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The role of anxiety sensitivity in the relationship between posttraumatic stress symptoms and negative outcomes in trauma-exposed adults

机译:焦虑敏感性在创伤后成年人中创伤后应激症状与阴性结果之间的关系

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Background: The development of posttraumatic stress symptoms (PTSs) following a trauma is related to impairment, diminished quality of life, and physical health issues. Yet it is not clear why some trauma-exposed individuals experience negative outcomes while others do not. The purpose of this study was to determine the role of several influential factors related to PTS severity and negative outcomes. Methods: One hundred and twenty-two trauma-exposed adults were administered the following self-report measures: the Posttraumatic Stress Disorder Checklist-Civilian, the Trauma History Questionnaire-Short, the Anxiety Sensitivity Index-3, Depression and Anxiety Stress Scale 21, Sheehan Disability Scale, World Health Organization Quality of Life-BREF, and an abbreviated Patient Health Questionnaire. Primary Results: PTS severity was positively correlated with depressive symptom severity (r = 0.54, p < 0.001), chronicity of the most distressing trauma (r = 0.21, p = 0.017), and number of traumas (r = 0.22, p = 0.012). Main effects were found for PTS severity ( = -0.38, p < 0.01) and anxiety sensitivity (AS; = -0.39, p < 0.01) on quality of life. No interaction was found between PTS severity and AS with any negative outcome. PTS severity mediated the relationship between AS and physical health issues (0.05; 95% CI: 0.02-0.08). Conclusion: This study helps clarify the role of various factors in the relationship between trauma and negative outcomes. Clinical and research implications are discussed.
机译:背景:创伤后创伤后应激症状(PTS)的发展与损伤,生活质量下降和身体健康问题有关。然而,尚不清楚为什么有些受到创伤的人会遭受负面后果,而另一些人却没有。这项研究的目的是确定与PTS严重性和阴性结果相关的几种影响因素的作用。方法:对122名遭受创伤的成年人进行以下自我报告管理:创伤后应激障碍清单-平民,创伤史问卷-简短,焦虑敏感性指数-3,抑郁和焦虑应激量表21,希恩残疾量表,世界卫生组织生活质量BREF和缩写的患者健康调查表。主要结果:PTS严重程度与抑郁症状严重程度(r = 0.54,p <0.001),最痛苦的创伤的慢性程度(r = 0.21,p = 0.017)和创伤次数(r = 0.22,p = 0.012)呈正相关。 )。研究发现,PTS严重程度(= -0.38,p <0.01)和焦虑敏感性(AS; = -0.39,p <0.01)对生活质量产生主要影响。在PTS严重程度和AS之间未发现任何负面结果之间的相互作用。 PTS严重程度介导了AS与身体健康问题之间的关系(0.05; 95%CI:0.02-0.08)。结论:本研究有助于阐明各种因素在创伤与不良后果之间的关系。讨论了临床和研究意义。

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