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01-04-2013 | Original Article

From Higher-Order to Underlying Constructs: Examining the Relationships Between Affect and Fundamental Fears

Auteurs: Michel A. Thibodeau, R. Nicholas Carleton, Kelsey C. Collimore, Gordon J. G. Asmundson

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 2/2013

Abstract

Targeting constructs that contribute to positive and negative affect may lead to clinically significant reductions in symptoms of principal and co-occurring psychopathology. Anxiety sensitivity, the fear of negative evaluation, and illness/injury sensitivity have been described as three fundamental fears that underlie anxiety-related disorders. Despite the contemporary relevance of the fundamental fears, positive affect, and negative affect as treatment targets, research into how these constructs relate to each other remains scant. Community participants (n = 287) completed measures of affect and the fundamental fears. Canonical correlations, regression analyses, and moderator analyses revealed strong associations between negative affect and each of anxiety sensitivity, the fear of negative evaluation, and illness/injury sensitivity and a weaker but significant inverse relationship with positive affect. The fundamental fears shared a substantive amount of variance (42 %) with positive and negative affect, and this overlap may warrant attention from researchers and clinicians focusing on specific or transdiagnostic features of anxiety.

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Allen, L. B., McHugh, R. K., & Barlow, D. H. (2008). Emotional disorders: A unified protocol. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders. New York: Guildford Press.

Asmundson, G. J. G., Norton, P. J., & Norton, G. R. (1999). Beyond pain: The role of fear and avoidance in chronicity. Clinical Psychology Review, 19(1), 97–119. doi:10.1016/S0272-7358(98)00034-8.PubMedCrossRef

Asmundson, G. J. G., Norton, P. J., & Vlaeyen, J. W. S. (2004). Fear-avoidance models of chronic pain: An overview. In G. J. G. Asmundson, J. W. S. Vlaeyen, & G. Crombez (Eds.), Understanding and treating fear of pain (pp. 3–24). Oxford: Oxford University Press.

Asmundson, G. J. G., Weeks, J. W., Carleton, R. N., Thibodeau, M. A., & Fetzner, M. G. (2011). Revisiting the latent structure of the anxiety sensitivity construct: More evidence of dimensionality. Journal of Anxiety Disorders, 25(1), 138–147. doi:10.1016/j.janxdis.2010.08.013.PubMedCrossRef

Barlow, D. H. (2010). Unified protocol for transdiagnostic treatment of emotional disorders: Therapist guide. Oxford: Oxford University Press.

Benitez, C. I., Shea, M. T., Raffa, S., Rende, R., Dyck, I. R., Ramsawh, H. J., et al. (2009). Anxiety sensitivity as a predictor of the clinical course of panic disorder: A 1-year follow-up study. Depression and Anxiety, 26(4), 335–342. doi:10.1002/da.20423.PubMedCrossRef

Brown, T. A. (2007). Temporal course and structural relationships among dimensions of temperament and DSM-IV anxiety and mood disorder constructs. Journal of Abnormal Psychology, 116(2), 313–328. doi:10.1037/0021-843X.116.2.313.PubMedCrossRef

Brown, T. A., Campbell, L. A., Lehman, C. L., Grisham, J. R., & Mancill, R. B. (2001). Current and lifetime comorbidity of the DSM-IV anxiety and mood disorders in a large clinical sample. Journal of Abnormal Psychology, 110(4), 585–599.PubMedCrossRef

Brown, T. A., Chorpita, B. F., & Barlow, D. H. (1998). Structural relationships among dimensions of the DSM-IV anxiety and mood disorders and dimensions of negative affect, positive affect, and autonomic arousal. Journal of Abnormal Psychology, 107(2), 179–192.PubMedCrossRef

Carleton, R. N., & Asmundson, G. J. (2009). The multidimensionality of fear of pain: Construct independence for the fear of pain questionnaire-short form and the pain anxiety symptoms scale-20. Journal of Pain, 10(1), 29–37. doi:10.1016/j.jpain.2008.06.007.PubMedCrossRef

Carleton, R. N., Asmundson, G. J. G., & Taylor, S. (2005). Fear of physical harm: Factor structure and psychometric properties of the injury/illness sensitivity index. Journal of Psychopathology and Behavioral Assessment, 27(4), 235–341.CrossRef

Carleton, R. N., Collimore, K. C., & Asmundson, G. J. (2007a). Social anxiety and fear of negative evaluation: Construct validity of the BFNE-II. Journal of Anxiety Disorders, 21(1), 131–141. doi:10.1016/j.janxdis.2006.03.010.PubMedCrossRef

Carleton, R. N., Collimore, K. C., & Asmundson, G. J. (2010). “It’s not just the judgements–It’s that I don’t know”: Intolerance of uncertainty as a predictor of social anxiety. Journal of Anxiety Disorders, 24(2), 189–195. doi:10.1016/j.janxdis.2009.10.007.PubMedCrossRef

Carleton, R. N., Collimore, K. C., McCabe, R. E., & Antony, M. M. (2011a). Addressing revisions to the brief fear of negative evaluation scale: Measuring fear of negative evaluation across anxiety and mood disorders. Journal of Anxiety Disorders, 25(6), 822–828. doi:10.1016/j.janxdis.2011.04.002.PubMedCrossRef

Carleton, R. N., Park, I., & Asmundson, G. J. G. (2006). The illness/injury sensitivity index: An examination of construct validity. Depression and Anxiety, 23(6), 340–346. doi:10.1002/da.20138.PubMedCrossRef

Carleton, R. N., Sharpe, D., & Asmundson, G. J. (2007b). Anxiety sensitivity and intolerance of uncertainty: Requisites of the fundamental fears? Behaviour Research and Therapy, 45(10), 2307–2316. doi:10.1016/j.brat.2007.04.006.PubMedCrossRef

Carleton, R. N., Weeks, J. W., Howell, A. N., Asmundson, G. J., Antony, M. M., & McCabe, R. E. (2011b). Assessing the latent structure of the intolerance of uncertainty construct: An initial taxometric analysis. Journal of Anxiety Disorders, 150–157. doi:10.1016/j.janxdis.2011.10.006.

Clark, L. A., & Watson, D. (1991). Tripartite model of anxiety and depression: Psychometric evidence and taxonomic implications. Journal of Abnormal Psychology, 100(3), 316–336.PubMedCrossRef

Craske, M. G., & Barlow, D. H. (2008). Panic disorder and agoraphobia. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders. New York: Guildford Press.

Dugas, M. J., Freeston, M. H., & Ladouceur, R. (1997). Intolerance of uncertainty and problem orientation in worry. Cognitive Therapy and Research, 21(6), 593–606. doi:10.1023/A:1021890322153.CrossRef

Echambadi, R., & Hess, J. D. (2007). Mean-centering does not alleviate collinearity problems in moderated multiple regression models. Marketing Science, 6, 438–445.CrossRef

Ellard, K. K., Fairholme, C. P., Boisseau, C. L., Farchione, T. J., & Barlow, D. H. (2010). Unified protocol for the transdiagnostic treatment of emotional disorders: Protocol development and initial outcome data. Cognitive and Behavioral Practice, 17(1), 88–101. doi:10.1016/j.cbpra.2009.06.002.CrossRef

Fetzner, M. G., Collimore, K. C., Carleton, R. N., & Asmundson, G. J. (2011). Clarifying the relationship between AS dimensions and PTSD symptom clusters: Are negative and positive affectivity theoretically relevant constructs? Cognitive Behaviour Therapy, 41(1), 15–24. doi:10.1080/16506073.2011.621971.PubMedCrossRef

Joiner, T. E. (1996). A confirmatory factor-analytic investigation of the tripartite model of depression and anxiety in college students. Cognitive Therapy and Research, 20(5), 521–539.CrossRef

Jolly, J. B., & Dykman, R. A. (1994). Using self-report data to differentiate anxious and depressive symptoms in adolescents: Cognitive content specificity and global distress. Cognitive Therapy and Research, 18(1), 25–37.CrossRef

Kashdan, T. B. (2007). Social anxiety spectrum and diminished positive experiences: Theoretical synthesis and meta-analysis. Clinical Psychology Review, 27(3), 348–365. doi:10.1016/j.cpr.2006.12.003.PubMedCrossRef

Leary, M. R. (1983). A brief version of the fear of negative evaluation scale. Personality and Social Psychology Bulletin, 9(3), 371–375.CrossRef

McEvoy, P. M., Nathan, P., & Norton, P. J. (2009). Efficacy of transdiagnostic treatments: A review of published outcome studies and future research directions. Journal of Cognitive Psychotherapy, 23(1), 20–33. doi:10.1891/0889-8391.23.1.20.CrossRef

Mineka, S., Watson, D., & Clark, L. A. (1998). Comorbidity of anxiety and unipolar mood disorders. Annual Review of Psychology, 49(1), 377–412.PubMedCrossRef

Mounce, C., Keogh, E., & Eccleston, C. (2010). A principal components analysis of negative affect-related constructs relevant to pain: Evidence for a three component structure. The Journal of Pain, 11(8), 710–717. doi:10.1016/j.jpain.2009.10.014.PubMedCrossRef

Naragon-Gainey, K., Watson, D., & Markon, K. E. (2009). Differential relations of depression and social anxiety symptoms to the facets of extraversion/positive emotionality. Journal of Abnormal Psychology, 118(2), 299–310. doi:10.1037/a0015637.PubMedCrossRef

Rapee, R. M., & Heimberg, R. G. (1997). A cognitive-behavioral model of anxiety in social phobia. Behaviour Research and Therapy, 35(8), 741–756.PubMedCrossRef

Reiss, S., & McNally, R. J. (1985). The expectancy model of fear. In S. Reiss & R. R. Bootzin (Eds.), Theoretical Issues in behaviour therapy (pp. 107–121). New York: Academic Press.

Reiss, S., Peterson, R. A., Gursky, D. M., & McNally, R. J. (1986). Anxiety sensitivity, anxiety frequency and the prediction of fearfulness. Behaviour Research and Therapy, 24(1), 1–8.PubMedCrossRef

Rodebaugh, T. L., Woods, C. M., Thissen, D. M., Heimberg, R. G., Chambless, D. L., & Rapee, R. M. (2004). More information from fewer questions: The factor structure and item properties of the original and brief fear of negative evaluation scale. Psychological Assessment, 16(2), 169–181. doi:10.1037/1040-3590.16.2.169.PubMedCrossRef

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), 355–364.PubMedCrossRef

Schmidt, N. B., & Mallott, M. (2006). Evaluating anxiety sensitivity and other fundamental sensitivities predicting anxiety symptoms and fearful responding to a biological challenge. Behaviour Research and Therapy, 44(11), 1681–1688. doi:10.1016/j.brat.2005.12.001.PubMedCrossRef

Schützler, L., Carleton, R. N., & Witt, C. M. (2012). The Illness/Injury Sensitivity Index: Validation of a German Version of the ISI-R. Cognitive Behaviour Therapy. Advance online publication. doi:10.1080/16506073.2011.640345.PubMed

Tabachnick, B. G., & Fidell, L. S. (2012). Using multivariate statistics (6th ed.). Boston: Pearson Education.

Tanay, G., Lotan, G., & Bernstein, A. (2012). Salutary proximal processes and distal mood and anxiety vulnerability outcomes of mindfulness training: A pilot preventive intervention. Behaviour Therapy, 43(3), 492–505. doi:10.1016/j.beth.2011.06.003.CrossRef

Taylor, S. (1993). The structure of fundamental fears. Journal of Behavior Therapy and Experimental Psychiatry, 24(4), 289–299.PubMedCrossRef

Taylor, S. (1999). Anxiety sensitivity: Theory, research, and treatment of the fear of anxiety. Mahwah, NJ: Lawrence Erlbaum.

Taylor, S., & Clark, D. A. (2009). Transdiagnostic cognitive-behavioral treatments for mood and anxiety disorders: Introduction to the special issue. Journal of Cognitive Psychotherapy, 23(1), 3–5.CrossRef

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

Utschig, A. C., Presnell, K., Madeley, M. C., & Smits, J. A. (2010). An investigation of the relationship between fear of negative evaluation and bulimic psychopathology. Eating Behaviors, 11(4), 231–238. doi:10.1016/j.eatbeh.2010.05.003.PubMedCrossRef

Vancleef, L. M., Peters, M. L., Roelofs, J., & Asmundson, G. J. G. (2006). Do fundamental fears differentially contribute to pain-related fear and pain catastrophizing? An evaluation of the sensitivity index. European Journal of Pain, 10(6), 527–536. doi:10.1016/j.ejpain.2005.07.006.PubMedCrossRef

Vujanovic, A. A., Bernstein, A., Berenz, E. C., & Zvolensky, M. J. (2012). Single-session anxiety sensitivity reduction program for trauma-exposed adults: A case series documenting feasibility and initial efficacy. Behavior Therapy, 43(3), 482–491. doi:10.1016/j.beth.2012.03.005 PubMedCrossRef

Wald, J., Taylor, S., Chiri, L. R., & Sica, C. (2010). Posttraumatic stress disorder and chronic pain arising from motor vehicle accidents: Efficacy of interoceptive exposure plus trauma-related exposure therapy. Cognitive Behaviour Therapy, 39(2), 104–113. doi:10.1080/16506070903183570.PubMedCrossRef

Watson, D. (2000). Mood and temperament. New York: Guilford Press.

Watson, D. (2009). Differentiating the mood and anxiety disorders: A quadripartite model. Annual Review of Clinical Psychology, 5, 221–247. doi:10.1146/annurev.clinpsy.032408.153510.PubMedCrossRef

Watson, D., & Clark, L. A. (1984). Negative affectivity: The disposition to experience aversive emotional states. Psychological Bulletin, 96(3), 465–490.PubMedCrossRef

Watson, D., & Clark, L. A. (1994). The PANAS-X: Manual for the positive and negative affect schedule—expanded form. Iowa City, IA: Authors.

Watson, D., Clark, L. A., & Carey, G. (1988a). Positive and negative affectivity and their relation to anxiety and depressive disorders. Journal of Abnormal Psychology, 97(3), 346–353.PubMedCrossRef

Watson, D., Clark, L. A., & Tellegen, A. (1988b). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063–1070.PubMedCrossRef

Watson, D., & Tellegen, A. (1985). Toward a consensual structure of mood. Psychological Bulletin, 98(2), 219–235.PubMedCrossRef

Watt, M. C., Stewart, S. H., Lefaivre, M. J., & Uman, L. S. (2006). A brief cognitive-behavioral approach to reducing anxiety sensitivity decreases pain-related anxiety. Cognitive Behaviour Therapy, 35(4), 248–256. doi:10.1080/16506070600898553.PubMedCrossRef

Weeks, J. W., Heimberg, R. G., Fresco, D. M., Hart, T. A., Turk, C. L., Schneier, F. R., et al. (2005). Empirical validation and psychometric evaluation of the brief fear of negative evaluation scale in patients with social anxiety disorder. Psychological Assessment, 17(2), 179–190. doi:10.1037/1040-3590.17.2.179.PubMedCrossRef

Zinbarg, R. E., & Barlow, D. H. (1997). Hierarchical structure and general factor saturation of the anxiety sensitivity index: Evidence. Psychological Assessment, 9(3), 277–284.CrossRef

Zvolensky, M. J., Bonn-Miller, M. O., Feldner, M. T., Leen-Feldner, E., McLeish, A. C., & Gregor, K. (2006). Anxiety sensitivity: Concurrent associations with negative affect smoking motives and abstinence self-confidence among young adult smokers. Addictive Behaviors, 31(3), 429–439. doi:10.1016/j.addbeh.2005.05.027.PubMedCrossRef

Zvolensky, M. J., Yartz, A. R., Gregor, K., Gonzalez, A., & Bernstein, A. (2008). Interoceptive exposure-based cessation intervention for smokers high in anxiety sensitivity: A case series. Journal of Cognitive Psychotherapy, 22(4), 346–365. doi:10.1891/0889-8391.22.4.346.CrossRef

Titel: From Higher-Order to Underlying Constructs: Examining the Relationships Between Affect and Fundamental Fears
Auteurs: Michel A. Thibodeau
R. Nicholas Carleton
Kelsey C. Collimore
Gordon J. G. Asmundson
Publicatiedatum: 01-04-2013
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 2/2013
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-012-9468-1

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From Higher-Order to Underlying Constructs: Examining the Relationships Between Affect and Fundamental Fears

Abstract

Andere artikelen Uitgave 2/2013

Cognitive Restructuring and Acceptance: An Empirically Grounded Conceptual Analysis

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