Pilot trial of a transdiagnostic computerized anxiety sensitivity intervention among VA primary care patients

Norr, Aaron M.; Katz, Andrea C.; Nguyen, Janelle; Lehavot, Keren; Schmidt, Norman B.; Reger, Greg M.

doi:10.1016/j.psychres.2020.113394

Cited by 9 publications

(3 citation statements)

References 43 publications

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“…26 Brief anxiety sensitivity-targeted interventions have been found to produce medium to large effects in reducing anxiety sensitivity and maintain these gains up to 6 months. 27,28 Furthermore, reductions in anxiety sensitivity may be experienced in as little as a single session, regardless of mode of delivery (ie, computerized or in-person), 28,29 Anxiety sensitivity interventions could be delivered to at-risk individuals by a co-located mental health care provider during prenatal visits, by trained prenatal care providers, or via a computer within a prenatal clinic or from the patient's home. 26 Integrating psychiatric services within prenatal offices and other forms of prenatal care (eg, concurrent with midwife or doula visit) can potentially improve access to perinatal mental health treatment and may prevent the development or exacerbation of maternal emotional difficultiesultimately improving outcomes for the woman and infant.…”

Section: Discussionmentioning

confidence: 99%

A Preliminary Investigation of Prenatal Anxiety Sensitivity and Postpartum Distress

Witcraft

Perry

Viana

et al. 2023

J Midwife Womens Health

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IntroductionDistress during pregnancy and postpartum is common and contributes to poor infant and maternal outcomes, such as developmental delays and mental health disorders, respectively. Anxiety sensitivity, or fear of the symptoms of anxiety (eg, palpitations, confusion), is a risk factor known to increase distress across psychological and health‐related conditions. Given the physiologic and emotional changes that occur during the perinatal period, anxiety sensitivity may be a salient risk factor for maternal distress. In this pilot study, we aimed to understand the unique role of prenatal anxiety sensitivity in postpartum psychological and parenting distress.MethodsTwenty‐eight pregnant women (mean age, 30.86 years) were recruited from the community in a Southeastern metropolitan area of the United States. Participants completed self‐report measures during their third trimester of pregnancy and again within 10 weeks postpartum. The Depression Anxiety and Stress Scales‐21 and the Parenting Distress subscale of the Parenting Stress Index‐4‐Short Form were the primary postpartum outcome measures.ResultsPrenatal anxiety sensitivity was elevated in this sample relative to convenience samples. Prenatal anxiety sensitivity uniquely contributed to postpartum psychological (b, 1.01; P < .001) and parenting distress (b, 0.62; P = .008), after accounting for age, gravidity, and gestation.DiscussionAlbeit preliminary, results suggest prenatal anxiety sensitivity may be an important and malleable risk factor associated with several mental health concerns common in the perinatal period. Anxiety sensitivity may be targeted with brief interventions to prevent or reduce postpartum distress. Reducing prenatal anxiety sensitivity has the potential prevent the onset or worsening of psychological disorders among women and, in turn, may improve infant and child outcomes. Future studies should replicate these findings in a larger sample.

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Section: Discussionmentioning

confidence: 99%

A Preliminary Investigation of Prenatal Anxiety Sensitivity and Postpartum Distress

Witcraft

Perry

Viana

et al. 2023

J Midwife Womens Health

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“…Such work has often been successful in reducing anxiety sensitivity and such changes often, but not uniformly, been related to reduced behavioral health problems (Schmidt et al, 2016). Further, anxiety sensitivity reduction has been successfully integrated into therapeutic modules for posttraumatic stress among non-Hispanic White samples (Allan et al, 2015;Norr et al, 2020;Vujanovic et al, 2012). These intervention tactics for posttraumatic stress could be used and further culturally tailored to the non-Hispanic Black population (e.g., framing around trauma and chronic psychosocial stressors, such as racism and racial trauma) with elevated anxiety sensitivity.…”

Section: Discussionmentioning

confidence: 99%

Anxiety Sensitivity Among Trauma-Exposed Non-Hispanic Black Adults

et al. 2022

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The non-Hispanic Black population experiences trauma-related disparities. One potentially important individual difference construct for posttraumatic stress is anxiety sensitivity. There is limited work on anxiety sensitivity among non-Hispanic Black persons, and no research has focused on this construct in terms of posttraumatic stress among this population. This study sought to build on this limited knowledge by exploring whether this construct was uniquely associated with more severe posttraumatic stress among this population. Participants included non-Hispanic Black trauma-exposed adults (N = 121; M age = 21.79 years). Results indicated that anxiety sensitivity was related to more severe overall posttraumatic stress and greater severity of each posttraumatic stress symptom cluster; all effects were evident after adjusting for the variance accounted for by age, sex, education, subjective social status, neuroticism, and number of traumatic event types experienced (lifetime). The study provides the first empirical evidence that, among a trauma-exposed non-Hispanic Black sample of adults, anxiety sensitivity is related to more severe posttraumatic stress symptoms. This intraindividual difference factor could be a focus of intervention programming for this trauma disparity population.

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“…AS has been implicated in the development and persistence of PTSD (Zoellner et al, 2020) and AUD (Chavarria et al, 2015; Schmidt et al, 2007), and may be a contributing factor in the observed comorbidity of these disorders (Vujanovic et al, 2018). Interventions targeting AS are effective with clients with PTSD (Norr et al, 2020) which indicates a possible mediational role for PTSD and/or AUD. PTSD symptom severity is related to alcohol use via heightened AS in US veterans (Vujanovic et al, 2022), supporting a self‐medicating role for increased drinking.…”

Section: Introductionmentioning

confidence: 99%

Anxiety, distress tolerance, and the relationship between complex posttraumatic stress disorder symptoms and alcohol use in veterans

Whiteford,

Quigley,

Dighton

et al. 2023

J Clin Psychol

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ObjectivesLittle is known about whether distress tolerance and anxiety mediate the relationship between comorbid complex posttraumatic stress disorder (CPTSD) and alcohol use among military veterans. Here, we investigated the contribution of distress tolerance and anxiety on the strength of the CPTSD and alcohol use association. We hypothesized that the impact of a two‐factor model of CPTSD derived from subscale scores on the International Trauma Questionnaire (ITQ)—namely ITQ PTSD and ITQ Disturbances in Self Organization (DSO; e.g., issues with affective regulation/self‐belief and shame)—on alcohol use severity would be mediated by anxiety but not by distress tolerance.MethodsParticipants included 403 community‐dwelling United Kingdom (UK) veterans (91.64% male, Mage = 51.15 years, SD = 12.48) recruited as part of a larger, online study.ResultsFindings indicated that the influence of CPTSD symptoms on alcohol use severity was mediated by anxiety, not by distress tolerance, with greater relative impact due to ITQ DSO status than ITQ PTSD status.ConclusionsWe identified the mediational influence of anxiety and distress tolerance on the association between CPTSD subscales and alcohol use in UK veterans. Interventions for anxiety may be adapted for reducing problematic alcohol use and the impact of CPTSD symptoms in veterans with comorbid PTSD and alcohol use disorder.

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Pilot trial of a transdiagnostic computerized anxiety sensitivity intervention among VA primary care patients

Cited by 9 publications

References 43 publications

A Preliminary Investigation of Prenatal Anxiety Sensitivity and Postpartum Distress

A Preliminary Investigation of Prenatal Anxiety Sensitivity and Postpartum Distress

Anxiety Sensitivity Among Trauma-Exposed Non-Hispanic Black Adults

Anxiety, distress tolerance, and the relationship between complex posttraumatic stress disorder symptoms and alcohol use in veterans

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