stress disorder (PTSD) symptom severity and symptom cluster severity. Participants were 190 trauma-exposed adults (52.6 % women; M age = 25.3 years, SD = 11.4) recruited from the community. Distress tolerance (i.e., perceived ability to withstand distressing emotional states) demonstrated significant incremental associations with global PTSD symptom severity as well as Re-Experiencing, Emotional Numbing, and Hyperarousal symptom cluster severity. Negative affect intensity (i.e., perceived intensity of negative emotional responses) demonstrated significant incremental associations with each of the PTSD symptom outcomes. Moreover, the incremental interactive effect of distress tolerance and negative affect intensity was significantly associated with PTSD symptom severity as well as PTSD—Emotional Numbing symptom cluster severity. These incremental effects were evident after accounting for the variance explained by anxiety sensitivity (i.e., fear of anxiety-related sensations). Post hoc probing analyses supported the moderating role of negative affect intensity in the association between distress tolerance and PTSD symptom severity, such that low levels of distress tolerance, in the context of elevated levels of negative affect intensity, were associated with the greatest levels of PTSD symptoms.
Voetnoten
1
The pattern of results did not change when gender was included as a covariate in regression analyses.
 
Literatuur
go back to reference American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
go back to reference American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev). Washington, DC: Author. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev). Washington, DC: Author.
go back to reference Basco, M. R., Bostic, J. Q., Davies, D., Rush, J., Witte, B., Hendrickse, W., & Barnett, V. (2000). Methods to improve diagnostic accuracy in a community mental health setting. The American Journal of Psychiatry, 157, 1599–1605. doi:10.1176/appi.ajp.157.10.1599.CrossRef Basco, M. R., Bostic, J. Q., Davies, D., Rush, J., Witte, B., Hendrickse, W., & Barnett, V. (2000). Methods to improve diagnostic accuracy in a community mental health setting. The American Journal of Psychiatry, 157, 1599–1605. doi:10.​1176/​appi.​ajp.​157.​10.​1599.CrossRef
go back to reference Cohen, J., & Cohen, P. (1983). Applied multiple regression/correlation analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum. Cohen, J., & Cohen, P. (1983). Applied multiple regression/correlation analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.
go back to reference Fedoroff, I. C., Taylor, S., Asmundson, G. J. G., & Koch, W. J. (2000). Cognitive factors in traumatic stress reactions: predicting PTSD symptoms from anxiety sensitivity and beliefs about harmful events. Behavioural and Cognitive Psychotherapy, 28, 5–15. Fedoroff, I. C., Taylor, S., Asmundson, G. J. G., & Koch, W. J. (2000). Cognitive factors in traumatic stress reactions: predicting PTSD symptoms from anxiety sensitivity and beliefs about harmful events. Behavioural and Cognitive Psychotherapy, 28, 5–15.
go back to reference First, M., Spitzer, R., Williams, J., & Gibbon, M. (1995). Structured clinical interview for DSM-IV-Non-patient edition (SCID-NP, version 1.0). Washington, DC: American Psychiatric Press. First, M., Spitzer, R., Williams, J., & Gibbon, M. (1995). Structured clinical interview for DSM-IV-Non-patient edition (SCID-NP, version 1.0). Washington, DC: American Psychiatric Press.
go back to reference Foa, E. B. (1995). Posttraumatic stress diagnostic scale manual. Minneapolis: National Computer Systems. Foa, E. B. (1995). Posttraumatic stress diagnostic scale manual. Minneapolis: National Computer Systems.
go back to reference Foa, E. B., Riggs, D. S., Dancu, C. V., & Rothbaum, B. O. (1993). Reliability and validity of a brief instrument for assessing post-traumatic stress disorder. Journal of Traumatic Stress, 6, 459–473. doi:10.1002/jts.2490060405.CrossRef Foa, E. B., Riggs, D. S., Dancu, C. V., & Rothbaum, B. O. (1993). Reliability and validity of a brief instrument for assessing post-traumatic stress disorder. Journal of Traumatic Stress, 6, 459–473. doi:10.​1002/​jts.​2490060405.CrossRef
go back to reference Hajek, P., Belcher, M., & Stapleton, J. (1987). Breath-holding endurance as a predictor of success in smoking cessation. Addictive Behaviors, 12, 285–288.PubMedCrossRef Hajek, P., Belcher, M., & Stapleton, J. (1987). Breath-holding endurance as a predictor of success in smoking cessation. Addictive Behaviors, 12, 285–288.PubMedCrossRef
go back to reference Keane, T. M., & Barlow, D. H. (2002). Posttraumatic stress disorder. In D. H. Barlow (Ed.), Anxiety and its disorders (2nd ed., pp. 418–453). New York: Guilford. Keane, T. M., & Barlow, D. H. (2002). Posttraumatic stress disorder. In D. H. Barlow (Ed.), Anxiety and its disorders (2nd ed., pp. 418–453). New York: Guilford.
go back to reference King, D. W., Leskin, G. A., King, L. A., & Weathers, F. W. (1998). Confirmatory factor analysis of the clinician-administered PTSD scale: evidence for dimensionality of posttraumatic stress disorder. Psychological Assessment, 10, 90–96. doi:10.1037//1040-3590.10.2.90.CrossRef King, D. W., Leskin, G. A., King, L. A., & Weathers, F. W. (1998). Confirmatory factor analysis of the clinician-administered PTSD scale: evidence for dimensionality of posttraumatic stress disorder. Psychological Assessment, 10, 90–96. doi:10.​1037/​/​1040-3590.​10.​2.​90.CrossRef
go back to reference Larsen, R. J., & Diener, E. (1987). Affect intensity as an individual difference characteristic: a review. Journal of Research in Personality, 21, 1–39.CrossRef Larsen, R. J., & Diener, E. (1987). Affect intensity as an individual difference characteristic: a review. Journal of Research in Personality, 21, 1–39.CrossRef
go back to reference 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, 576–600. doi:10.1177/0963721410388642.PubMedCrossRef 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, 576–600. doi:10.​1177/​0963721410388642​.PubMedCrossRef
go back to reference Marshall-Berenz, E. C., Vujanovic, A. A., Bonn-Miller, M. O., Bernstein, A., & Zvolensky, M. J. (2010). Multimethod study of distress tolerance and PTSD symptom severity in a trauma-exposed community sample. Journal of Traumatic Stress, 23, 623–630. doi:10.1002/jts.20568.PubMedCrossRef Marshall-Berenz, E. C., Vujanovic, A. A., Bonn-Miller, M. O., Bernstein, A., & Zvolensky, M. J. (2010). Multimethod study of distress tolerance and PTSD symptom severity in a trauma-exposed community sample. Journal of Traumatic Stress, 23, 623–630. doi:10.​1002/​jts.​20568.PubMedCrossRef
go back to reference Olatunji, B. O., & Wolitzky-Taylor, K. B. (2009). Anxiety sensitivity and the anxiety disorders: a meta-analytic review and synthesis. Psychological Bulletin, 135, 974–999.PubMedCrossRef Olatunji, B. O., & Wolitzky-Taylor, K. B. (2009). Anxiety sensitivity and the anxiety disorders: a meta-analytic review and synthesis. Psychological Bulletin, 135, 974–999.PubMedCrossRef
go back to reference Peterson, R. A., & Reiss, S. (1992). The anxiety sensitivity index manual (2nd ed.). Worthington: International Diagnostic Systems. Peterson, R. A., & Reiss, S. (1992). The anxiety sensitivity index manual (2nd ed.). Worthington: International Diagnostic Systems.
go back to reference Shea, M. T., Vujanovic, A. A., Mansfield, A. K., Sevin, E., & Liu, F. (2010). Functional impairment among OEF/OIF veterans: associations with PTSD symptoms. Journal of Traumatic Stress, 23, 100–107. doi:10.1002/jts.20497.PubMed Shea, M. T., Vujanovic, A. A., Mansfield, A. K., Sevin, E., & Liu, F. (2010). Functional impairment among OEF/OIF veterans: associations with PTSD symptoms. Journal of Traumatic Stress, 23, 100–107. doi:10.​1002/​jts.​20497.PubMed
go back to reference Tull, M. T., Jakupcak, M., McFadden, M. E., & Roemer, L. (2007). The role of negative affect intensity and the fear of emotions in posttraumatic stress symptom severity among victims of childhood interpersonal violence. The Journal of Nervous and Mental Disease, 195, 580–587. doi:10.1097/NMD.0b013e318093ed5f.PubMedCrossRef Tull, M. T., Jakupcak, M., McFadden, M. E., & Roemer, L. (2007). The role of negative affect intensity and the fear of emotions in posttraumatic stress symptom severity among victims of childhood interpersonal violence. The Journal of Nervous and Mental Disease, 195, 580–587. doi:10.​1097/​NMD.​0b013e318093ed5f​.PubMedCrossRef
go back to reference Vujanovic, A. A., Zvolensky, M. J., Gibson, L. E., Lynch, T. R., Leen-Feldner, E. W., Feldner, M. T., & Bernstein, A. (2006). Affect intensity: association with anxious and fearful responding to bodily sensations. Journal of Anxiety Disorders, 20, 192–206. doi:10.1016/j.janxdis.2004.12.002.PubMedCrossRef Vujanovic, A. A., Zvolensky, M. J., Gibson, L. E., Lynch, T. R., Leen-Feldner, E. W., Feldner, M. T., & Bernstein, A. (2006). Affect intensity: association with anxious and fearful responding to bodily sensations. Journal of Anxiety Disorders, 20, 192–206. doi:10.​1016/​j.​janxdis.​2004.​12.​002.PubMedCrossRef
go back to reference Vujanovic, A. A., Bernstein, A., & Litz, B. T. (2011). Traumatic stress. In M. J. Zvolensky, A. Bernstein, & A. A. Vujanovic (Eds.), Distress tolerance: theory, research, and clinical applications (pp. 126–148). New York: Guilford. Vujanovic, A. A., Bernstein, A., & Litz, B. T. (2011). Traumatic stress. In M. J. Zvolensky, A. Bernstein, & A. A. Vujanovic (Eds.), Distress tolerance: theory, research, and clinical applications (pp. 126–148). New York: Guilford.
go back to reference Vujanovic, A. A., Bonn-Miller, M. O., Potter, C. M., Marshall, E. C., & Zvolensky, M. J. (2011). An evaluation of the relation between distress tolerance and posttraumatic stress within a trauma-exposed sample. Psychopathology and Behavioral Assessment, 33, 129–135. doi:10.1007/s10862-010-9209-2.CrossRef Vujanovic, A. A., Bonn-Miller, M. O., Potter, C. M., Marshall, E. C., & Zvolensky, M. J. (2011). An evaluation of the relation between distress tolerance and posttraumatic stress within a trauma-exposed sample. Psychopathology and Behavioral Assessment, 33, 129–135. doi:10.​1007/​s10862-010-9209-2.CrossRef
go back to reference Zanarini, M. C., Skodol, A. E., Bender, D., Dolan, R., Sanislow, C., Schaefer, E., & Gunderson, J. G. (2000). The collaborative longitudinal personality disorders study: reliability of axis I and II diagnoses. Journal of Personality Disorders, 14, 291–299.PubMedCrossRef Zanarini, M. C., Skodol, A. E., Bender, D., Dolan, R., Sanislow, C., Schaefer, E., & Gunderson, J. G. (2000). The collaborative longitudinal personality disorders study: reliability of axis I and II diagnoses. Journal of Personality Disorders, 14, 291–299.PubMedCrossRef
go back to reference Zvolensky, M. J., Vujanovic, A. A., Bernstein, A., & Leyro, T. (2010). Distress tolerance: theory, measurement, and relations to psychopathology. Current Directions in Psychological Science, 19, 406–410. doi:10.1177/0963721410388642.CrossRef Zvolensky, M. J., Vujanovic, A. A., Bernstein, A., & Leyro, T. (2010). Distress tolerance: theory, measurement, and relations to psychopathology. Current Directions in Psychological Science, 19, 406–410. doi:10.​1177/​0963721410388642​.CrossRef
Metagegevens
Titel
Main and Interactive Effects of Distress Tolerance and Negative Affect Intensity in Relation to PTSD Symptoms among Trauma-Exposed Adults
Auteurs
Anka A. Vujanovic
Ashley S. Hart
Carrie M. Potter
Erin C. Berenz
Barbara Niles
Amit Bernstein
Publicatiedatum
01-06-2013
Uitgeverij
Springer US
Gepubliceerd in
Journal of Psychopathology and Behavioral Assessment / Uitgave 2/2013
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI
https://doi.org/10.1007/s10862-012-9325-2

Andere artikelen Uitgave 2/2013

Journal of Psychopathology and Behavioral Assessment 2/2013 Naar de uitgave