Perceived Stress and Anxiety Sensitivity in the Prediction of Anxiety-Related Responding: A Multichallenge Evaluation

We have provided a laboratory evaluation of emotional reactivity to physiological (hyperventilation), cognitive (mental arithmetic), and social (speech) challenge procedures, and investigated how preexperimental levels of perceived stress, anxiety sensitivity, and negative-evaluation sensitivity predicted anxious and fearful responding. Participants were 37 nonclinical individuals. Dependent measures included a multimethod assessment involving self-reported anxiety, frequency and intensity of bodily sensations, and heart rate and blood pressure responses to the challenges. Our results indicated that preexperimental levels of perceived stress were more predictive than other theoretically relevant variables of self-reported anxiety-related reactivity to cognitive and social challenges, whereas anxiety sensitivity was a better predictor of the emotional response to hyperventilation. Collectively, these findings are consistent with theoretical accounts of anxiety pathology, and suggest that perceived stress is an important process variable to consider in understanding the determinants of anxiety-related responding.

[1]  S. Hobfoll The Influence of Culture, Community, and the Nested-Self in the Stress Process: Advancing Conservation of Resources Theory , 2001 .

[2]  S. Hobfoll Conservation of Resources: A Rejoinder to the Commentaries , 2001 .

[3]  M. Zvolensky,et al.  Anxiety sensitivity in the prediction of pain-related fear and anxiety in a heterogeneous chronic pain population. , 2001, Behaviour research and therapy.

[4]  M. Zvolensky,et al.  Offset control during recurrent 20% carbon dioxide-enriched air induction: relation to individual difference variables. , 2001, Emotion.

[5]  M. Zvolensky,et al.  A review of psychological factors/processes affecting anxious responding during voluntary hyperventilation and inhalations of carbon dioxide-enriched air. , 2001, Clinical psychology review.

[6]  M. Zvolensky,et al.  Assessment of anxiety sensitivity in young American Indians and Alaska Natives. , 2001, Behaviour research and therapy.

[7]  B. Fredrickson The role of positive emotions in positive psychology. The broaden-and-build theory of positive emotions. , 2001, The American psychologist.

[8]  L. McWilliams,et al.  Does the social concerns component of the anxiety sensitivity index belong to the domain of anxiety sensitivity or the domain of negative evaluation sensitivity? , 2000, Behaviour research and therapy.

[9]  M. Zvolensky,et al.  Prediction and control: operational definitions for the experimental analysis of anxiety. , 2000, Behaviour research and therapy.

[10]  N. Schmidt Examination of Differential Anxiety Sensitivities in Panic Disorder: A Test of Anxiety Sensitivity Subdomains Predicting Fearful Responding to a 35% CO2 Challenge , 1999, Cognitive Therapy and Research.

[11]  M. Zvolensky,et al.  Predictors of Self-Reported Anxiety and Panic Symptoms: An Evaluation of Anxiety Sensitivity, Suffocation Fear, Heart-Focused Anxiety, and Breath-Holding Duration , 1999 .

[12]  M. Zvolensky,et al.  The effects of offset control over 20% carbon-dioxide-enriched air on anxious responding. , 1999, Journal of abnormal psychology.

[13]  N. Schmidt,et al.  Prospective evaluation of anxiety sensitivity in the pathogenesis of panic: replication and extension. , 1999, Journal of abnormal psychology.

[14]  K. Larkin,et al.  Cardiovascular and behavioral response to social confrontation: Measuring real-life stress in the laboratory , 1998, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[15]  S. Taylor,et al.  Anxiety sensitivity: multiple dimensions and hierarchic structure. , 1998, Behaviour research and therapy.

[16]  N. Eisenberg,et al.  Regulatory control and adults' stress-related responses to daily life events. , 1997, Journal of personality and social psychology.

[17]  S. Taylor,et al.  Gender differences in dimensions of anxiety sensitivity. , 1997, Journal of anxiety disorders.

[18]  Daniel W. McNeil,et al.  Enduring without avoiding: Pauses and verbal dysfluencies in public speaking fear , 1996 .

[19]  B. Cox The nature and assessment of catastrophic thoughts in panic disorder. , 1996, Behaviour research and therapy.

[20]  R. McNally,et al.  Anxiety sensitivity, suffocation fear, and breath-holding duration as predictors of response to carbon dioxide challenge. , 1996, Journal of abnormal psychology.

[21]  N. Kalin,et al.  Individual differences in repressive-defensiveness predict basal salivary cortisol levels. , 1996, Journal of personality and social psychology.

[22]  M. Hout Panic disorder: A critical analysis ?: Guilford Press, New York (1994). xii + 276 pp , 1996 .

[23]  T. Joiner,et al.  Dimensions of Perfectionism, Life Stress, and Depressed and Anxious Symptoms: Prospective Support for Diathesis-Stress but not Specific Vulnerability among Male Undergraduates , 1995 .

[24]  K. Nuechterlein,et al.  Verbal interactions in the families of schizophrenic and bipolar affective patients. , 1995, Journal of abnormal psychology.

[25]  S. Taylor,et al.  Anxiety sensitivity: theoretical perspectives and recent findings. , 1995, Behaviour research and therapy.

[26]  R. Rapee,et al.  Fear of physical sensations and trait anxiety as mediators of the response to hyperventilation in nonclinical subjects. , 1994, Journal of abnormal psychology.

[27]  M. Hersen,et al.  Behavioral Assessment and Treatment of Social Phobia , 1994, Behavior modification.

[28]  G. Affleck,et al.  Person and contextual features of daily stress reactivity: individual differences in relations of undesirable daily events with mood disturbance and chronic pain intensity. , 1994, Journal of personality and social psychology.

[29]  J. Rick Turner,et al.  Cardiovascular Reactivity and Stress: Patterns of Physiological Response , 1994 .

[30]  P. Lang,et al.  Emotional imagery in simple and social phobia: fear versus anxiety. , 1993, Journal of abnormal psychology.

[31]  L. Pbert,et al.  An evaluation of the perceived stress scale in two clinical populations , 1992 .

[32]  D. Beidel,et al.  Social phobia: a comparison of specific and generalized subtypes and avoidant personality disorder. , 1992, Journal of abnormal psychology.

[33]  A. Simons,et al.  Diathesis-stress theories in the context of life stress research: implications for the depressive disorders. , 1991, Psychological bulletin.

[34]  D. Watson,et al.  Health complaints, stress, and distress: exploring the central role of negative affectivity. , 1989, Psychological review.

[35]  K. Nuechterlein,et al.  Family factors and the course of bipolar affective disorder. , 1988, Archives of general psychiatry.

[36]  D. Watson,et al.  Mood and the mundane: relations between daily life events and self-reported mood. , 1988, Journal of personality and social psychology.

[37]  D. Carroll,et al.  Heart rate reactions to standard laboratory challenges and a naturalistic stressor. , 1987, International Journal of Psychophysiology.

[38]  K. Matthews,et al.  Cardiovascular responses of adolescents during a naturally occurring stressor and their behavioral and psychophysiological predictors. , 1986, Psychophysiology.

[39]  H. Rüddel,et al.  The standardized mental stress test protocol: test-retest reliability and comparison with ambulatory blood pressure monitoring. , 1985, Psychophysiology.

[40]  T. Kamarck,et al.  A global measure of perceived stress. , 1983, Journal of health and social behavior.

[41]  S. Monroe Life events and disorder: event-symptom associations and the course of disorder. , 1982, Journal of abnormal psychology.

[42]  R. Friend,et al.  Measurement of social-evaluative anxiety. , 1969, Journal of consulting and clinical psychology.

[43]  J. Wolpe,et al.  Psychotherapy by reciprocal inhibition , 1958, Conditional reflex.

[44]  Markku Niemivirta,et al.  Self-Regulated Learning: Finding a Balance between Learning Goals and Ego-Protective Goals , 2000 .

[45]  R. Zinbarg,et al.  Dimensions of anxiety sensitivity , 1999 .

[46]  M. Boekaerts Coping in context: Goal frustration and goal ambivalence in relation to academic and interpersonal goals. , 1999 .

[47]  S. Mineka,et al.  Conditioning and ethological models of anxiety disorders: stress-in-dynamic-context anxiety models. , 1996, Nebraska Symposium on Motivation. Nebraska Symposium on Motivation.

[48]  D H Barlow,et al.  Fear, panic, anxiety, and disorders of emotion. , 1996, Nebraska Symposium on Motivation. Nebraska Symposium on Motivation.

[49]  S. Lilienfeld,et al.  Anxiety sensitivity: An examination of theoretical and methodological issues , 1993 .

[50]  T. Kamarck,et al.  Stability and patterning of behaviorally evoked cardiovascular reactivity. , 1993 .

[51]  A P Smith,et al.  Negative life events, perceived stress, negative affect, and susceptibility to the common cold. , 1993, Journal of personality and social psychology.

[52]  D H Barlow,et al.  Response to hyperventilation and inhalation of 5.5% carbon dioxide-enriched air across the DSM-III-R anxiety disorders. , 1992, Journal of abnormal psychology.

[53]  G. Downey,et al.  Social factors and psychopathology: stress, social support, and coping processes. , 1991, Annual review of psychology.

[54]  S. Mineka,et al.  Comorbidity of anxiety and depressive disorders: A helplessness-hopelessness perspective. , 1990 .

[55]  Sheldon Cohen,et al.  Perceived stress, quitting smoking, and smoking relapse. , 1990, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[56]  A. Sherwood,et al.  Cardiovascular responses to behavioral stressors: laboratory-field generalization and inter-task consistency. , 1990, Journal of psychosomatic research.

[57]  D. Watson Intraindividual and interindividual analyses of positive and negative affect: their relation to health complaints, perceived stress, and daily activities. , 1988, Journal of personality and social psychology.

[58]  A. Stone,et al.  Event content in a daily survey is differentially associated with concurrent mood. , 1987, Journal of personality and social psychology.

[59]  S. Reiss,et al.  Anxiety sensitivity, anxiety frequency and the prediction of fearfulness. , 1986, Behaviour research and therapy.

[60]  C. Dancu,et al.  Physiological, cognitive and behavioral aspects of social anxiety. , 1985, Behaviour research and therapy.