title: Relations between common and specific factors of anxiety sensitivity and distress tolerance and fear, distress, and alcohol and substance use disorders.
abstract: Whereas it has been speculated that the psychopathology risk factors anxiety sensitivity (AS) and distress tolerance (DT) are highly overlapping, no studies have examined whether a core affect sensitivity construct explains this relation. It was hypothesized that, in a sample of 808 treatment-seeking individuals (M(age) = 35.11, SD = 14.94), the best-fitting confirmatory factor analysis model of AS and DT would comprise a common underlying affect sensitivity factor orthogonal to DT and lower-order AS factors (physical, cognitive, and social concerns). It was also hypothesized that specific relations between the factors and fear, distress, and alcohol/substance use disorders would emerge. The best-fitting model comprised a common affect sensitivity factor orthogonal to DT and lower-order AS factors. Whereas the affect sensitivity and DT factors were associated with fear, distress, and alcohol/substance use disorders, AS cognitive concerns was only related to distress disorders and AS social concerns was only related to fear disorders.
authors.affiliation: Department of Psychology, Florida State University, Tallahasssee, FL 32306-4301, USA. Electronic address: allan@psy.fsu.edu.
authors.forename: Nicholas P
authors.initials: NP
authors.lastname: Allan
authors.affiliation: Department of Psychology, Florida State University, Tallahasssee, FL 32306-4301, USA.
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Macatee
authors.affiliation: Department of Psychology, Florida State University, Tallahasssee, FL 32306-4301, USA.
authors.forename: Aaron M
authors.initials: AM
authors.lastname: Norr
authors.affiliation: Department of Psychology, Florida State University, Tallahasssee, FL 32306-4301, USA.
authors.forename: Amanda M
authors.initials: AM
authors.lastname: Raines
authors.affiliation: Department of Psychology, Florida State University, Tallahasssee, FL 32306-4301, USA. Electronic address: Schmidt@psy.fsu.edu.
authors.forename: Norman B
authors.initials: NB
authors.lastname: Schmidt
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019973:Alcohol-Related Disorders / Q000523:psychology; D001007:Anxiety / Q000523:psychology; D001008:Anxiety Disorders / Q000523:psychology*; D005163:Factor Analysis, Statistical; D005239:Fear / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D057566:Self Report; D013315:Stress, Psychological / Q000523:psychology*; D019966:Substance-Related Disorders / Q000523:psychology*; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Alcohol and substance use disorder; Anxiety sensitivity; Bifactor modeling; Distress tolerance; Emotional distress disorders