4.4 Article

Anxiety sensitivity in relation to post-traumatic stress disorder symptom clusters among young adults with probable post-traumatic stress disorder

Journal

COGNITIVE BEHAVIOUR THERAPY
Volume 51, Issue 6, Pages 470-485

Publisher

ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/16506073.2022.2070539

Keywords

Young adults; anxiety sensitivity; trauma; posttraumatic stress disorder; disparities

Funding

  1. National Institute on Minority Health and Health Disparities (NIMHD) of the National Institutes of Health (NIH)
  2. University of Houston [U54MD015946]

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Previous research on anxiety sensitivity (AS) and posttraumatic stress has been limited. This study investigated the role of AS in relation to PTSD symptom clusters among a racially/ethnically diverse sample of young adults with probable PTSD. The results showed that AS was significantly related to overall posttraumatic stress symptom severity, and it was also incrementally associated with specific PTSD symptom clusters. These findings add to the existing literature on AS and PTSD by examining patterns in a diverse sample.
Despite the promise of past research on anxiety sensitivity (AS) and posttraumatic stress, extant work is limited, given (1) most studies consist of non-Hispanic White and middle-aged samples, (2) few have demonstrated incremental validity to general emotional traits and social determinants of health, and (3) limited work has characterized how AS relates to specific Posttraumatic Stress Disorder (PTSD) symptom clusters among those with (probable) PTSD. The current study evaluated the role of AS in relation to PTSD symptom clusters among a racially/ethnically diverse sample of young adults with probable PTSD. Participants included young adults who met the clinical cut-off for probable PTSD per the Posttraumatic Diagnostic Scale. Results indicated that AS was significantly related to overall posttraumatic stress symptom severity; the effect was evident after adjusting for a range of covariates including neuroticism and subjective social status. AS also was incrementally associated with arousal and hyperreactivity, changes in mood and cognition, and intrusion PTSD symptom clusters. In contrast to expectation, no effect for AS was evident for the avoidance PTSD symptom cluster. The current data uniquely add to the existing AS PTSD literature by showcasing distinct symptom cluster patterns among a racially/ethnically diverse sample of young adults with probable PTSD.

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