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Associations Between Dimensions of Anxiety Sensitivity and PTSD Symptom Clusters in Active-Duty Police Officers

机译：现役警官焦虑敏感性维度与PTSD症状群之间的关联

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Prior studies have shown that anxiety sensitivity (AS) plays an important role in posttraumatic stress disorder (PTSD) symptom severity. The purpose of this study was to evaluate associations between empirically supported PTSD symptom clusters (i.e. reexperiencing, avoidance, numbing, hyperarousal) and AS dimensions (i.e. psychological concerns, social concerns, somatic concerns). Participants were 138 active-duty police officers (70.7% female; mean age = 38.9 years; mean time policing = 173.8 months) who, as a part of a larger study, completed measures of trauma exposure, PTSD symptoms, AS, and depressive symptoms. All participants reported experiencing at least one event that they perceived as traumatic, and 44 (31.9%) screened positive for PTSD. Officers with probable PTSD scored significantly higher on AS total as well as the somatic and psychological concerns dimensional scores than did those without PTSD. As well, a higher percentage of officers with probable PTSD scored positively on the AS-derived Brief Screen for Panic Disorder (Apfeldorf et al., 1994) compared with those without PTSD. A series of regression analyses revealed that depressive symptoms, number of reported traumas, and AS somatic concerns were significant predictors of PTSD total symptom severity as well as severity of reexperiencing. Avoidance was predicted by depressive symptoms and AS somatic concerns. Only depressive symptoms were significantly predictive of numbing and hyperarousal cluster scores. These findings contribute to understanding the nature of association between AS and PTSD symptom clusters. Implications for the treatment of individuals having PTSD with and without panic-related symptomatology are discussed.
机译：先前的研究表明，焦虑敏感性（AS）在创伤后应激障碍（PTSD）症状严重程度中起重要作用。这项研究的目的是评估经验支持的PTSD症状群（即重新体验，避免，麻木，亢奋）和AS维度（即心理关注，社会关注，躯体关注）之间的关联。参加调查的有138名现役警官（女性占70.7％；平均年龄= 38.9岁；平均治安时间= 173.8个月），作为较大研究的一部分，他们完成了创伤暴露，PTSD症状，AS和抑郁症状的测量。所有参与者均报告经历了至少一次他们认为是创伤的事件，其中44例（31.9％）筛查为PTSD阳性。那些可能患有PTSD的人员在AS总分以及躯体和心理方面的得分方面的得分均明显高于没有PTSD的人员。同样，与没有PTSD的人员相比，在AS衍生的恐慌症简短筛查中，可能PTSD的人员得分更高（Apfeldorf等，1994）。一系列回归分析显示，抑郁症状，报告的创伤次数和AS躯体问题是PTSD总体症状严重程度以及再体验严重程度的重要预测指标。抑郁症状和AS躯体问题预示了可以避免。只有抑郁症状才能明显预示麻木和高声群得分。这些发现有助于理解AS和PTSD症状群之间关联的性质。讨论了有或没有惊恐相关症状的PTSD患者的治疗意义。

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