Main and interactive effects of a nonclinical panic attack history and distress tolerance in relation to PTSD symptom severity
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The current study investigated the main and interactive effects of a nonclinical panic attack history and distress tolerance in relation to PTSD symptoms. The sample consisted of 91 adults (62.6% women; M(age)=23.45, SD=9.56) who met DSM-IV criteria for trauma exposure, 53.8% of whom met criteria for a recent (past 2 years) history of nonclinical panic attacks. Results indicated that distress tolerance, as measured by the Distress Tolerance Scale (Simons & Gaher, 2005), was significantly related to all PTSD symptom clusters, and a nonclinical panic attack history was significantly related to PTSD re-experiencing and hyperarousal symptoms. The interaction of a nonclinical panic attack history and distress tolerance significantly predicted unique variance in only PTSD hyperarousal symptoms. Implications and future directions are discussed for the role of nonclinical panic attacks and distress tolerance in PTSD symptom expression.
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Lower distress tolerance is associated with higher PTSD symptom severity.
“recent studies have shown that lower distress tolerance is associated with higher PTSD symptom severity (Marshall-Berenz, Vujanovic & Zvolensky, 2011; Vujanovic, Bonn-Miller, Potter, Marshall, & Zvolensky, 2011; Vujanovic, Hart, Potter, Berenz, Niles, & Bernstein, 2013).”
From Does change in distress matter? Mechanisms of change in prolonged exposure for PTSD (2014) · cites this paper as Marshall-Berenz, Vujanovic & Zvolensky, 2011
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- Authors
- Marshall-Berenz, E. C., Vujanovic, A. A., & Zvolensky, M. J.
- Affiliations
- Boston University (US)
- University of Vermont (US)
- Corresponding author
- Zvolensky, Michael J.
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2011-03
- Volume
- 25
- Issue
- 2
- Pages
- 185-191
- ISSN
- 0887-6185 (ISSN-L)
- PMC
- PMC3017224
- OpenAlex
- W2056512331
- Cited by
- 31
- References
- 49
- Citations by year
- 2025: 2 · 2024: 1 · 2022: 1 · 2021: 3 · 2020: 1 · 2018: 3 · 2017: 3 · 2016: 4 · 2015: 5 · 2014: 2 · 2013: 3 · 2012: 2
- FWCI
- 2.11
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Anxiety Disorders (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Mental Health National Research Service Award (1 F31 MH080453-01A1)
- National Institute on Health (1 R01 DA027533-01; 1 R01 MH076629-01)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- distress tolerance, post-traumatic stress disorder, PTSD symptom severity, hyperarousal symptoms, re-experiencing symptoms, trauma exposure, interaction effects
- MeSH terms
- Adolescent, Adult, Anxiety, Female, Humans, Life Change Events, Male, Regression Analysis, Severity of Illness Index, Stress Disorders, Post-Traumatic, Stress, Psychological, Panic Disorder
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