Emotional nonacceptance within the context of traumatic event exposure: The explanatory role of anxiety sensitivity for traumatic stress symptoms and disability among Latinos in a primary care setting

Viana, Andres G.; Paulus, Daniel J.; Bakhshaie, Jafar; Garza, Monica; Valdivieso, Jeanette; Ochoa-Perez, Melissa; Lemaire, Chad; Cardoso, Jodi Berger; Zvolensky, Michael J.

doi:10.1016/j.genhosppsych.2016.10.007

Cited by 24 publications

(24 citation statements)

References 85 publications

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“…In line with our hypothesis, we found that elevated emotion dysregulation at baseline predicted increases in PTSS at Month‐1 follow‐up through heightened AS at Week 3, after controlling for treatment condition and initial PTSS and AS. These findings are consistent with limited cross‐sectional work examining the mechanistic role of AS as it relates to emotion dysregulation and PTSS (Viana et al, 2018; Viana et al, 2017; Woodward et al, 2018), and expands this work by utilizing a diverse clinical sample of adults. Theory suggests that emotion dysregulation may entail greater difficulties discerning between bodily sensations and negative emotional states, leading individuals to view bodily sensations as unpredictable and frightening (Tull, 2006).…”

Section: Discussionmentioning

confidence: 99%

“…However, only one aspect of emotion dysregulation was investigated, and this finding needs to be replicated among a more diverse sample. Next, Viana et al (2017) and Woodward, Viana, Raines, Hanna, and Zvolensky (2018) showed that AS underlied the association between emotion dysregulation total and subscale scores and PTSD symptoms among 74 adolescent inpatients. However, it is unclear if these findings can be generalized to adults with less severe symptoms, and the cross‐sectional nature of the data precludes conclusions about directionality.…”

Section: Introductionmentioning

confidence: 91%

“…To our knowledge, only three studies have examined the mechanistic role of AS in the relationship between emotion dysregulation and PTSS. First, Viana et al (2017) utilized cross‐sectional data and found that AS mediated the effects of emotional nonacceptance on avoidance and arousal symptoms of PTSD among 183 Latino and primarily female adults. However, only one aspect of emotion dysregulation was investigated, and this finding needs to be replicated among a more diverse sample.…”

Section: Introductionmentioning

confidence: 99%

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Emotion dysregulation as a maintenance factor for posttraumatic stress symptoms: The role of anxiety sensitivity

et al. 2020

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Objectives The current study tested whether emotion dysregulation, assessed by the Difficulties in Emotion Regulation Scale (DERS), would predict posttraumatic stress symptoms (PTSS) through anxiety sensitivity (AS). Alternate cognitive‐affective mediators (i.e., distress tolerance and intolerance of uncertainty) were explored. Method A total of 259 trauma‐exposed community members (ages averaging 37.39; evenly distributed by gender) from a larger clinical trial targeting suicide risk factors completed a clinical interview and self‐report questionnaires at baseline, Week‐3, and 1‐month follow‐up appointments. Results AS at Week 3 significantly mediated the relationship between initial emotion dysregulation and 1‐month follow‐up posttraumatic stress symptoms (PTSS) after controlling for condition and baseline symptoms (β = .07; standard error = 0.03; 95% confidence interval = [0.01, 0.14]). Effects held for one out of six emotion dysregulation subscales. Distress tolerance and intolerance of uncertainty were not significant mediators (ps > .05). Conclusions This study demonstrates that emotion dysregulation may confer maintenance of PTSS through AS. Findings highlight potentially malleable targets for interventions.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

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Emotion dysregulation as a maintenance factor for posttraumatic stress symptoms: The role of anxiety sensitivity

et al. 2020

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“…During the 2016 election cycle, observed was candidate language never been seen previously in the United States (Zeff, 2017). Because of the harsh language used against perceived targeted groups, children across the United States who identified within these groups became frightened (Costello, 2016), and consequently more susceptible to trauma experienced by the rash of negative media attention given to such rhetoric (Viana et al, 2017). Counselors and educators took notice (American Counseling Association, 2016) as these new behaviors occurred in classrooms and soon were identified as trauma (Zeff, 2017).…”

Section: Introductionmentioning

confidence: 99%

“…The trauma identified in children of perceived targeted groups can hinder their cognitive-developmental learning and subsequent well-being (Gungor & Perdu, 2017;Shoshani, Steinmetz, & Kanat-Maymon, 2016;Thornburn, 2015;Viana, Paulus, Bakshaie, Garza, Valivieso, & Ochoa-Perez, 2017;Willis & Nagel, 2015;Zeanah & Sonuga-Barke, 2016). The themes identified and variables found can lead to an understanding of how counselors and educators can intervene to minimize election cycle trauma inflicted by the harsh language of the 2016 election cycle (Banyard, Hamby, & Grych, 2017;Collins, 2008;Willis & Nagel, 2015).…”

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confidence: 99%

What can Counselors do to Lessen the Trauma to the DACA Population Caused by the 2016 Election Cycle Rhetoric?

Chaney¹,

Martin²

2020

JECS

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This case study focused on the impact to DACA participants in a mid-western city enrolled at an urban school setting in a region where 30% of all residing immigrants are unauthorized (Capps & Ruiz Soto, 2016). The investigation aimed to understand if the language used during the 2016 election cycle altered trauma-related behaviors in the DACA population. The data collected during the study suggested that students who identified with the DACA group exhibited trauma-related behaviors different from behaviors previously observed, and the new behaviors were a result of election cycle rhetoric. Implications for counselor training were significant.

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Emotional Clarity, Anxiety Sensitivity, and PTSD Symptoms Among Trauma-Exposed Inpatient Adolescents

Viana

Hanna

Woodward

et al. 2017

Child Psychiatry Hum Dev

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Although several investigations-on primarily adult samples-demonstrate a potential role of emotion dysregulation in the etiology and maintenance of posttraumatic stress disorder (PTSD), investigations into the mechanisms that may underlie these associations in general and among adolescents in particular are lacking. The present study examined associations among emotional clarity (i.e., the extent to which individuals are confused about the specific emotions they are experiencing), (Gratz, Journal of Psychopathology Behavioral Assessment 26(1):41-54, 2004) anxiety sensitivity, and DSM-IV PTSD symptom cluster severity (i.e., re-experiencing, avoidance, and hyperarousal symptoms) in a diverse sample of trauma-exposed inpatient adolescents. It was hypothesized that anxiety sensitivity would underlie association between emotional clarity and PTSD symptoms. Participants (N = 50; 52.0% female; M = 15.1 years, SD = 0.51; 44% White) completed measures of emotion dysregulation, anxiety sensitivity, and PTSD. Lower emotional clarity was significantly associated with greater total PTSD symptoms, as well as re-experiencing, avoidance, and arousal symptoms. Additionally, there were indirect effects for lack of emotional clarity via anxiety sensitivity in relation to total PTSD symptoms [B = 0.17, SE = 0.08, BC 95% CI (0.04, 0.35)], re-experiencing symptoms [B = 0.15, SE = 0.08, BC 95% CI (0.03, 0.36)], avoidance symptoms [B = 0.12, SE = 0.07, BC 95% CI (0.02, 0.29)], and hyperarousal symptoms [B = 0.17, SE = 0.08, BC 95% CI (0.04, 0.36)]. Reversed models were violated, supporting the direction of hypothesized effects. Difficulties recognizing and accurately understanding emotions may increase risk for PTSD symptoms among trauma-exposed youth. Furthermore, anxiety sensitivity may be a promising intervention target among youth at risk for PTSD, especially among those demonstrating poorer emotional clarity.

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Emotional nonacceptance within the context of traumatic event exposure: The explanatory role of anxiety sensitivity for traumatic stress symptoms and disability among Latinos in a primary care setting

Cited by 24 publications

References 85 publications

Emotion dysregulation as a maintenance factor for posttraumatic stress symptoms: The role of anxiety sensitivity

Emotion dysregulation as a maintenance factor for posttraumatic stress symptoms: The role of anxiety sensitivity

What can Counselors do to Lessen the Trauma to the DACA Population Caused by the 2016 Election Cycle Rhetoric?

Emotional Clarity, Anxiety Sensitivity, and PTSD Symptoms Among Trauma-Exposed Inpatient Adolescents

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