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:: Volume 23, Issue 6 (Bimonthly 2019) ::
Feyz Med Sci J 2019, 23(6): 689-697 Back to browse issues page
The comparison of distress tolerance and experiential avoidance in people with health anxiety and normal people
Masumeh Moghbeli-Hanzaii , Abdollah Omidi , Zahra Zanjani *
Department of Psychology, Medical Faculty, Kashan University of Medical Sciences, Kashan, I. R. Iran. , z_zanjani2005@yahoo.com
Abstract:   (3512 Views)
Background: People with health anxiety experience high levels of concern about physical symptoms and use coping strategies such as avoidance in the face of these negative emotions. This study aimed to compare distress tolerance and experiential avoidance in people with and without health anxiety.
Materials and Methods: This is a Case- control study. The research sample consisted of two groups of 40 students from Kashan University and Kashan University of Medical Sciences. The health anxiety group was selected by purposeful sampling. The normal group was selected by convenience sampling method. The research tools were: Short form health anxiety questionnaire (F-SHAI), Distress Tolerance Scale (DTS) and Acceptance and Action Questionnaire-2 (AAQ-2). Data was analyzed using SPSS-19 software and independent t-test.
Results: Score mean of experiential avoidance was 28.30 (SD=7.41) in people with health anxiety and 20.15 (SD=7.70) in normal people. The score mean of distress tolerance in people with health anxiety was 38/35 (SD=7.26) and in normal people was 44/42(SD=9.70). The results of Independent t-test showed that there was a significant difference between two groups in experiential avoidance score (t=4.82) and distress tolerance score (t= - 3/16, P<0.001).
Conclusion: Individuals with health anxiety reported more experiential avoidance and less distress tolerance than normal people. These people are more attracted to their health-related negative emotions and because of the inability to tolerate these distresses, they avoid stressful situations associated with these distresses.
Keywords: Health anxiety, Distress tolerance, Experiential avoidance
Full-Text [PDF 328 kb]   (1574 Downloads)    
Type of Study: Research | Subject: General
Received: 2019/05/13 | Revised: 2020/02/17 | Accepted: 2019/09/15 | Published: 2020/02/12
References
1. Bailer J, Kerstner T, Witthöft M, Diener C, Mier D, Rist F. Health anxiety and hypochondriasis in the light of DSM-5. Anxiety, Stress, Coping 2016; 29(2): 219-39.
2. Tyrer P, Cooper S, Crawford M, Dupont S, Green J, Murphy D, et al. Prevalence of health anxiety problems in medical clinics. J Psychosomatic Res 2011; 71(6): 392-4.
3. Sunderland M, Newby JM, Andrews G. Health anxiety in Australia: prevalence, comorbidity, disability and service use. British J Psychiatry 2013; 202(1): 56-61.
4. Taylor S. Understanding and treating health anxiety: A cognitive-behavioral approach. Cognitive Behav Practice 2005; 11(1): 23-112.
5. Levenson JL, Dimsdale J, Solomon D. Psychological factors affecting other medical conditions: Clinical features, assessment, and diagnosis. 2015.
6. El-Gabalawy R, Mackenzie C, Thibodeau M, Asmundson G, Sareen J. Health anxiety disorders in older adults: conceptualizing complex conditions in late life. Clin Psychol Review 2013; 33(8): 105-9.
7. Haenen MA, de Jong PJ, Schmidt AJ, Stevens S, Visser L. Hypochondriacs' estimation of negative outcomes: domain-specificity and responsiveness to reassuring and alarming information. Behav Res Therapy 2000; 38(8): 819-33.
8. O’Bryan EM, McLeish AC, Johnson AL. The Role of Emotion Reactivity in Health Anxiety. Behav Modification 2017; 41(6): 829-45.
9. Fink P, Ørnbøl E, Christensen KS. The outcome of health anxiety in primary care. A two-year follow-up study on health care costs and self-rated health. PLoS One 2010; 5(3): e9873
10. Eilenberg T, Frostholm L, Schröder A, Jensen JS, Fink P. Long-term consequences of severe health anxiety on sick leave in treated and untreated patients: Analysis alongside a randomised controlled trial. J Anxiety Disord 2015; 102-32: 95.
11. Keough ME, Riccardi CJ, Timpano KR, Mitchell MA, Schmidt NB. Anxiety symptomatology: The association with distress tolerance and anxiety sensitivity. Behav Ther 2010; 41(4): 567-74.
12. Michel NM, Rowa K, Young L, McCabe RE. Emotional distress tolerance across anxiety disorders. J Anxiety Disord 2016; 40: 94-103.
13. Bernstein A, Zvolensky MJ, Vujanovic AA, Moos R. Integrating anxiety sensitivity, distress tolerance, and discomfort intolerance: A hierarchical model of affect sensitivity and tolerance. Behav Ther 2009; 40(3): 291-301.
14. Iverson KM, Follette VM, Pistorello J, Fruzzetti AE. An investigation of experiential avoidance, emotion dysregulation, and distress tolerance in young adult outpatients with borderline personality disorder symptoms. Persona Disord 2012; 3(4): 415.
15. Schloss HM, Haaga DA. Interrelating behavioral measures of distress tolerance with self-reported experiential avoidance. J Ration Emot Cogn Behav Ther 2011; 29(1): 53-63.
16. Hayes SC, Villatte M, Levin M, Hildebrandt M. Open, aware, and active: Contextual approaches as an emerging trend in the behavioral and cognitive therapies. Annu Rev Clin Psychol 2011; 28(7).
17. Wheaton MG, Berman NC, Abramowitz JS. The contribution of experiential avoidance and anxiety sensitivity in the prediction of health anxiety. J Cogn Psychotherapy 2010; 24(3): 229.
18. Hayes SC, Wilson KG, Gifford EV, Follette VM, Strosahl K. Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. J Consulting Clin Psychol 1996; 64(6): 1152.
19. Shankman SA, Funkhouser CJ, Klein DN, Davila J, Lerner D, Hee D. Reliability and validity of severity dimensions of psychopathology assessed using the Structured Clinical Interview for DSM‐5 (SCID). Int J Methods Psychiatric Res 2018; 27(1): e.1590.
20. Salkovskis PM, Rimes KA, Warwick H, Clark D. The Health Anxiety Inventory: development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychological Med 2002; 32(5): 843-53.
21. Panahi S, Asghari Moghadam MA, Shaeeri MR, Eghtedar Nejhad S. Psychometric properties of a Persian version of the short form of health anxiety inventory in non-clinical Iranian populations. Quarterly Educ Measurement 2010; 1(2): 21-46. [in Persian]
22. Simons JS, Gaher RM. The Distress Tolerance Scale: Development and validation of a self-report measure. Motivation Emot 2005; 29(2): 102-83.
23. Hsu SH, Collins SE, Marlatt GA. Examining psychometric properties of distress tolerance and its moderation of mindfulness-based relapse prevention effects on alcohol and other drug use outcomes. Addict Behav 2013; 38(3): 1852-8.
24. Shams J, Azizi A, Mirzaei A. Correlation between distress tolerance and emotional regulation with students smoking dependence. Hakim Res J 2010; 13(1): 8-11. [in Persian]
25. Bond FW, Hayes SC, Baer RA, Carpenter KM, Guenole N, Orcutt HK, et al. Preliminary psychometric properties of the Acceptance and Action Questionnaire–II: A revised measure of psychological inflexibility and experiential avoidance. Behav Ther 2011; 42(4): 676-88.
26. Abasi E, Fti L, Molodi R, Zarabi H. Psychometric properties of Persian version of acceptance and action questionnaire-ii.2013; 65-80. [in Persian]
27. Imani.Mahdi. Factor Structure of Psychological Flexibility Questionnaire in Students. J Res Psychological Health 2016; 8(1): 162-81. [in Persian]
28. Macatee RJ, Cougle JR. The roles of emotional reactivity and tolerance in generalized, social, and health anxiety: A multimethod exploration. Behav Ther 2013; 44(1): 39-50.
29. Fergus TA, Limbers CA, Griggs JO, Kelley LP. Somatic symptom severity among primary care patients who are obese: examining the unique contributions of anxiety sensitivity, discomfort intolerance, and health anxiety. J Behav Med 2018; 41(1): 43-51.
30. Fergus TA, Bardeen JR, Orcutt HK. Examining the specific facets of distress tolerance that are relevant to health anxiety. J Cognitive Psychotherapy 2015; 29(1): 32-44.
31. Hayes SC, Strosahl K, Wilson KG, Bissett RT, Pistorello J, Toarmino D, et al. Measuring experiential avoidance: A preliminary test of a working model. Psychological Record 2004; 54(4): 553-78.
32. Masuda A, Tully EC. The role of mindfulness and psychological flexibility in somatization, depression, anxiety, and general psychological distress in a nonclinical college sample. J Evid Based Complementary Altern Med 2012; 17(1): 66-71.
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Moghbeli-Hanzaii M, Omidi A, Zanjani Z. The comparison of distress tolerance and experiential avoidance in people with health anxiety and normal people. Feyz Med Sci J 2019; 23 (6) :689-697
URL: http://feyz.kaums.ac.ir/article-1-3866-en.html


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Volume 23, Issue 6 (Bimonthly 2019) Back to browse issues page
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