Abstract
Targeting constructs that contribute to positive and negative affect may lead to clinically significant reductions in symptoms of principal and co-occurring psychopathology. Anxiety sensitivity, the fear of negative evaluation, and illness/injury sensitivity have been described as three fundamental fears that underlie anxiety-related disorders. Despite the contemporary relevance of the fundamental fears, positive affect, and negative affect as treatment targets, research into how these constructs relate to each other remains scant. Community participants (n = 287) completed measures of affect and the fundamental fears. Canonical correlations, regression analyses, and moderator analyses revealed strong associations between negative affect and each of anxiety sensitivity, the fear of negative evaluation, and illness/injury sensitivity and a weaker but significant inverse relationship with positive affect. The fundamental fears shared a substantive amount of variance (42 %) with positive and negative affect, and this overlap may warrant attention from researchers and clinicians focusing on specific or transdiagnostic features of anxiety.
Similar content being viewed by others
References
Allen, L. B., McHugh, R. K., & Barlow, D. H. (2008). Emotional disorders: A unified protocol. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders. New York: Guildford Press.
Asmundson, G. J. G., Norton, P. J., & Norton, G. R. (1999). Beyond pain: The role of fear and avoidance in chronicity. Clinical Psychology Review, 19(1), 97–119. doi:10.1016/S0272-7358(98)00034-8.
Asmundson, G. J. G., Norton, P. J., & Vlaeyen, J. W. S. (2004). Fear-avoidance models of chronic pain: An overview. In G. J. G. Asmundson, J. W. S. Vlaeyen, & G. Crombez (Eds.), Understanding and treating fear of pain (pp. 3–24). Oxford: Oxford University Press.
Asmundson, G. J. G., Weeks, J. W., Carleton, R. N., Thibodeau, M. A., & Fetzner, M. G. (2011). Revisiting the latent structure of the anxiety sensitivity construct: More evidence of dimensionality. Journal of Anxiety Disorders, 25(1), 138–147. doi:10.1016/j.janxdis.2010.08.013.
Barlow, D. H. (2010). Unified protocol for transdiagnostic treatment of emotional disorders: Therapist guide. Oxford: Oxford University Press.
Benitez, C. I., Shea, M. T., Raffa, S., Rende, R., Dyck, I. R., Ramsawh, H. J., et al. (2009). Anxiety sensitivity as a predictor of the clinical course of panic disorder: A 1-year follow-up study. Depression and Anxiety, 26(4), 335–342. doi:10.1002/da.20423.
Brown, T. A. (2007). Temporal course and structural relationships among dimensions of temperament and DSM-IV anxiety and mood disorder constructs. Journal of Abnormal Psychology, 116(2), 313–328. doi:10.1037/0021-843X.116.2.313.
Brown, T. A., Campbell, L. A., Lehman, C. L., Grisham, J. R., & Mancill, R. B. (2001). Current and lifetime comorbidity of the DSM-IV anxiety and mood disorders in a large clinical sample. Journal of Abnormal Psychology, 110(4), 585–599.
Brown, T. A., Chorpita, B. F., & Barlow, D. H. (1998). Structural relationships among dimensions of the DSM-IV anxiety and mood disorders and dimensions of negative affect, positive affect, and autonomic arousal. Journal of Abnormal Psychology, 107(2), 179–192.
Carleton, R. N., & Asmundson, G. J. (2009). The multidimensionality of fear of pain: Construct independence for the fear of pain questionnaire-short form and the pain anxiety symptoms scale-20. Journal of Pain, 10(1), 29–37. doi:10.1016/j.jpain.2008.06.007.
Carleton, R. N., Asmundson, G. J. G., & Taylor, S. (2005). Fear of physical harm: Factor structure and psychometric properties of the injury/illness sensitivity index. Journal of Psychopathology and Behavioral Assessment, 27(4), 235–341.
Carleton, R. N., Collimore, K. C., & Asmundson, G. J. (2007a). Social anxiety and fear of negative evaluation: Construct validity of the BFNE-II. Journal of Anxiety Disorders, 21(1), 131–141. doi:10.1016/j.janxdis.2006.03.010.
Carleton, R. N., Collimore, K. C., & Asmundson, G. J. (2010). “It’s not just the judgements–It’s that I don’t know”: Intolerance of uncertainty as a predictor of social anxiety. Journal of Anxiety Disorders, 24(2), 189–195. doi:10.1016/j.janxdis.2009.10.007.
Carleton, R. N., Collimore, K. C., McCabe, R. E., & Antony, M. M. (2011a). Addressing revisions to the brief fear of negative evaluation scale: Measuring fear of negative evaluation across anxiety and mood disorders. Journal of Anxiety Disorders, 25(6), 822–828. doi:10.1016/j.janxdis.2011.04.002.
Carleton, R. N., Park, I., & Asmundson, G. J. G. (2006). The illness/injury sensitivity index: An examination of construct validity. Depression and Anxiety, 23(6), 340–346. doi:10.1002/da.20138.
Carleton, R. N., Sharpe, D., & Asmundson, G. J. (2007b). Anxiety sensitivity and intolerance of uncertainty: Requisites of the fundamental fears? Behaviour Research and Therapy, 45(10), 2307–2316. doi:10.1016/j.brat.2007.04.006.
Carleton, R. N., Weeks, J. W., Howell, A. N., Asmundson, G. J., Antony, M. M., & McCabe, R. E. (2011b). Assessing the latent structure of the intolerance of uncertainty construct: An initial taxometric analysis. Journal of Anxiety Disorders, 150–157. doi:10.1016/j.janxdis.2011.10.006.
Clark, L. A., & Watson, D. (1991). Tripartite model of anxiety and depression: Psychometric evidence and taxonomic implications. Journal of Abnormal Psychology, 100(3), 316–336.
Craske, M. G., & Barlow, D. H. (2008). Panic disorder and agoraphobia. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders. New York: Guildford Press.
Dugas, M. J., Freeston, M. H., & Ladouceur, R. (1997). Intolerance of uncertainty and problem orientation in worry. Cognitive Therapy and Research, 21(6), 593–606. doi:10.1023/A:1021890322153.
Echambadi, R., & Hess, J. D. (2007). Mean-centering does not alleviate collinearity problems in moderated multiple regression models. Marketing Science, 6, 438–445.
Ellard, K. K., Fairholme, C. P., Boisseau, C. L., Farchione, T. J., & Barlow, D. H. (2010). Unified protocol for the transdiagnostic treatment of emotional disorders: Protocol development and initial outcome data. Cognitive and Behavioral Practice, 17(1), 88–101. doi:10.1016/j.cbpra.2009.06.002.
Fetzner, M. G., Collimore, K. C., Carleton, R. N., & Asmundson, G. J. (2011). Clarifying the relationship between AS dimensions and PTSD symptom clusters: Are negative and positive affectivity theoretically relevant constructs? Cognitive Behaviour Therapy, 41(1), 15–24. doi:10.1080/16506073.2011.621971.
Joiner, T. E. (1996). A confirmatory factor-analytic investigation of the tripartite model of depression and anxiety in college students. Cognitive Therapy and Research, 20(5), 521–539.
Jolly, J. B., & Dykman, R. A. (1994). Using self-report data to differentiate anxious and depressive symptoms in adolescents: Cognitive content specificity and global distress. Cognitive Therapy and Research, 18(1), 25–37.
Kashdan, T. B. (2007). Social anxiety spectrum and diminished positive experiences: Theoretical synthesis and meta-analysis. Clinical Psychology Review, 27(3), 348–365. doi:10.1016/j.cpr.2006.12.003.
Leary, M. R. (1983). A brief version of the fear of negative evaluation scale. Personality and Social Psychology Bulletin, 9(3), 371–375.
McEvoy, P. M., Nathan, P., & Norton, P. J. (2009). Efficacy of transdiagnostic treatments: A review of published outcome studies and future research directions. Journal of Cognitive Psychotherapy, 23(1), 20–33. doi:10.1891/0889-8391.23.1.20.
Mineka, S., Watson, D., & Clark, L. A. (1998). Comorbidity of anxiety and unipolar mood disorders. Annual Review of Psychology, 49(1), 377–412.
Mounce, C., Keogh, E., & Eccleston, C. (2010). A principal components analysis of negative affect-related constructs relevant to pain: Evidence for a three component structure. The Journal of Pain, 11(8), 710–717. doi:10.1016/j.jpain.2009.10.014.
Naragon-Gainey, K., Watson, D., & Markon, K. E. (2009). Differential relations of depression and social anxiety symptoms to the facets of extraversion/positive emotionality. Journal of Abnormal Psychology, 118(2), 299–310. doi:10.1037/a0015637.
Rapee, R. M., & Heimberg, R. G. (1997). A cognitive-behavioral model of anxiety in social phobia. Behaviour Research and Therapy, 35(8), 741–756.
Reiss, S., & McNally, R. J. (1985). The expectancy model of fear. In S. Reiss & R. R. Bootzin (Eds.), Theoretical Issues in behaviour therapy (pp. 107–121). New York: Academic Press.
Reiss, S., Peterson, R. A., Gursky, D. M., & McNally, R. J. (1986). Anxiety sensitivity, anxiety frequency and the prediction of fearfulness. Behaviour Research and Therapy, 24(1), 1–8.
Rodebaugh, T. L., Woods, C. M., Thissen, D. M., Heimberg, R. G., Chambless, D. L., & Rapee, R. M. (2004). More information from fewer questions: The factor structure and item properties of the original and brief fear of negative evaluation scale. Psychological Assessment, 16(2), 169–181. doi:10.1037/1040-3590.16.2.169.
Schmidt, N. B., Lerew, D. R., & Jackson, R. J. (1997). The role of anxiety sensitivity in the pathogenesis of panic: Prospective evaluation of spontaneous panic attacks during acute stress. Journal of Abnormal Psychology, 106(3), 355–364.
Schmidt, N. B., & Mallott, M. (2006). Evaluating anxiety sensitivity and other fundamental sensitivities predicting anxiety symptoms and fearful responding to a biological challenge. Behaviour Research and Therapy, 44(11), 1681–1688. doi:10.1016/j.brat.2005.12.001.
Schützler, L., Carleton, R. N., & Witt, C. M. (2012). The Illness/Injury Sensitivity Index: Validation of a German Version of the ISI-R. Cognitive Behaviour Therapy. Advance online publication. doi:10.1080/16506073.2011.640345.
Tabachnick, B. G., & Fidell, L. S. (2012). Using multivariate statistics (6th ed.). Boston: Pearson Education.
Tanay, G., Lotan, G., & Bernstein, A. (2012). Salutary proximal processes and distal mood and anxiety vulnerability outcomes of mindfulness training: A pilot preventive intervention. Behaviour Therapy, 43(3), 492–505. doi:10.1016/j.beth.2011.06.003.
Taylor, S. (1993). The structure of fundamental fears. Journal of Behavior Therapy and Experimental Psychiatry, 24(4), 289–299.
Taylor, S. (1999). Anxiety sensitivity: Theory, research, and treatment of the fear of anxiety. Mahwah, NJ: Lawrence Erlbaum.
Taylor, S., & Clark, D. A. (2009). Transdiagnostic cognitive-behavioral treatments for mood and anxiety disorders: Introduction to the special issue. Journal of Cognitive Psychotherapy, 23(1), 3–5.
Taylor, S., Zvolensky, M. J., Cox, B. J., Deacon, B., Heimberg, R. G., Ledley, D. R., et al. (2007). Robust dimensions of anxiety sensitivity: Development and initial validation of the Anxiety Sensitivity Index-3. Psychological Assessment, 19(2), 176–188. doi:10.1037/1040-3590.19.2.176.
Utschig, A. C., Presnell, K., Madeley, M. C., & Smits, J. A. (2010). An investigation of the relationship between fear of negative evaluation and bulimic psychopathology. Eating Behaviors, 11(4), 231–238. doi:10.1016/j.eatbeh.2010.05.003.
Vancleef, L. M., Peters, M. L., Roelofs, J., & Asmundson, G. J. G. (2006). Do fundamental fears differentially contribute to pain-related fear and pain catastrophizing? An evaluation of the sensitivity index. European Journal of Pain, 10(6), 527–536. doi:10.1016/j.ejpain.2005.07.006.
Vujanovic, A. A., Bernstein, A., Berenz, E. C., & Zvolensky, M. J. (2012). Single-session anxiety sensitivity reduction program for trauma-exposed adults: A case series documenting feasibility and initial efficacy. Behavior Therapy, 43(3), 482–491. doi:10.1016/j.beth.2012.03.005
Wald, J., Taylor, S., Chiri, L. R., & Sica, C. (2010). Posttraumatic stress disorder and chronic pain arising from motor vehicle accidents: Efficacy of interoceptive exposure plus trauma-related exposure therapy. Cognitive Behaviour Therapy, 39(2), 104–113. doi:10.1080/16506070903183570.
Watson, D. (2000). Mood and temperament. New York: Guilford Press.
Watson, D. (2009). Differentiating the mood and anxiety disorders: A quadripartite model. Annual Review of Clinical Psychology, 5, 221–247. doi:10.1146/annurev.clinpsy.032408.153510.
Watson, D., & Clark, L. A. (1984). Negative affectivity: The disposition to experience aversive emotional states. Psychological Bulletin, 96(3), 465–490.
Watson, D., & Clark, L. A. (1994). The PANAS-X: Manual for the positive and negative affect schedule—expanded form. Iowa City, IA: Authors.
Watson, D., Clark, L. A., & Carey, G. (1988a). Positive and negative affectivity and their relation to anxiety and depressive disorders. Journal of Abnormal Psychology, 97(3), 346–353.
Watson, D., Clark, L. A., & Tellegen, A. (1988b). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063–1070.
Watson, D., & Tellegen, A. (1985). Toward a consensual structure of mood. Psychological Bulletin, 98(2), 219–235.
Watt, M. C., Stewart, S. H., Lefaivre, M. J., & Uman, L. S. (2006). A brief cognitive-behavioral approach to reducing anxiety sensitivity decreases pain-related anxiety. Cognitive Behaviour Therapy, 35(4), 248–256. doi:10.1080/16506070600898553.
Weeks, J. W., Heimberg, R. G., Fresco, D. M., Hart, T. A., Turk, C. L., Schneier, F. R., et al. (2005). Empirical validation and psychometric evaluation of the brief fear of negative evaluation scale in patients with social anxiety disorder. Psychological Assessment, 17(2), 179–190. doi:10.1037/1040-3590.17.2.179.
Zinbarg, R. E., & Barlow, D. H. (1997). Hierarchical structure and general factor saturation of the anxiety sensitivity index: Evidence. Psychological Assessment, 9(3), 277–284.
Zvolensky, M. J., Bonn-Miller, M. O., Feldner, M. T., Leen-Feldner, E., McLeish, A. C., & Gregor, K. (2006). Anxiety sensitivity: Concurrent associations with negative affect smoking motives and abstinence self-confidence among young adult smokers. Addictive Behaviors, 31(3), 429–439. doi:10.1016/j.addbeh.2005.05.027.
Zvolensky, M. J., Yartz, A. R., Gregor, K., Gonzalez, A., & Bernstein, A. (2008). Interoceptive exposure-based cessation intervention for smokers high in anxiety sensitivity: A case series. Journal of Cognitive Psychotherapy, 22(4), 346–365. doi:10.1891/0889-8391.22.4.346.
Acknowledgments
The first author was supported by a Canadian Institutes of Health Research Doctoral award (FRN: 113434).
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Thibodeau, M.A., Carleton, R.N., Collimore, K.C. et al. From Higher-Order to Underlying Constructs: Examining the Relationships Between Affect and Fundamental Fears. Cogn Ther Res 37, 324–331 (2013). https://doi.org/10.1007/s10608-012-9468-1
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10608-012-9468-1