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Anxiety in Health Behaviors and Physical Illness Michael J. Zvolensky PDF

383 Pages·2008·2.91 MB·English
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Anxiety in Health Behaviors and Physical Illness SERIES IN ANXIETY AND RELATED DISORDERS Series Editor: M artin M. Antony, Professor, Department of Psychology, Ryerson University, Toronto, Ontario, Canada ACCEPTANCE AND MINDFULNESS-BASED APPROACHES TO ANXIETY Conceptualization and Treatment Edited by Susan M. Orsillo and Lizabeth Roemer CONCEPTS AND CONTROVERSIES IN OBSESSIVE-COMPULSIVE DISORDER Edited by Jonathan S. Abramowitz and Arthur C. Houts SOCIAL ANXIETY AND SOCIAL PHOBIA IN YOUTH Characteristics, Assessment, and Psychological Treatment Christopher A. Kearney TREATING HEALTH ANXIETY AND FEAR OF DEATH A Practitioner’s Guide Patricia Furer, John R. Walker, and Murray B. Stein TREATING TRICHOTILLOMANIA Cognitive-Behavioral Therapy for Hairpulling and Related Problems Martin E. Franklin and David F. Tolin ANXIETY IN HEALTH BEHAVIORS AND PHYSICAL ILLNESS Edited by Michael J. Zvolensky and Jasper A. J. Smits A Continuation Order Plan is available for this series. A continuation order will bring delivery of each new volume immediately upon publication. Volumes are billed only upon actual shipment. For further information please contact the publisher. Anxiety in Health Behaviors and Physical Illness Michael J. Zvolensky University of Vermont Burlington, Vermont, USA Jasper A. J. Smits Southern Methodist University Dallas, Texas, USA Michael J. Zvolensky, Ph.D. Jasper A. J. Smits, Ph.D. Department of Psychology Department of Psychology University of Vermont Southern Methodist University John Dewey Hall 6424 Hilltop Lane 2 Colchester Avenue Dallas, TX 75205 Burlington, VT 05405-0134 USA USA [email protected] [email protected] ISBN 978-0-387-74752-1 e-ISBN 978-0-387-74753-8 Library of Congress Control Number: 2007935078 © 2008 Springer Science+Business Media, LLC All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. Printed on acid-free paper. 9 8 7 6 5 4 3 2 1 springer.com Preface Research has been accumulating on the prevalence and nature of the co- occurrencebetweenvariousformsofanxietydisordersandproblematichealth behaviorsaswellasphysicalillness.Thisresearchhassignificantimplications for both those interested and affected by anxiety as well as physical health factors.Yet,itisstrikingthattherehasbeenlittlesystematicintegrationofthis health-orientedresearchincontemporary scienceandpracticeonanxietyand itsdisorders.Thisrelativeneglectisunfortunategiventhattheco-occurrenceof anxiety and health problems is a major public health priority when measured bothinhumanandfinancialterms. Theoverarchingaimofthisbookistoprovideasingleresourcethatoffers currenttheoreticalperspectivesandcuttingeZdgereviewsofscientificresearch onhealthbehaviorsandphysicalillnessinrelationtoanxietyanditsdisorders. A critical analysisof this emerging literature isneeded tohelpmovethis field forward, making this proposed volume timely. The specific objectives of this edited book are to (1) provide a review of the literature on the link between anxiety and certain health behaviors and processes as well as physical illness; (2) present contemporary theories of their co-occurrence and interplay (e.g., onset,maintenance,andrelapse);and(3)provideananalysisofrecentresearch inregardtotherapeuticmodelsfortargetingtheseproblems. Thebookisorganizedintotwogeneralsections.Inthefirstpartofthebook, prototypicalhealthbehaviors–smoking,alcohol,illicitsubstanceuse,exercise, andsleep–arediscussedinrelationtoanxietyanditsdisorders.Inthesecond partofthebook,theassociationbetweenanxietypsychopathologyandphysi- cal health conditions – chronic pain, cardiovascular disease, asthma, HIV/ AIDS – and their treatment are covered. In this same section, the potential roleofpubertyandthemenstrualcycleintheonsetandmaintenanceofanxiety psychopathologyarediscussed. Inspectionoftheexcellentandcomprehensiveworkshasyieldedanumberof broad-basedconclusionsrelevanttoinformingresearchandpracticeforanxi- etydisorders.First,thereisconsistentempiricalevidencethatmedicalproblems and poor health behaviors are overrepresented among persons with anxiety disorders,andviceversa.Thus,thereisapressingneedtomarshalinformation on anxiety-health processes to better serve this population. Second, as each v vi Preface contributionmakesclear,thereisuniformevidencethatbothhealthbehaviors andphysicalillnesscan,anddo,affectthenatureofanxietypsychopathology. Yet,theexactnatureoftheseassociationsdependsonthespecificdisorderand healthfactorinquestion.Andfinally,avarietyofthechaptersmakeclearthat personssufferingfromanxietypsychopathologyandpoorhealthbehaviorsor medicalillnessesmayneedspecializedinterventionstopromptclinicalchange. Thatis,traditionalinterventionsmaynotbeideallysuitedormaximizeclinical benefitforthispopulation. Forus,thepresentbookofferstheopportunitytoappreciatetheimportance andcomplexityinvolvedwiththestudyofanxietydisorders.Formanyyears, health behaviors and medical illnesses have been a neglected facet of anxiety disorderresearchandpractice.Thecontributionsinthisbookhelpdrivehome the message that such neglect is unwarranted, and that by working to better understand the enigmas between health status and functioning and anxiety psychopathology, significant clinically-relevant strides can likely be achieved. We hope the present book helps move such work forward and bring a better quality of life and reduced morbidity to persons with anxiety disorders in the future. Weowegratitudetomanypeoplewhohavehelpeduscompletethisproject. Firstamongthesearetheexpertswhoauthoredthechapters.Wewouldliketo thank them for their hard work and dedication. We also appreciate the com- mentsandsuggestionsofDr.MartinAntony,theeditoroftheSeriesinAnxiety andRelatedDisorders,andtheassistanceofAnnaTobiasofSpingerwiththe publishingofthisbook.Lastly,wecontinuetobeappreciativeofourrespective familymembers,HeidiandJackZvolenskyandJillandStellaSmits,fortheir loveandsupport. April2007 MichaelJ.Zvolensky,Ph.D. UniversityofVermont JasperA.J.Smits,Ph.D. SouthernMethodistUniversity Contents Preface .................................................... v Contributors ............................................... ix PartI:HealthBehaviorsandAnxietyDisorders TobaccoUseandPanicPsychopathology:CurrentStatusandFuture Directions .................................................. 3 MichaelJ.Zvolensky,TheresaLeyro,AmitBernstein, MatthewT.Feldner,AndrewR.Yartz,KimberlyBabson,and MarcelO.Bonn-Miller AlcoholUseandAnxietyDisorders............................... 29 BrigitteC.SabourinandSherryH.Stewart IllicitDrugUseAcrosstheAnxietyDisorders:Prevalence,Underlying Mechanisms,andTreatment.................................... 55 MatthewT.Tull,DavidE.Baruch,MichelleS.Duplinsky, andC.W.Lejuez ThePromiseofExerciseInterventionsfortheAnxietyDisorders........ 81 JasperA.J. Smits,AngelaC.Berry,MarkB.Powers,TracyL.Greer, andMichaelW.Otto AnxietyandInsomnia:TheoreticalRelationshipandFuture Research ................................................... 105 ThomasW.UhdeandBernadetteM.Cortese PartII:PhysicalConditionsandAnxietyDisorders AnxietyDisordersandPhysicalIllnessComorbidity:AnOverview ...... 131 TanyaSala,BrianJ.Cox,andJitenderSareen vii viii Contents TheRelationBetweenPubertyandAdolescentAnxiety:Theory andEvidence ................................................ 155 EllenW.Leen-Feldner,LauraE.Reardon,ChrisHayward,and RoseC.Smith Anxiety,AnxietyDisorders,andtheMenstrualCycle ................ 181 SandraT.SigmonandJanellG.Schartel PainandAnxietyDisorders .................................... 207 GordonJ.G.Asmundson,MurrayP.Abrams,andKelseyC.Collimore AsthmainAnxietyandItsDisorders:OverviewandSynthesis .......... 237 LisaS.ElwoodandBunmiO.Olatunji CardiovascularDiseaseandAnxiety.............................. 279 KamilaS.White HIVandAnxiety............................................. 317 ConallO’Cleirigh,TrevorA.Hart,andCarolynA.James PhysicalIllnessandTreatmentofAnxietyDisorders:AReview......... 341 NormanB.Schmidt,MeghanE.Keough,LoraRoseHunter,andAnn P.Funk Index...................................................... 367 Contributors MurrayP.Abrams,B.A.,Anxiety BernadetteM.Cortese,Ph.D., andIllnessBehavioursLaboratory, DepartmentofPsychiatry,PennState UniversityofRegina CollegeofMedicineandHershey MedicalCenter GordonJ.G.Asmundson,Ph.D. AnxietyandIllnessBehaviours BrianJ.CoxPh.D.,Departmentof Laboratory,UniversityofRegina CommunityHealthSciencesand DepartmentofPsychiatry, KimberlyBabson,B.A.,Department UniversityofManitoba ofPsychology,Universityof Arkansas MichelleS.Duplinsky,Centerfor Addictions,Personality,andEmotion DavidE.Baruch,Centerfor ResearchandtheUniversityof Addictions,Personality,andEmotion Maryland ResearchandtheUniversityof Maryland LisaS.Elwood,M.A.,Departmentof Psychology,UniversityofArkansas AmitBernstein,Ph.D.,Veterans AffairsPaloAltoHealthCareSystem andUniversityofVermont MatthewT.Feldner,Ph.D., DepartmentofPsychology, UniversityofArkansas AngelaC.Berry,M.A.,Department ofPsychology,SouthernMethodist University AnnP.Funk,M.A.,Departmentof Psychology,Florida MarcelBonn-Miller,B.A., StateUniversity DepartmentofPsychology, UniversityofVermont TracyL.Greer,Ph.D.,Departmentof Psychiatry,UniversityofTexas KelseyC.Collimore,B.S.,Anxiety SouthwesternMedicalCenter at andIllnessBehavioursLaboratory, Dallas UniversityofRegina ix

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on health behaviors and physical illness in relation to anxiety and its disorders. A critical analysis of abuse, the only specific anxiety disorder with a significant OR is social phobia. More recently, the hypothesis, although the paroxetine study does suggest that there is more to the maintenan
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