nach oben

Erschienen in:

01.06.2017 | Original Article

Interactive Effects of Traumatic Brain Injury and Anxiety Sensitivity Cognitive Concerns on Post-traumatic Stress Among Active Duty Soldiers

verfasst von: Brian J. Albanese, Richard J. Macatee, Norman B. Schmidt, Bruce Leeson, Tracy A. Clemans, Jim Mintz, M. David Rudd, Craig J. Bryan

Erschienen in: Cognitive Therapy and Research | Ausgabe 6/2017

Einloggen, um Zugang zu erhalten

Abstract

Traumatic brain injury (TBI) history has been repeatedly linked with heightened risk for post-traumatic stress (PTS) among active duty soldiers. Yet, no research to date has examined the relationship between TBI and PTS in the context of anxiety sensitivity cognitive concerns (ASCC), a well-established cognitive-affective risk factor for PTS that may intensify the effects of TBI on PTS via the amplification of TBI-related symptoms of cognitive dyscontrol. The present study tested the moderating effects of ASCC on the relationship between the number of lifetime probable TBIs and PTS among a sample of 89 trauma-exposed active duty soldiers. Results demonstrated that high ASCC potentiated the relationship between number of probable TBIs and PTS while low ASCC muted this association. Interestingly, ASCC was more closely related to PTS among those with a greater number of probable TBIs compared to those with zero past TBIs. These results underscore the importance of ASCC in the association of TBI and PTS.

The parent study, which focused on risk factors for suicidality, collected only the ASCC subscale due to research demonstrating that ASCC is uniquely related to suicidality (Capron et al. 2013).

Albanese, B., Macatee, R. J., Allan, N. P., Short, N. A., Norr, A. M., & Schmidt, N. B. (in press). Interactive effects of anxiety sensitivity and attentional control on post-traumatic stress in community and clinical populations. Psychiatry: Interpersonal and Biological Processes. doi:10.1080/00332747.2017.1309867.

Albanese, B. J., Boffa, J. W., Macatee, R. J., & Schmidt, N. B. (2017). Anxiety sensitivity mediates gender differences in post-concussive symptoms in a clinical sample. Psychiatry Research, 252, 242–246.CrossRefPubMed

Allan, N. P., Albanese, B. J., Short, N. A., Raines, A. M., & Schmidt, N. B. (2015). Support for the general and specific bifactor model factors of anxiety sensitivity. Personality and Individual Differences, 74, 78–83.CrossRef

Allan, N. P., Short, N. A., Albanese, B. J., Keough, M. E., & Schmidt, N. B. (2015). Direct and mediating effects of an anxiety sensitivity intervention on posttraumatic stress disorder symptoms in trauma-exposed individuals. Cognitive Behaviour Therapy, 44(6), 512–524.CrossRefPubMed

American Psychiatric Association (2013). DSM 5. Washington, DC: American Psychiatric Association.

Asmundson, G. J., & Stapleton, J. A. (2008). Associations between dimensions of anxiety sensitivity and PTSD symptom clusters in active-duty police officers. Cognitive Behaviour Therapy, 37(2), 66–75.CrossRefPubMed

Aupperle, R. L., Melrose, A. J., Stein, M. B., & Paulus, M. P. (2012). Executive function and PTSD: Disengaging from trauma. Neuropharmacology, 62(2), 686–694.CrossRefPubMed

Bardeen, J. R., & Fergus, T. A. (2015). Emotional distress intolerance, experiential avoidance, and anxiety sensitivity: The buffering effect of attentional control on associations with posttraumatic stress symptoms. Journal of Psychopathology and Behavioral Assessment, 38, 1–10.

Barnes, S. M., Walter, K. H., & Chard, K. M. (2012). Does a history of mild traumatic brain injury increase suicide risk in veterans with PTSD? Rehabilitation Psychology, 57(1), 18.CrossRefPubMed

Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck depression inventory-II (pp. 78204–72498). San Antonio, TX: Psychological Corporation.

Blanchard, E. B., Jones-Alexander, J., Buckley, T. C., & Forneris, C. A. (1996). Psychometric properties of the PTSD checklist (PCL). Behaviour Research and Therapy, 34(8), 669–673.CrossRefPubMed

Boffa, J. W., Norr, A. M., Raines, A. M., Albanese, B. J., Short, N. A., & Schmidt, N. B. (2016). Anxiety sensitivity prospectively predicts posttraumatic stress symptoms following a campus shooting. Behavior Therapy, 47(3), 367–376.CrossRefPubMed

Brenner, L. A., Homaifar, B. Y., Olson-Madden, J. H., Nagamoto, H. T., Huggins, J., Schneider, A. L., … Corrigan, J. D. (2013). Prevalence and screening of traumatic brain injury among veterans seeking mental health services. The Journal of Head Trauma Rehabilitation, 28(1), 21–30.CrossRefPubMed

Bryan, C. J., & Clemans, T. A. (2013). Repetitive traumatic brain injury, psychological symptoms, and suicide risk in a clinical sample of deployed military personnel. JAMA Psychiatry, 70(7), 686–691.CrossRefPubMed

Bryant, R. A. (2008). Disentangling mild traumatic brain injury and stress reactions. New England Journal of Medicine, 358(5), 525–527.CrossRefPubMed

Bryant, R. A., O’donnell, M. L., Creamer, M., McFarlane, A. C., Clark, C. R., & Silove, D. (2010). The psychiatric sequelae of traumatic injury. The American Journal of Psychiatry, 167, 312–320.CrossRefPubMed

Capron, D. W., Norr, A. M., Macatee, R. J., & Schmidt, N. B. (2013). Distress tolerance and anxiety sensitivity cognitive concerns: Testing the incremental contributions of affect dysregulation constructs on suicidal ideation and suicide attempt. Behavior Therapy, 44(3), 349–358.

Chavarria, J., Allan, N. P., Boffa, J. W., Albanese, B. J., Schmidt, N. B., & Zvolensky, M. J. (2015). Decomposing the relationship between anxiety sensitivity and alcohol use. Journal of Studies on Alcohol and Drugs, 76(6), 957–961.CrossRefPubMedPubMedCentral

Dimoska-Di Marco, A., McDonald, S., Kelly, M., Tate, R., & Johnstone, S. (2011). A meta-analysis of response inhibition and Stroop interference control deficits in adults with traumatic brain injury (TBI). Journal of Clinical and Experimental Neuropsychology, 33(4), 471–485.CrossRefPubMed

Dockree, P. M., & Robertson, I. H. (2011). Electrophysiological markers of cognitive deficits in traumatic brain injury: A review. International Journal of Psychophysiology, 82(1), 53–60.CrossRefPubMed

Fergus, T. A., Bardeen, J. R., & Orcutt, H. K. (2012). Attentional control moderates the relationship between activation of the cognitive attentional syndrome and symptoms of psychopathology. Personality and Individual Differences, 53(3), 213–217.CrossRef

First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5—Research version (SCID-5 for DSM-5, research version; SCID-5-RV). Arlington, VA: American Psychiatric Association.

Gadermann, A. M., Alonso, J., Vilagut, G., Zaslavsky, A. M., & Kessler, R. C. (2012). Comorbidity and disease burden in the national comorbidity survey replication (NCS-R). Depression and Anxiety, 29(9), 797.CrossRefPubMedPubMedCentral

Gray, M. J., Litz, B. T., Hsu, J. L., & Lombardo, T. W. (2004). Psychometric properties of the life events checklist. Assessment, 11(4), 330–341.CrossRefPubMed

Hoge, C. W., McGurk, D., Thomas, J. L., Cox, A. L., Engel, C. C., & Castro, C. A. (2008). Mild traumatic brain injury in US soldiers returning from Iraq. New England Journal of Medicine, 358(5), 453–463.CrossRefPubMed

Jones, C. R., Fazio, R. H., & Vasey, M. W. (2012). Attentional control buffers the effect of public-speaking anxiety on performance. Social Psychological and Personality Science, 3(5), 556–561.CrossRefPubMed

Kessler, R. C. (2000). Posttraumatic stress disorder: The burden to the individual and to society. Journal of Clinical Psychiatry, 61, 4–14.PubMed

Kessler, R. C., & Greenberg, P. E. (2002). The economic burden of anxiety and stress disorders. Neuropsychopharmacology: The Fifth Generation of Progress, 67, 982–992.

Lang, A. J., Kennedy, C. M., & Stein, M. B. (2002). Anxiety sensitivity and PTSD among female victims of intimate partner violence. Depression and Anxiety, 16(2), 77–83.CrossRefPubMed

Leyro, T. M., Zvolensky, M. J., & Bernstein, A. (2010). Distress tolerance and psychopathological symptoms and disorders: A review of the empirical literature among adults. Psychological Bulletin, 136(4), 576.CrossRefPubMedPubMedCentral

Macatee, R. J., & Cougle, J. R. (2015). Development and evaluation of a computerized intervention for low distress tolerance and its effect on performance on a neutralization task. Journal of Behavior Therapy and Experimental Psychiatry, 48, 33–39.CrossRefPubMed

Norr, A. M., Albanese, B. J., Allan, N. P., & Schmidt, N. B. (2015). Anxiety sensitivity as a mechanism for gender discrepancies in anxiety and mood symptoms. Journal of Psychiatric Research, 62, 101–107.CrossRefPubMed

Norr, A. M., Albanese, B. J., Boffa, J. W., Short, N. A., & Schmidt, N. B. (2016). The relationship between gender and PTSD symptoms: Anxiety sensitivity as a mechanism. Personality and Individual Differences, 90, 210–213.CrossRef

Olatunji, B., & Fan, Q. (2015). Anxiety sensitivity and post-traumatic stress reactions: Evidence for intrusions and physiological arousal as mediating and moderating mechanisms. Journal of Anxiety Disorders, 34, 76–85.CrossRefPubMed

Olatunji, B., & Wolitzky-Taylor, K. B. (2009). Anxiety sensitivity and the anxiety disorders: A meta-analytic review and synthesis. Psychological Bulletin, 135(6), 974–999. doi:10.1037/a0017428.CrossRefPubMed

Olson-Madden, J. H., Brenner, L., Harwood, J. E., Emrick, C. D., Corrigan, J. D., & Thompson, C. (2010). Traumatic brain injury and psychiatric diagnoses in veterans seeking outpatient substance abuse treatment. The Journal of Head Trauma Rehabilitation, 25(6), 470–479.CrossRefPubMed

Ommaya, A. K., Ommaya, A. K., Dannenberg, A. L., & Salazar, A. M. (1996). Causation, incidence, and costs of traumatic brain injury in the US military medical system. Journal of Trauma and Acute Care Surgery, 40(2), 211–217.

Reiss, S., & McNally, R. J. (1985). Expectancy model of fear. Theoretical Issues in Behavior Therapy, 107–121.

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. doi:10.1016/0005-7967(86)90143-9.CrossRefPubMed

Richey, J. A., Keough, M. E., & Schmidt, N. B. (2012). Attentional control moderates fearful responding to a 35% CO 2 challenge. Behavior Therapy, 43(2), 285–299.CrossRefPubMed

Ruff, R. L., Riechers, R. G., Wang, X.-F., Piero, T., & Ruff, S. S. (2012). A case–control study examining whether neurological deficits and PTSD in combat veterans are related to episodes of mild TBI. BMJ Open, 2(2), e000312.CrossRefPubMedPubMedCentral

Ruggiero, K. J., Del Ben, K., Scotti, J. R., & Rabalais, A. E. (2003). Psychometric properties of the PTSD checklist—Civilian version. Journal of Traumatic Stress, 16(5), 495–502.CrossRefPubMed

Ryan, L. M., & Warden, D. L. (2003). Post concussion syndrome. International Review of Psychiatry, 15(4), 310–316.CrossRefPubMed

Schmidt, N. B., Capron, D. W., Raines, A. M., & Allan, N. P. (2014). Randomized clinical trial evaluating the efficacy of a brief intervention targeting anxiety sensitivity cognitive concerns. Journal of Counseling and Clinical Psychology, 82(6), 1023–1033. doi:10.1037/a0036651.CrossRef

Schneiderman, A. I., Braver, E. R., & Kang, H. K. (2008). Understanding sequelae of injury mechanisms and mild traumatic brain injury incurred during the conflicts in Iraq and Afghanistan: Persistent postconcussive symptoms and posttraumatic stress disorder. American Journal of Epidemiology, 167(12), 1446–1452.CrossRefPubMed

Taylor, S. (2003). Anxiety sensitivity and its implications for understanding and treating PTSD. Journal of Cognitive Psychotherapy, 17(2), 179–186.CrossRef

Taylor, S., Zvolensky, M. J., Cox, B. J., Deacon, B., Heimberg, R. G., Ledley, D. R., … Cardenas, S. J. (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.CrossRefPubMed

Terrio, H., Brenner, L. A., Ivins, B. J., Cho, J. M., Helmick, K., Schwab, K., … Warden, D. (2009). Traumatic brain injury screening: Preliminary findings in a us army brigade combat team. The Journal of Head Trauma Rehabilitation, 24, 14–23.

Vujanovic, A. A., Zvolensky, M. J., & Bernstein, A. (2008). Incremental associations between facets of anxiety sensitivity and posttraumatic stress and panic symptoms among trauma-exposed adults. Cognitive Behaviour Therapy, 37(2), 76–89.CrossRefPubMed

Wang, Y. -P., & Gorenstein, C. (2013). Psychometric properties of the beck depression inventory-II: A comprehensive review. Revista Brasileira de Psiquiatria, 35(4), 416–431.CrossRefPubMed

Weathers, F., Blake, D., Schnurr, P., Kaloupek, D., Marx, B., & Keane, T. (2013). The clinician-administered PTSD scale for DSM-5 (CAPS-5). Interview available from the National Center for PTSD at http://www.ptsd.va.gov.

Titel: Interactive Effects of Traumatic Brain Injury and Anxiety Sensitivity Cognitive Concerns on Post-traumatic Stress Among Active Duty Soldiers
verfasst von: Brian J. Albanese
Richard J. Macatee
Norman B. Schmidt
Bruce Leeson
Tracy A. Clemans
Jim Mintz
M. David Rudd
Craig J. Bryan
Publikationsdatum: 01.06.2017
Verlag: Springer US
Erschienen in: Cognitive Therapy and Research / Ausgabe 6/2017
Print ISSN: 0147-5916
Elektronische ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-017-9863-8

Neu im Fachgebiet Psychiatrie

12.04.2024 | Vitiligo | Nachrichten

Update Psychiatrie

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

Newsletter bestellen

Springer Medizin

Interactive Effects of Traumatic Brain Injury and Anxiety Sensitivity Cognitive Concerns on Post-traumatic Stress Among Active Duty Soldiers

Abstract

Neu im Fachgebiet Psychiatrie

Vitiligo: Prävalenz steigt und viele Erkrankte werden spät behandelt

Impostor-Syndrom häufig bei Hyperhidrose zu finden

KI sagt Suizidrisiko vorher

Perinatale PTBS: Signifikanter Anstieg der Diagnoserate

Update Psychiatrie

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 6/2017

Experiential Avoidance and Bordering Psychological Constructs as Predictors of the Onset, Relapse and Maintenance of Anxiety Disorders: One or Many?

Unique Correlates of Problem Solving Effectiveness in Individuals with Generalized Anxiety Disorder

Disentangling the Interplay Among Cognitive Biases: Evidence of Combined Effects of Attention, Interpretation and Autobiographical Memory in Depression

Systematic Review of In-Session Affect Experience in Cognitive Behavioral Therapy for Depression

Metacognitive Therapy for Emotional Distress in Adult Cancer Survivors: A Case Series

An Eye-Tracking Examination of Emotion Regulation, Attentional Bias, and Pupillary Response to Threat Stimuli

Neu im Fachgebiet Psychiatrie

Vitiligo: Prävalenz steigt und viele Erkrankte werden spät behandelt

Impostor-Syndrom häufig bei Hyperhidrose zu finden

KI sagt Suizidrisiko vorher

Perinatale PTBS: Signifikanter Anstieg der Diagnoserate

Update Psychiatrie