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页数:11页
时间:2019-07-31
《Direct and Interactive Effects of Distress Tolerance andAnxiety Sensitivity on Generalized Anxiety and Depression 》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、CognTherRes(2014)38:530–540DOI10.1007/s10608-014-9623-yORIGINALARTICLEDirectandInteractiveEffectsofDistressToleranceandAnxietySensitivityonGeneralizedAnxietyandDepressionNicholasP.Allan•RichardJ.Macatee•AaronM.Norr•NormanB.SchmidtPublishedonline:1June
2、2014ÓSpringerScience+BusinessMediaNewYork2014AbstractAnxietysensitivityanddistresstoleranceareIntroductionbothhypothesizedriskfactorsforgeneralizedanxietydisorder(GAD)andmajordepressivedisorder(MDD).Generalizedanxietydisorder(GAD)andmajordepressiveHow
3、ever,itisunclearwhetherthesefactorssynergisticallydisorder(MDD)oftenco-occur(e.g.,Kessleretal.1999).influenceGADandMDDandrelatedsymptoms.UsingThishasledinvestigatorstospeculatewhetherthesedisor-latentvariablemethods,directandinteractiverelationsdersmay
4、reflectthesamedisorderprocess(seeHettema2008betweenanxietysensitivityanddistresstolerancewithforareview),citingevidencefromtwinstudiesindicatingworryanddepressivesymptomsandwithGADandMDDcloselysharedgeneticsusceptibility(Kendleretal.2007;diagnosesweree
5、xaminedin347outpatients.InteractiveRoyetal.1995),pharmacotherapyresponse(KuzmaandeffectsofanxietysensitivityanddistresstolerancewereBlack2004),andpersonalitytraits(i.e.,neuroticism;WatsonfoundforworryandGAD/MDD.Theinteractionsgener-etal.2005).However,
6、somestudieshavedocumenteddis-allysuggestedthatanxietysensitivityconfersagreaterriskorder-specificenvironmental(e.g.,parentaloverprotectionforworryandGAD/MDDathigherlevelsofdistresstol-inGAD)andtemperamental(e.g.,lowpositiveemotionalityerance,andthatdis
7、tresstoleranceconfersagreaterriskforinMDD)riskfactors(Beesdoetal.2010;Moffittetal.2007).worryandGAD/MDDatlowerlevelsofanxietysensitiv-Giventheevidencethatenvironmentalfactorsmaybeity.Giventheinteractiveeffectsofanxietysensitivityandresponsiblefordiffer
8、entialdisorderexpression(Royetal.distresstoleranceforGAD/MDD,interventionstargeting1995),itisimportanttoidentifycommonanddistinctriskbothriskfactorsmayprovemoreefficaciousthantargetingfactorsthatmayreflectenvironmentally-mediatedexpres-eachindiv
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