Anxiety Sensitivity and Intolerance of Uncertainty: Transdiagnostic Risk Factors for Anxiety as Targets to Reduce Risk of Suicide

被引:24
作者
Allan, Nicholas P. [1 ,2 ]
Gorka, Stephanie M. [1 ]
Saulnier, Kevin G. [3 ,4 ,5 ]
Bryan, Craig J. [1 ,2 ]
机构
[1] Ohio State Univ, Dept Psychiat & Behav Hlth, Columbus, OH 43210 USA
[2] VA Ctr Excellence Suicide Prevent, VA Finger Lakes Hlth Care Syst, Canandaigua, NY USA
[3] VA Serious Mental Illness Treatment Resource & Ev, Ann Arbor, MI USA
[4] VA Ann Arbor Healthcare Syst, Ann Arbor, MI USA
[5] Univ Michigan, Dept Psychiat, Med Sch, Ann Arbor, MI USA
关键词
Anxiety sensitivity; Intolerance of uncertainty; Suicide; Ideation-to-action; Negative reinforcement; DOMAIN CRITERIA RDOC; GENERALIZED ANXIETY; PROSPECTIVE ASSOCIATION; CHAINED MEDIATION; UNIQUE RELATIONS; DISORDERS; IDEATION; INTERVENTION; METAANALYSIS; DEPRESSION;
D O I
10.1007/s11920-023-01413-z
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Purpose of ReviewSuicide has a profound impact on individuals, families, and society. One prominent, if understudied, risk factor for suicide is anxiety. More than 70% of people with at least one suicide attempt meet diagnostic criteria for an anxiety disorder. There are several limitations to exploring the associations between anxiety and suicide using diagnosis-based classification systems. A better approach would be to consider transdiagnostic risk factors for anxiety.Recent FindingsThrough a negative reinforcement model of suicide, anxiety sensitivity (AS) and intolerance of uncertainty (IU) appear to exacerbate the experience of unpleasant anxiety sensations and likely contribute to chronic suicide risk as well as acute suicidal acts.SummaryAlthough more research is needed to clarify the mechanisms through which AS and IU confer risk, brief interventions may offer an ideal suicide prevention strategy for anxious people.
引用
收藏
页码:139 / 147
页数:9
相关论文
共 86 条
[1]   Lonely, anxious, and uncertain: Critical risk factors for suicidal desire during the COVID-19 pandemic [J].
Allan, Nicholas P. ;
Volarov, Marija ;
Koscinski, Brandon ;
Pizzonia, Kendra L. ;
Potter, Kaley ;
Accorso, Catherine ;
Saulnier, Kevin G. ;
Ashrafioun, Lisham ;
Stecker, Tracy ;
Suhr, Julie ;
Allan, Darcey M. .
PSYCHIATRY RESEARCH, 2021, 304
[2]   Niacin biological challenge: A paradigm to evaluate social concerns [J].
Allan, Nicholas P. ;
Saulnier, Kevin G. ;
Cooper, Danielle ;
Oglesby, Mary E. ;
Schmidt, Norman B. .
JOURNAL OF BEHAVIOR THERAPY AND EXPERIMENTAL PSYCHIATRY, 2019, 65
[3]   Direct and Mediating Effects of an Anxiety Sensitivity Intervention on Posttraumatic Stress Disorder Symptoms in Trauma-Exposed Individuals [J].
Allan, Nicholas P. ;
Short, Nicole A. ;
Albanese, Brian J. ;
Keough, Meghan E. ;
Schmidt, Norman B. .
COGNITIVE BEHAVIOUR THERAPY, 2015, 44 (06) :512-524
[4]   Examining the unique relations between anxiety sensitivity factors and suicidal ideation and past suicide attempts [J].
Allan, Nicholas P. ;
Norr, Aaron M. ;
Boffa, Jay W. ;
Durmaz, Daphne ;
Raines, Amanda M. ;
Schmidt, Norman B. .
PSYCHIATRY RESEARCH, 2015, 228 (03) :441-447
[5]   Effects of anxiety sensitivity on alcohol problems: evaluating chained mediation through generalized anxiety, depression and drinking motives [J].
Allan, Nicholas P. ;
Albanese, Brian J. ;
Norr, Aaron M. ;
Zvolensky, Michael J. ;
Schmidt, Norman B. .
ADDICTION, 2015, 110 (02) :260-268
[6]   Unique relations among anxiety sensitivity factors and anxiety, depression, and suicidal ideation [J].
Allan, Nicholas P. ;
Capron, Daniel W. ;
Raines, Amanda M. ;
Schmidt, Norman B. .
JOURNAL OF ANXIETY DISORDERS, 2014, 28 (02) :266-275
[7]   The role of anxiety sensitivity in eating pathology [J].
Anestis, Michael D. ;
Holm-Denoma, Jill M. ;
Gordon, Kathryn H. ;
Schmidt, Norman B. ;
Joiner, Thomas E. .
COGNITIVE THERAPY AND RESEARCH, 2008, 32 (03) :370-385
[8]  
[Anonymous], 2014, Diagnostic and Statistical Manual, V5th
[9]  
[Anonymous], 2006, Worry and Its Psychological Disorders: Theory, Assessment, and Treatment, DOI DOI 10.1002/9780470713143.CH12
[10]   Prospective association of psychological pain and hopelessness with suicidal [J].
Ballard, Elizabeth D. ;
Farmer, Cristan A. ;
Gerner, Jessica ;
Bloomfield-Clagett, Bartholt ;
Park, Lawrence T. ;
Zarate, Carlos A., Jr. .
JOURNAL OF AFFECTIVE DISORDERS, 2022, 308 :243-248