The Roles of Emotional Reactivity and Tolerance in Generalized, Social, and Health Anxiety: A Multimethod Exploration

Behavior Therapy

Volumn 44, Issue 1, 2013, Pages 39-50

  Macatee, Richard J ^a   Cougle, Jesse R ^a  

^a FLORIDA STATE UNIVERSITY   (United States)

Author keywords

Distress tolerance; Emotion regulation; Generalized anxiety; Health anxiety; Social anxiety

Indexed keywords

ADULT; ANGER; ANXIETY SENSITIVITY; ARTICLE; BEHAVIOR; BRIEF FEAR OF NEGATIVE EVALUATION SCALE; CONTROLLED STUDY; CORRELATION ANALYSIS; DEPRESSION ANXIETY STRESS SCALE 21; DISEASE ASSOCIATION; DISGUST; DISTRESS SYNDROME; EMOTION; EMOTIONAL FILMS; EMOTIONAL REACTIVITY; EMOTIONAL TOLERANCE; EMOTIONALITY; FEAR; FEMALE; HEALTH ANXIETY; HUMAN; MAJOR CLINICAL STUDY; MALE; MENTAL PERFORMANCE; PENN STATE WORRY QUESTIONNAIRE; PSYCHOMETRY; SADNESS; SELF EVALUATION; SHORT HEALTH ANXIETY INVENTORY; SOCIAL PHOBIA; SYMPTOMATOLOGY;

ADAPTATION, PSYCHOLOGICAL; ADOLESCENT; ADULT; ANXIETY; ANXIETY DISORDERS; ATTENTION; EMOTIONS; FEMALE; HUMANS; MALE;

EID: 84872286425     PISSN: 00057894     EISSN: 18781888     Source Type: Journal    
DOI: 10.1016/j.beth.2012.05.006     Document Type: Article

References (62)

1. Abramowitz J.S., Braddock A.E. Psychological treatment of health anxiety and hypochondriasis: A biopsychosocial approach 2008, Hogrefe & Huber, Cambridge, MA.
2. Abramowitz J.S., Olatunji B.O., Deacon B.J. Health anxiety, hypochondriasis, and the anxiety disorders. Behavior Therapy 2007, 38:86-94.
3. Bernstein A., Marshall E.C., Zvolensky M.J. Multi-method evaluation of distress tolerance measures and construct(s): Concurrent relations to mood and anxiety psychopathology and quality of life. Journal of Experimental Psychopathology 2011, 2(3):386-399.
4. Bornovalova M.A., Gratz K.L., Daughters S.B., Nick B., Delany-Brumsey A., Lynch T.R., ..., Lejuez C.W. A multimodal assessment of the relationship between emotion dysregulation and borderline personality disorder among inner-city substance users in residential treatment. Journal of Psychiatric Research 2008, 42(9):717-726.
5. Brown T.A., Antony M.M., Barlow D.H. Psychometric properties of the Penn State Worry Questionnaire in a clinical anxiety disorders sample. Behaviour Research and Therapy 1992, 30(1):33-37.
6. Campbell-Sills L., Barlow D.H., Brown T.A., Hofmann S.G. Effects of suppression and acceptance on emotional responses of individuals with anxiety and mood disorders. Behaviour Research and Therapy 2006, 44(9):1251-1263.
7. Carter M.M., Sbrocco T., Miller O., Suchday S., Lewis E.L., Freedman R.E.K. Factor structure, reliability, and validity of the Penn State Worry Questionnaire: Differences between African-American and White-American college students. Journal of Anxiety Disorders 2005, 19(8):827-843.
8. Cavanagh K., Davey G.C.L. The development of a measure of individual differences in disgust. Paper presented to the British Psychological Society, Winchester, U.K. 2000.
9. Cisler J.M., Olatunji B.O., Feldner M.T., Forsyth J.P. Emotion regulation and the anxiety disorders: An integrative review. Journal of Psychopathology & Behavioral Assessment 2010, 32(1):68-82.
10. Cisler J.M., Olatunji B.O., Lohr J.M. Disgust, Fear, and the Anxiety Disorders: A Critical Review. Clinical Psychology Review 2009, 29(1):34-46.
11. Cougle J.R., Timpano K.R., Fitch K.E., Hawkins K.A. Distress tolerance and obsessions: An integrative analysis. Depression and Anxiety 2011, 28:906-914.
12. Crittendon J., Hopko D.R. Assessing worry in older and younger adults: Psychometric properties of an abbreviated Penn State Worry Questionnaire (PSWQ-A). Journal of Anxiety Disorders 2006, 20(8):1036-1054.
13. Decker M.L., Turk C.L., Hess B., Murray C.E. Emotion regulation among individuals classified with and without generalized anxiety disorder. Journal of Anxiety Disorders 2008, 22(3):485-494.
14. Ellis A.J., Fischer K.M., Beevers C.G. Is dysphoria about being red and blue? Potentiation of anger and reduced distress tolerance among dysphoric individuals. Cognition & Emotion 2010, 24(4):596-608.
15. Ferguson E. A taxometric analysis of health anxiety. Psychological Medicine 2009, 39(2):277-285.
16. Fresco D.M., Heimberg R.G., Mennin D.S., Turk C.L. Confirmatory factor analysis of the Penn State Worry Questionnaire. Behaviour Research and Therapy 2002, 40:313-323.
17. Fresco D.M., Mennin D.S., Heimberg R.G., Turk C.L. Using the Penn State Worry Questionnaire to identify individuals with generalized anxiety disorder: A receiver operating characteristic analysis. Journal of Behavior Therapy and Experimental Psychiatry 2003, 34:283-291.
18. Gohm C.L., Clore G.L. Individual differences in emotional experience: Mapping available scales to processes. Personality and Social Psychology Bulletin 2000, 26(6):679-697.
19. Goldin P.R., Gross J.J. Effects of Mindfulness-Based Stress Reduction (MBSR) on emotion regulation in social anxiety disorder. Emotion 2010, 10(1):83-91.
20. Gratz K.L., Roemer L. Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and validation of the Difficulties with Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment 2004, 26:41-54.
21. Gross J.J., John O.P. Revealing feelings: Facets of emotional expressivity in self-reports, peer ratings, and behavior. Journal of Personality and Social Psychology 1997, 72:435-448.
22. Gross J.J., Levenson R.W. Emotion elicitation using films. Cognition & Emotion 1995, 9(1):87-108.
23. Gross J.J., Sheppes G., Urry H.L. Emotion generation and emotion regulation: A distinction we should make (carefully). Cognition & Emotion 2011, 25(5):765-781.
24. Hajek P., Belcher M., Stapleton J. Breath-holding endurance as a predictor of success in smoking cessation. Addictive Behaviors 1987, 12:285-288.
25. Harrington N. The Frustration Discomfort Scale: Development and psychometric properties. Clinical Psychology and Psychotherapy 2005, 12:374-387.
26. Kappas A. Emotion is not just an alarm bell - it's the whole tootin' fire truck. Cognition & Emotion 2011, 25(5):785-788.
27. Kashdan T.B., Breen W.E. Social anxiety and positive emotions: A prospective examination of a self-regulatory model with tendencies to suppress or express emotions as a moderating variable. Behavior Therapy 2008, 39(1):1-12.
28. Kashdan T.B., Steger M.F. Expanding the topography of social anxiety: An experience-sampling assessment of positive emotions, positive events, and emotion suppression. Psychological Science 2006, 17(2):120-128.
29. Keough M.E., Riccardi C.J., Timpano K.R., Mitchell M.A., Schmidt N.B. Anxiety symptomatology: The association with distress tolerance and anxiety sensitivity. Behavior Therapy 2010, 41:567-574.
30. Kollman D.M., Brown T.A., Liverant G.I., Hofmann S.G. A taxometric investigation of the latent structure of social anxiety disorder in outpatients with anxiety and mood disorders. Depression and Anxiety 2006, 23(4):190-199.
31. Lang P.J., McTeague L.M. The anxiety disorder spectrum: Fear imagery, physiological reactivity, and differential diagnosis. Anxiety, Stress, and Coping 2009, 22(1):5-25.
32. Leary M.R. A brief version of the Fear of Negative Evaluation Scale. Personality and Social Psychology Bulletin 1983, 9:371-375.
33. Lejuez C.W., Kahler C.W., Brown R.A. A modified computer version of the Paced Auditory Serial Addition Task (PASAT) as a laboratory-based stressor. The Behavior Therapist 2003, 26:290-293.
34. Leyro T.M., Zvolensky M.J., Bernstein A. Distress tolerance and psychopathological symptoms and disorders: A review of the empirical literature among adults. Psychological Bulletin 2010, 136(4):576-600.
35. Lobbestael J., Arntz A., Wiers R.W. How to push someone's buttons: A comparison of four anger-induction methods. Cognition & Emotion 2008, 22(2):353-373.
36. Lovibond P.F., Lovibond S.H. The Structure of Negative Emotional States: Comparison of the Depression Anxiety Stress Scale (DASS) with the Beck Depression and Anxiety Inventories. Behavior Research and Therapy 1995, 33(3):335-343.
37. McHugh R.K., Daughters S.B., Lejuez C.W., Murray H.W., Hearon B.A., Gorka S.M., Otto M.W. Shared variance among self-report and behavioral measures of distress intolerance. Cognitive Therapy and Research 2011, 35:266-275.
38. McLaughlin K.A., Mennin D.S., Farach F.J. The contributory role of worry in emotion generation and dysregulation in generalized anxiety disorder. Behaviour Research and Therapy 2007, 45:1735-1752.
39. Mennin D.S. Emotion regulation therapy for generalized anxiety disorder. Clinical Psychology and Psychotherapy 2004, 11:17-29.
40. Mennin D.S., Heimberg R.G., Jack M.S. Comorbid generalized anxiety disorder in primary social phobia: Symptom severity, functional impairment, and treatment response. Journal of Anxiety Disorders 2000, 14(4):325-343.
41. Mennin D.S., Heimberg R.G., Turk C.L., Fresco D.M. Applying an emotion regulation framework to integrative approaches to generalized anxiety disorder. Clinical Psychology: Science and Practice 2002, 9:85-90.
42. Mennin D.S., Heimberg R.G., Turk C.L., Fresco D.M. Preliminary evidence for an emotion dysregulation model of generalized anxiety disorder. Behavior Research and Therapy 2005, 43:1281-1310.
43. Mennin D.S., Holaway R.M., Fresco D.M., Moore M.T., Heimberg R.G. Delineating components of emotion and its dysregulation in anxiety and mood psychopathology. Behavior Therapy 2007, 38:284-302.
44. Mennin D.S., McLaughlin K.A., Flanagan T.J. Emotion regulation deficits in generalized anxiety disorder, social anxiety disorder, and their co-occurrence. Journal of Anxiety Disorders 2009, 23(7):866-871.
45. Mesquita B., Frijda N.H. An emotion perspective on emotion regulation. Cognition & Emotion 2011, 25(5):782-784.
46. Meyer T.J., Miller M.L., Metzger R.L., Borkovec T.D. Development and validation of the Penn State Worry Questionnaire. Behaviour Research and Therapy 1990, 28:487-495.
47. Olatunji B.O., Wolitzky-Taylor K.B., Elwood L., Connolly K., Gonzales B., Armstrong T. Anxiety sensitivity and health anxiety in a nonclinical sample: Specificity and prospective relations with clinical stress. Cognitive Therapy and Research 2009, 33:416-424.
48. Quinn E.P., Brandon T.H., Copeland A.L. Is task persistence related to smoking and substance abuse? The application of learned industriousness theory to addictive behaviors. Experimental and Clinical Psychopharmacology 1996, 4(2):186-190.
49. Reiss S., Peterson R.A., Gursky D.M., McNally R.J. Anxiety sensitivity, anxiety frequency, and the prediction of fearfulness. Behavior Research and Therapy 1986, 24:1-8.
50. Roemer L., Lee J.K., Salters-Pedneault K., Erisman S.M., Orsillo S.M., Mennin D.S. Mindfulness and emotion regulation difficulties in generalized anxiety disorder: Preliminary evidence for independent and overlapping contributions. Behavior Therapy 2009, 40(2):142-154.
51. Rottenberg J., Ray R.D., Gross J.J. Emotion elicitation using films. Handbook of emotion elicitation and assessment 2007, 9-28. Oxford University Press, New York, NY. J.A. Coan, J.J.B. Allen (Eds.).
52. Ruscio A.M., Borkovec T.D., Ruscio J. A taxometric investigation of the latent structure of worry. Journal of Abnormal Psychology 2001, 110(3):413-422.
53. Salkovskis P.M., Rimes K.A., Warwick H.M.C., Clark D.M. The Health Anxiety Inventory: Development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychological Medicine 2002, 32:843-853.
54. Simons J.S., Gaher R.M. The Distress Tolerance Scale: Development and validation of a self-report measure. Motivation and Emotion 2005, 29(2):83-102.
55. Strong, D. R., Lejuez, C. W., Daughters, S., Marinello, M., Kahler, C. W.,Brown, R. A. (2003). The computerized mirror tracing task (Version 1). Unpublished manual. Available from http://www.addiction.umd.edu/downloads.htm.
56. Tull M.T., Barrett H.M., McMillan E.S., Roemer L. A preliminary investigation of the relationship between emotion regulation difficulties and posttraumatic stress symptoms. Behavior Therapy 2007, 38(3):303-313.
57. Tull M.T., Roemer L. Emotion regulation difficulties associated with the experience of uncued panic attacks: Evidence of experiential avoidance, emotional nonacceptance, and decreased emotional clarity. Behavior Therapy 2007, 38(4):378-391.
58. Turk C.L., Heimberg R.G., Luterek J.A., Mennin D.S., Fresco D.M. Emotion dysregulation in generalized anxiety disorder: A comparison with social anxiety disorder. Cognitive Therapy and Research 2005, 29(1):89-106.
59. Watson D., Friend R. Measurement of social-evaluative anxiety. Journal of Consulting and Clinical Psychology 1969, 33:448-457.
60. Weeks J.W., Heimberg R.G., Fresco D.M., Hart T.A., Turk C.L., Schneier F.R., Liebowitz M.R. Empirical validation and psychometric evaluation of the brief fear of negative evaluation scale in patients with social anxiety disorder. Psychological Assessment 2005, 17(2):179-190.
61. Williams K.E., Chambless D.L., Ahrens A. Are emotions frightening? An extension of the fear of fear construct. Behaviour Research and Therapy 1997, 35:239-248.
62. Distress tolerance: Theory, research, and clinical applications 2011, Guilford Press, New York, NY. M.J. Zvolensky, A. Bernstein, A.A. Vujanovic (Eds.).