Skip to main content
Erschienen in: Cognitive Therapy and Research 1/2019

28.01.2019 | Original Article

Cognitive Mechanisms Underlying the Link Between Anxiety, Health Behaviors, and Illness Outcomes: Commentary on a Special Issue

verfasst von: Aliza T. Stein, Slaton Z. Freeman, Jasper A. J. Smits

Erschienen in: Cognitive Therapy and Research | Ausgabe 1/2019

Einloggen, um Zugang zu erhalten

Abstract

This commentary synthesizes research examining cognitive mechanisms underlying the links between anxiety, health behaviors, and illness outcomes. We provide a brief summary of contributions to this special issue and review common themes and methodological limitations. Notably, a number of related constructs emerged as amplification factors, increasing vulnerability to psychopathology and maladaptive health behaviors. These include anxiety sensitivity, distress and discomfort intolerance, emotion regulation, health literacy, and repetitive negative thinking. Finally, we discuss clinical implications, and conclude with suggestions for further research in this area.
Literatur
Zurück zum Zitat Blackwell, D. L., & Clarke, T. C. (2018). State variation in meeting the 2008 federal guidelines for both aerobic and muscle-strengthening activities through leisure-time physical activity among adults aged 18–64: United States, 2010–2015. National Health Statistics Reports, (112), 1–22. Blackwell, D. L., & Clarke, T. C. (2018). State variation in meeting the 2008 federal guidelines for both aerobic and muscle-strengthening activities through leisure-time physical activity among adults aged 18–64: United States, 2010–2015. National Health Statistics Reports, (112), 1–22.
Zurück zum Zitat Bonn-Miller, M. O., Harris, A. H., & Trafton, J. A. (2012). Prevalence of cannabis use disorder diagnoses among veterans in 2002, 2008, and 2009. Psychological Services, 9(4), 404.PubMedCrossRef Bonn-Miller, M. O., Harris, A. H., & Trafton, J. A. (2012). Prevalence of cannabis use disorder diagnoses among veterans in 2002, 2008, and 2009. Psychological Services, 9(4), 404.PubMedCrossRef
Zurück zum Zitat Bujarski, S. J., Galang, J. N., Short, N. A., Trafton, J. A., Gifford, E. V., Kimerling, R., & Bonn-Miller, M. O. (2016). Cannabis use disorder treatment barriers and facilitators among veterans with PTSD. Psychology of Addictive Behaviors, 30(1), 73.PubMedCrossRef Bujarski, S. J., Galang, J. N., Short, N. A., Trafton, J. A., Gifford, E. V., Kimerling, R., & Bonn-Miller, M. O. (2016). Cannabis use disorder treatment barriers and facilitators among veterans with PTSD. Psychology of Addictive Behaviors, 30(1), 73.PubMedCrossRef
Zurück zum Zitat Connor, K. M., Davidson, J. R., Churchill, L. E., Sherwood, A., Weisler, R. H., & Foa, E. (2000). Psychometric properties of the Social Phobia Inventory (SPIN): New self-rating scale. The British Journal of Psychiatry, 176(4), 379–386.PubMedCrossRef Connor, K. M., Davidson, J. R., Churchill, L. E., Sherwood, A., Weisler, R. H., & Foa, E. (2000). Psychometric properties of the Social Phobia Inventory (SPIN): New self-rating scale. The British Journal of Psychiatry, 176(4), 379–386.PubMedCrossRef
Zurück zum Zitat Ekkekakis, P., Hall, E. E., & Petruzzello, S. J. (2008). The relationship between exercise intensity and affective responses demystified: To crack the 40-year-old nut, replace the 40-year-old nutcracker!. Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine, 35(2), 136–149. https://doi.org/10.1007/s12160-008-9025-z.CrossRef Ekkekakis, P., Hall, E. E., & Petruzzello, S. J. (2008). The relationship between exercise intensity and affective responses demystified: To crack the 40-year-old nut, replace the 40-year-old nutcracker!. Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine, 35(2), 136–149. https://​doi.​org/​10.​1007/​s12160-008-9025-z.CrossRef
Zurück zum Zitat Forouzanfar, M. H., Afshin, A., Alexander, L. T., Anderson, H. R., Bhutta, Z. A., Biryukov, S., & Murray, C. J. L. (2016). Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990–2015: A systematic analysis for the Global Burden of Disease Study 2015. The Lancet, 388(10053), 1659–1724. https://doi.org/10.1016/S0140-6736(16)31679-8.CrossRef Forouzanfar, M. H., Afshin, A., Alexander, L. T., Anderson, H. R., Bhutta, Z. A., Biryukov, S., & Murray, C. J. L. (2016). Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990–2015: A systematic analysis for the Global Burden of Disease Study 2015. The Lancet, 388(10053), 1659–1724. https://​doi.​org/​10.​1016/​S0140-6736(16)31679-8.CrossRef
Zurück zum Zitat Gratz, K. L., & Roemer, L. (2003). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41–54. Gratz, K. L., & Roemer, L. (2003). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41–54.
Zurück zum Zitat Kutner, M., Greenburg, E., Jin, Y., & Paulsen, C. (2006). The Health literacy of america’s adults: Results from the 2003 national assessment of adult literacy. NCES 2006-483. National Center for Education Statistics. Kutner, M., Greenburg, E., Jin, Y., & Paulsen, C. (2006). The Health literacy of america’s adults: Results from the 2003 national assessment of adult literacy. NCES 2006-483. National Center for Education Statistics.
Zurück zum Zitat Leventhal, A. M., & Zvolensky, M. J. (2015). Anxiety, depression, and cigarette smoking: A transdiagnostic vulnerability framework to understanding emotion–smoking comorbidity. Psychological bulletin, 141(1), 176.PubMedCrossRef Leventhal, A. M., & Zvolensky, M. J. (2015). Anxiety, depression, and cigarette smoking: A transdiagnostic vulnerability framework to understanding emotion–smoking comorbidity. Psychological bulletin, 141(1), 176.PubMedCrossRef
Zurück zum Zitat McLeish, A. C., Zvolensky, M. J., Smits, J. A., Bonn-Miller, M. O., & Gregor, K. L. (2007). Concurrent associations between anxiety sensitivity and perceived health and health disability among young adult daily smokers. Cognitive Behaviour Therapy, 36(1), 1–11.PubMedCrossRef McLeish, A. C., Zvolensky, M. J., Smits, J. A., Bonn-Miller, M. O., & Gregor, K. L. (2007). Concurrent associations between anxiety sensitivity and perceived health and health disability among young adult daily smokers. Cognitive Behaviour Therapy, 36(1), 1–11.PubMedCrossRef
Zurück zum Zitat McWilliams, L. A., & Asmundson, G. J. (2001). Is there a negative association between anxiety sensitivity and arousal-increasing substances and activities? Journal of Anxiety Disorders, 15(3), 161–70.PubMedCrossRef McWilliams, L. A., & Asmundson, G. J. (2001). Is there a negative association between anxiety sensitivity and arousal-increasing substances and activities? Journal of Anxiety Disorders, 15(3), 161–70.PubMedCrossRef
Zurück zum Zitat Mullane, J. C., Stewart, S. H., Rhyno, E., Steeves, D., Watt, M., & Eisner, A. (2008). Anxiety, sensitivity and difficulties with smoking cessation. In Advances in psychology research, Vol. 54 (pp. 141–155). Hauppauge, NY, US: Nova Science Publishers. Mullane, J. C., Stewart, S. H., Rhyno, E., Steeves, D., Watt, M., & Eisner, A. (2008). Anxiety, sensitivity and difficulties with smoking cessation. In Advances in psychology research, Vol. 54 (pp. 141–155). Hauppauge, NY, US: Nova Science Publishers.
Zurück zum Zitat Otto, M. W., & Smits, J. A. (2018). Anxiety sensitivity, health behaviors, and the prevention and treatment of medical illness. Clinical Psychology: Science and Practice, 25(3), e12253. Otto, M. W., & Smits, J. A. (2018). Anxiety sensitivity, health behaviors, and the prevention and treatment of medical illness. Clinical Psychology: Science and Practice, 25(3), e12253.
Zurück zum Zitat Picardi, A., Amerio, P., Baliva, G., Barbieri, C., Teofoli, P., Bolli, S., & Abeni, D. (2004). Recognition of depressive and anxiety disorders in dermatological outpatients. Acta Dermato-Venereologica, 84(3):213–217.CrossRef Picardi, A., Amerio, P., Baliva, G., Barbieri, C., Teofoli, P., Bolli, S., & Abeni, D. (2004). Recognition of depressive and anxiety disorders in dermatological outpatients. Acta Dermato-Venereologica, 84(3):213–217.CrossRef
Zurück zum Zitat Reiss, S. (1991). Expectancy model of fear, anxiety, and panic. Clinical Psychology Review, 11(2), 141–153.CrossRef Reiss, S. (1991). Expectancy model of fear, anxiety, and panic. Clinical Psychology Review, 11(2), 141–153.CrossRef
Zurück zum Zitat Smits, J. A., Tart, C. D., Presnell, K., Rosenfield, D., & Otto, M. W. (2010). Identifying potential barriers to physical activity adherence: Anxiety sensitivity and body mass as predictors of fear during exercise. Cognitive Behaviour Therapy, 39(1), 28–36.PubMedCrossRef Smits, J. A., Tart, C. D., Presnell, K., Rosenfield, D., & Otto, M. W. (2010). Identifying potential barriers to physical activity adherence: Anxiety sensitivity and body mass as predictors of fear during exercise. Cognitive Behaviour Therapy, 39(1), 28–36.PubMedCrossRef
Zurück zum Zitat Smits, J. A. J., Otto, M. W., Powers, M. B., & Baird, S. O. (2018). Anxiety sensitivity as a transdiagnostic treatment target. In J. A. J. Smits, M. W. Otto, M. B. Powers & S. O. Baird (Eds.), Anxiety sensitivity: A clinical guide to assessment and treatment (pp. 1–5). San Diego: Academic Press. Smits, J. A. J., Otto, M. W., Powers, M. B., & Baird, S. O. (2018). Anxiety sensitivity as a transdiagnostic treatment target. In J. A. J. Smits, M. W. Otto, M. B. Powers & S. O. Baird (Eds.), Anxiety sensitivity: A clinical guide to assessment and treatment (pp. 1–5). San Diego: Academic Press.
Zurück zum Zitat Smits, J. A. J., Zvolenksy, M. J., Davis, M. L., Rosenfield, D., Marcus, B. H., Church, T. S., & Baird, S. O. (2016). The efficacy of vigorous-intensity exercise as an aid to smoking cessation in adults with high anxiety sensitivity: A randomized controlled trial. Psychosomatic Medicine, 78(3), 354–364.PubMedPubMedCentralCrossRef Smits, J. A. J., Zvolenksy, M. J., Davis, M. L., Rosenfield, D., Marcus, B. H., Church, T. S., & Baird, S. O. (2016). The efficacy of vigorous-intensity exercise as an aid to smoking cessation in adults with high anxiety sensitivity: A randomized controlled trial. Psychosomatic Medicine, 78(3), 354–364.PubMedPubMedCentralCrossRef
Zurück zum Zitat Woodruff, P. W. R., Higgins, E. M., du Vivier, A. W., & Wessely, S. (1997). Psychiatric illness in patients referred to a dermatology-psychiatry clinic. General Hospital Psychiatry, 19(1), 29–35.PubMedCrossRef Woodruff, P. W. R., Higgins, E. M., du Vivier, A. W., & Wessely, S. (1997). Psychiatric illness in patients referred to a dermatology-psychiatry clinic. General Hospital Psychiatry, 19(1), 29–35.PubMedCrossRef
Zurück zum Zitat Zvolensky, M. J., Marshall, E. C., Johnson, K., Hogan, J., Bernstein, A., & Bonn-Miller, M. O. (2009). Relations between anxiety sensitivity, distress tolerance, and fear reactivity to bodily sensations to coping and conformity marijuana use motives among young adult marijuana users. Experimental and Clinical Psychopharmacology, 17(1), 31–42. https://doi.org/10.1037/a0014961.PubMedPubMedCentralCrossRef Zvolensky, M. J., Marshall, E. C., Johnson, K., Hogan, J., Bernstein, A., & Bonn-Miller, M. O. (2009). Relations between anxiety sensitivity, distress tolerance, and fear reactivity to bodily sensations to coping and conformity marijuana use motives among young adult marijuana users. Experimental and Clinical Psychopharmacology, 17(1), 31–42. https://​doi.​org/​10.​1037/​a0014961.PubMedPubMedCentralCrossRef
Zurück zum Zitat Zvolensky, M. J., Stewart, S. H., Vujanovic, A. A., Gavric, D., & Steeves, D. (2009). Anxiety sensitivity and anxiety and depressive symptoms in the prediction of early smoking lapse and relapse during smoking cessation treatment. Nicotine & Tobacco Research, 11(3), 323–331. https://doi.org/10.1093/ntr/ntn037.CrossRef Zvolensky, M. J., Stewart, S. H., Vujanovic, A. A., Gavric, D., & Steeves, D. (2009). Anxiety sensitivity and anxiety and depressive symptoms in the prediction of early smoking lapse and relapse during smoking cessation treatment. Nicotine & Tobacco Research, 11(3), 323–331. https://​doi.​org/​10.​1093/​ntr/​ntn037.CrossRef
Metadaten
Titel
Cognitive Mechanisms Underlying the Link Between Anxiety, Health Behaviors, and Illness Outcomes: Commentary on a Special Issue
verfasst von
Aliza T. Stein
Slaton Z. Freeman
Jasper A. J. Smits
Publikationsdatum
28.01.2019
Verlag
Springer US
Erschienen in
Cognitive Therapy and Research / Ausgabe 1/2019
Print ISSN: 0147-5916
Elektronische ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-019-09999-6

Weitere Artikel der Ausgabe 1/2019

Cognitive Therapy and Research 1/2019 Zur Ausgabe

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.