Swipe om te navigeren naar een ander artikel
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.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev). Washington, DC: Author.
Cohen, J., & Cohen, P. (1983). Applied multiple regression/correlation analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.
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.
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.
Foa, E. B. (1995). Posttraumatic stress diagnostic scale manual. Minneapolis: National Computer Systems.
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.
Larsen, R. J., & Diener, E. (1987). Affect intensity as an individual difference characteristic: a review. Journal of Research in Personality, 21, 1–39. CrossRef
Peterson, R. A., & Reiss, S. (1992). The anxiety sensitivity index manual (2nd ed.). Worthington: International Diagnostic Systems.
State of Vermont, Department of Health. Retrieved November 3, 2011, from http://www.healthyvermonters.info/.
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
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., 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., 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
- Main and Interactive Effects of Distress Tolerance and Negative Affect Intensity in Relation to PTSD Symptoms among Trauma-Exposed Adults
Anka A. Vujanovic
Ashley S. Hart
Carrie M. Potter
Erin C. Berenz
- Springer US
Journal of Psychopathology and Behavioral Assessment
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505