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19.01.2018 | Original Article

Interactive Effects of Traumatic Brain Injury and Anxiety Sensitivity on PTSD Symptoms: A Replication and Extension in Two Clinical Samples

verfasst von: Brian J. Albanese, Richard J. Macatee, Joseph W. Boffa, Craig J. Bryan, Michael J. Zvolensky, Norman B. Schmidt

Erschienen in: Cognitive Therapy and Research | Ausgabe 4/2018

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Abstract

Traumatic brain injury is prevalent and linked with heightened risk for post-traumatic stress symptoms, yet little research has investigated the role of well-established cognitive-affective risk factors in explaining this association. The present study addressed this gap by evaluating if elevations in anxiety sensitivity global score and subscales (cognitive concerns, physical concerns, social concerns) potentiated the effects of traumatic brain injury history on post-traumatic stress symptoms in two clinical samples: trauma-exposed smokers (n = 256; study 1) and trauma-exposed treatment-seeking adults (n = 117; study 2). Both samples revealed a significant interaction such that traumatic brain injury was more strongly linked with post-traumatic stress symptoms among those with high anxiety sensitivity cognitive concerns. In addition, anxiety sensitivity cognitive concerns demonstrated a stronger relationship with post-traumatic stress symptoms among those with a traumatic brain injury history. Taken together, these results of both studies underscore the importance of anxiety sensitivity cognitive concerns in the association of traumatic brain injury and posttraumatic stress symptoms.

Analyses were also conducted using the presence/absence of any other medical illness (indexed by the MHF) as an additional covariate, and the same pattern of results emerged. In addition, the interaction of AS total and subscale scores with the history of other medical illness on PTSS was also examined, but non-significant (p’s > .30). To keep the analyses in studies 1 and 2 consistent, only results without medical illness history are presented.

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Titel: Interactive Effects of Traumatic Brain Injury and Anxiety Sensitivity on PTSD Symptoms: A Replication and Extension in Two Clinical Samples
verfasst von: Brian J. Albanese
Richard J. Macatee
Joseph W. Boffa
Craig J. Bryan
Michael J. Zvolensky
Norman B. Schmidt
Publikationsdatum: 19.01.2018
Verlag: Springer US
Erschienen in: Cognitive Therapy and Research / Ausgabe 4/2018
Print ISSN: 0147-5916
Elektronische ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-017-9883-4

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