Anxiety sensitivity and working memory capacity: Risk factors and targets for health behavior promotion

Otto, Michael W.; Eastman, Abraham; Lo, Stephen; Hearon, Bridget A.; Bickel, Warren K.; Zvolensky, Michael J.; Smits, Jasper A.J.; Doan, Stacey N.

doi:10.1016/j.cpr.2016.07.003

Cited by 115 publications

(79 citation statements)

References 164 publications

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“…In addition to promoting avoidance of healthy activities, AS may also drive individuals to engage in behaviors that are detrimental to their physical health (Otto et al., ). Individuals with high AS may engage in maladaptive health behaviors, such as heavy drinking, to avoid experiencing feared symptoms and sensations.…”

Section: Engagement In Maladaptive Health Behaviorsmentioning

confidence: 99%

How does anxiety sensitivity increase risk of chronic medical conditions?

Horenstein

Potter

Heimberg

2018

Clin Psychol Sci Pract

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Anxiety sensitivity (AS; fear of anxiety‐related symptoms) is an established transdiagnostic risk factor for psychiatric disorders and is related to a variety of chronic medical conditions. However, AS has not been established as a risk factor for chronic medical conditions. In this study, we review studies on AS and chronic medical conditions (and symptoms/behaviors related to chronic medical conditions) and propose four pathways through which AS may increase risk of chronic medical conditions: (a) increasing fear of medical condition‐specific symptoms, (b) perpetuating avoidance of healthy activities, (c) promoting engagement in unhealthy behaviors, and (d) increasing risk of detrimental pathophysiological and pathomechanical alterations. We also discuss the potential utility of using AS reduction interventions as a means of reducing risk of chronic medical conditions.

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Section: Engagement In Maladaptive Health Behaviorsmentioning

confidence: 99%

How does anxiety sensitivity increase risk of chronic medical conditions?

Horenstein

Potter

Heimberg

2018

Clin Psychol Sci Pract

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“…These data collectively suggest AS may reflect an individual difference dimension that increases risk for pain responding, particularly in anxiety-provoking (e.g. socially threatening) contexts (Otto et al, 2016). Accordingly, because perceiving oneself as burdensome to others is socially threatening, individuals high in AS may have a stronger pain response when experiencing PB than those low in AS (Velasco et al, 2016).…”

Section: Introductionmentioning

confidence: 88%

Anxiety sensitivity moderates the painful effects of feeling burdensome to others

LeRoy

Lü

Zvolensky

et al. 2017

Cognitive Behaviour Therapy

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Perceived burdensomeness (PB), the perception of being a burden to others, is associated with pain and physical symptoms. Anxiety sensitivity (AS), the fear of arousal-related sensations, arising from beliefs that the sensations may have adverse personal consequences (physical, cognitive, and social), may increase risk for pain responding, particularly in anxiety-provoking (e.g. socially threatening) contexts. Accordingly, individuals high in AS may have a stronger pain response when experiencing PB than those low in AS. Undergraduate participants (n = 262) completed the Anxiety Sensitivity Index (ASI-3), and then were randomly assigned to re-live an experience when they were either burdensome to others (burdensome condition) or contributed equally to a group (control condition). Both social and physical self-reported pain were assessed post-manipulation. Those high in AS reported significantly higher pain ratings in the burdensome condition than the control condition; for those low in AS, pain did not change across conditions. In particular, being fearful of the physical repercussions of anxiety (AS physical concerns) while also feeling burdensome to others was associated with greater physical pain. AS may exacerbate the already painful effects of feeling burdensome to others, and may have important implications for the development of future suicide- and pain-related interventions.

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“…

Anxiety sensitivity (AS) has been a valuable concept for understanding anxiety-related psychopathology and its treatment, but also as an extraordinarily valuable concept for the understanding maladaptive coping and avoidance behaviors that impact health-related conditions as diverse as smoking and overeating to exercise avoidance and poor sleep (Otto et al, 2016). We have conceptualized the role of AS in relation to maladaptive health behaviors as that of an amplifying factor, enhancing the aversiveness and need to escape/avoid negative affective or somatic experiences.

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mentioning

confidence: 99%