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Avoidance mediates the relationship between anxiety and depression over a decade later

Published on Jun 1, 2014in Journal of Anxiety Disorders 3.47
· DOI :10.1016/j.janxdis.2014.03.007
Nicholas C. Jacobson7
Estimated H-index: 7
(PSU: Pennsylvania State University),
Michelle G. Newman38
Estimated H-index: 38
(PSU: Pennsylvania State University)
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Abstract
a b s t r a c t Anxiety and depression are often highly correlated with each other. To explain this connection, the present study examined the longitudinal relationship between earlier anxiety and later depression, using avoidance as a mediator and trauma as a moderator. Participants (N = 6504 adolescents) completed baseline measures of anxiety and depression, a measure of avoidance one year later, a measure of trauma six to eight years later, and a measure of depression 12–14 years later. Analyzed with structural equation models, the results showed that anxiety predicted later depression, and this relationship was partially mediated by avoidance. The relationship between avoidance and depression was not moderated by trauma. Together, these findings suggest that anxiety may influence later depression through avoidance, and this relationship remains unaffected by experiencing a traumatic experience.
  • References (83)
  • Citations (35)
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References83
Newest
Published on May 1, 2013in Psycho-oncology 3.43
J. P. M. Lockefeer1
Estimated H-index: 1
,
J. de Vries54
Estimated H-index: 54
(Tilburg University)
Background Depressive symptoms, fatigue, and low sleep quality are common symptoms during and after breast cancer (BC) treatment. In the present study, the relationship between trait anxiety and these symptoms in a long follow-up period was examined. Methods This was a prospective study. Participants, composed of 163 women with BC and 224 women with benign breast problems (BBPs), completed questionnaires on depressive symptoms, fatigue, and sleep quality before diagnosis and 1, 3, 6, 12, and 24 ...
26 Citations Source Cite
Published on Jan 1, 2013in Journal of Psychosomatic Research 2.72
Sam Norton24
Estimated H-index: 24
('KCL': King's College London),
Theodore D. Cosco18
Estimated H-index: 18
(University of Cambridge)
+ 2 AuthorsAmanda Sacker41
Estimated H-index: 41
(University of Essex)
Abstract Objective: To systematically evaluate the latent structure of the Hospital Anxiety and Depression Scale (HADS) through reanalysis of previous studies and meta confirmatory factor analysis (CFA). Method: Data from 28 samples were obtained from published studies concerning the latent structure of the HADS. Ten models were considered, including eight previously identified models and two bifactor models. The fit of each model was assessed separately in each sample and by meta CFA. Meta CFA ...
170 Citations Source Cite
Published on Dec 1, 2012in Cognitive Therapy and Research 2.28
Lisa R. Starr15
Estimated H-index: 15
(UCLA: University of California, Los Angeles),
Joanne Davila43
Estimated H-index: 43
(SBU: Stony Brook University)
Anxiety and depression co-occur, both at the disorder and symptom levels, and within anxiety disorders, fluctuations in daily anxious mood correspond temporally to fluctuations in depressed mood. However, little is known about the factors or conditions under which anxiety and depressive symptoms are most likely to co-occur. The current study investigated the role of cognitive factors (daily rumination and cognitive attributions about anxiety symptoms) and interpersonal functioning (daily perceiv...
17 Citations Source Cite
Published on Feb 1, 2012in Behaviour Research and Therapy 4.31
Lisa R. Starr15
Estimated H-index: 15
(SBU: Stony Brook University),
Joanne Davila43
Estimated H-index: 43
(SBU: Stony Brook University)
Research suggests that anxiety disorders tend to temporally precede depressive disorders, a finding potentially relevant to understanding comorbidity. The current study used diary methods to determine whether daily anxious mood also temporally precedes daily depressed mood. 55 participants with generalized anxiety disorder (GAD) and history of depressive symptoms completed a 21-day daily diary tracking anxious and depressed mood. Daily anxious and depressed moods were concurrently associated. Da...
29 Citations Source Cite
Published on Nov 1, 2011in European Journal of Personality 3.33
Philip Spinhoven63
Estimated H-index: 63
(LEI: Leiden University),
Karin Roelofs32
Estimated H-index: 32
(LEI: Leiden University)
+ 4 AuthorsBrenda W. J. H. Penninx126
Estimated H-index: 126
(VUmc: VU University Medical Center)
Using data from the Netherlands Study of Depression and Anxiety, we examined among 1322 participants with a DSM-IV diagnosis of depression or anxiety: (i) whether positive and negative life events influence 1-year course of anxiety and depressive symptoms; (ii) whether personality traits (neuroticism and extraversion) predict symptom course and moderate the impact of life events on symptom course; and (iii) whether life events mediate relationships of neuroticism and extraversion with symptom co...
21 Citations Source Cite
Published on Oct 1, 2011in Race and Social Problems
Katrina M. Walsemann18
Estimated H-index: 18
(USC: University of South Carolina),
Bethany A. Bell15
Estimated H-index: 15
(USC: University of South Carolina),
Bridget J. Goosby12
Estimated H-index: 12
(NU: University of Nebraska–Lincoln)
We investigate the effect of high school racial composition, measured as percent of non-Hispanic white students, on trajectories of depressive symptoms from adolescence to early adulthood. We also explore whether the effect of school racial composition varies by respondent race/ethnicity and whether adult socioeconomic status mediates this relationship. We analyzed four waves of data from the National Longitudinal Study of Adolescent Health using 3-level linear growth models. We restricted our s...
15 Citations Source Cite
Published on Jan 1, 2011
Terry Hartig45
Estimated H-index: 45
(Uppsala University),
Agnes E. van den Berg16
Estimated H-index: 16
(WUR: Wageningen University and Research Centre)
+ 10 AuthorsAnn Van Herzele16
Estimated H-index: 16
In this chapter we consider how experiences of nature can affect human health and well-being. We first address the matter of ‘what has been’; that is, we sketch the development of theory and research concerned with health benefits of natural environments, from ancient times to the current situation. This shows the current research to be a recent expression of a number of long-running, intertwined, social and cultural processes. We then discuss ‘where we are now’; that is, we overview current the...
124 Citations Source Cite
Published on Nov 1, 2010in Cognition & Emotion 2.37
Mike Rinck37
Estimated H-index: 37
(Radboud University Nijmegen),
Tobias Rörtgen1
Estimated H-index: 1
(Radboud University Nijmegen)
+ 3 AuthorsEni S. Becker36
Estimated H-index: 36
(Radboud University Nijmegen)
Avoidant behaviour is critical in social anxiety and social phobia, being a major factor in the maintenance of anxiety. However, almost all previous studies of social avoidance were restricted to using self-reports for the study of intentional aspects of avoidance. In contrast, the current study used immersive virtual reality technology to measure interpersonal distance as an index of avoidance, an unintentional behavioural indicator. In a virtual supermarket, twenty-three female participants di...
29 Citations Source Cite
Published on Aug 1, 2009in Depression and Anxiety 4.93
Paul N. Pfeiffer16
Estimated H-index: 16
(UM: University of Michigan),
Dara Ganoczy26
Estimated H-index: 26
+ 2 AuthorsMarcia Valenstein49
Estimated H-index: 49
(UM: University of Michigan)
Background: Depressive disorders greatly increase suicide risk; however, little is known about the contribution of comorbid anxiety disorders or anxiety symptoms to the risk of suicide death among depressed patients. We examined whether depressed veterans with comorbid anxiety had higher risks of suicide death. Methods: Using VA administrative databases we identified 887,859 patients with depression. We then used univariate and multivariate logistic regression, controlling for demographics and s...
82 Citations Source Cite
Published on Oct 1, 2008in Journal of Anxiety Disorders 3.47
Ethan Moitra13
Estimated H-index: 13
(Drexel University),
James D. Herbert38
Estimated H-index: 38
(Drexel University),
Evan M. Forman34
Estimated H-index: 34
(Drexel University)
This study investigated the relationship between social anxiety, depressive symptoms, and behavioral avoidance among adult patients with Social Anxiety Disorder (SAD). Epidemiological literature shows SAD is the most common comorbid disorder associated with Major Depressive Disorder (MDD), though the relationship between these disorders has not been investigated. In most cases, SAD onset precedes MDD, suggesting symptoms associated with SAD might lead to depression in some people. The present st...
36 Citations Source Cite
Cited By35
Newest
Published on Mar 14, 2019in Current Psychology 1.47
Kohei Kambara1
Estimated H-index: 1
(Hiroshima University),
Yugo Kira1
Estimated H-index: 1
(Hiroshima University),
Akiko Ogata6
Estimated H-index: 6
(Hiroshima University)
Previous studies have found that rumination involves thoughts that usually occur during and influence affect after experiencing failure. However, little is known about how rumination directly affects approach behavior beyond that point. Therefore, we investigated the effects of rumination on approach behavior after failure. Forty-nine university students were allocated to one of either an abstract or concrete processing mode of rumination or a control condition. A failure experience was induced ...
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Published on Jan 1, 2019in The Journal of Pain 5.42
Cornelius B. Groenewald9
Estimated H-index: 9
(UW: University of Washington),
Emily F. Law15
Estimated H-index: 15
(UW: University of Washington)
+ 2 AuthorsTonya M. Palermo38
Estimated H-index: 38
Abstract Prescription opioid misuse is a serious public health concern, yet antecedent factors are poorly described. Using data from the National Longitudinal Study of Adolescent to Adult Health (N = 14,784), we examined the longitudinal relationship between a history of adolescent chronic pain and the odds of misusing prescription opioids in adulthood. The primary predictor variable was chronic pain status during adolescence. The primary outcome variables were prescription opioid misuse during ...
3 Citations Source Cite
Published on Jan 1, 2019in Supportive Care in Cancer 2.75
Shuangshuang Wen (Fujian Medical University), Huimin Xiao (Fujian Medical University), Yanqing Yang (Fujian Medical University)
Purpose This systematic review aims to identify the risk factors for depression in cancer patients undergoing chemotherapy.
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Published on Nov 1, 2018in Journal of Psychiatric Research 3.92
Nicholas C. Jacobson7
Estimated H-index: 7
(PSU: Pennsylvania State University),
Michael J. Roche13
Estimated H-index: 13
Abstract Objective Although recent research has begun to examine the impact of elevated anxiety on evolutionary fitness, no prior research has examined anxiety across a continuum. Such research is important as the effect of traits across a continuum on fertility hold important implications for the levels and distribution of the traits in later generations. Method In a three-generational sample ( N = 2657) the linear and quadratic relationship between anxiety and the number of children, grandchil...
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Published on Oct 1, 2018in International Psychogeriatrics 2.48
Dongdong Zhao3
Estimated H-index: 3
,
Cai-Yun Hu7
Estimated H-index: 7
+ 7 AuthorsYehuan Sun10
Estimated H-index: 10
1 Citations Source Cite
Published on Oct 1, 2018in Comprehensive Psychiatry 2.59
Hiroyuki Uchida28
Estimated H-index: 28
,
Daisuke Tsujino (Kibi International University)+ 5 AuthorsKazuki Hirao4
Estimated H-index: 4
(Kibi International University)
Abstract Background Anxiety disorder is a major societal, economic, and healthcare burden, so it is essential to identify underlying risk factors. Sense of coherence (SOC), defined as an individual's perceived ability to control events and cope with challenges, is strongly associated with healthcare outcomes. Methods This study investigated the association between SOC and anxiety among adults in all 47 prefectures of Japan using a cross-sectional online panel survey. SOC was assessed using the U...
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Published on Sep 2, 2018in Issues in Mental Health Nursing 0.98
Ashley Roach (UT: University of Tennessee)
AbstractIn the United States, nearly one in five adolescents has a diagnosable mental health disorder. Beginning in the teenage years, adolescents become less reliant on their parents for support and begin to turn to their peer group for support; therefore, it is important to understand the role of peers during this developmental time, especially in relation to mental health. The purpose of this project is to review the literature regarding positive peer support and mental health in adolescence....
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Danielle L. Taylor2
Estimated H-index: 2
(OSU: Oklahoma State University–Stillwater),
DeMond M. Grant20
Estimated H-index: 20
(OSU: Oklahoma State University–Stillwater)
+ 2 AuthorsEvan J. White5
Estimated H-index: 5
(OSU: Oklahoma State University–Stillwater)
Recent research highlights the importance of transdiagnostic factors of psychopathology, particularly in understanding comorbidity. Repetitive negative thinking (RNT) is one such factor, which may elucidate anxiety-depression comorbidity. The Response to Anxiety Questionnaire (RAQ) aims to evaluate repetitive negative thinking (RNT) related to anxiety-depression comorbidity, specifically hopelessness and rumination about anxiety symptoms. Anxious hopelessness is negative thoughts about the futur...
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Published on Aug 1, 2018in Journal of Affective Disorders 4.08
Estee M. Hausman (SBU: Stony Brook University), Roman Kotov36
Estimated H-index: 36
(SBU: Stony Brook University)
+ 3 AuthorsDaniel N. Klein72
Estimated H-index: 72
(SBU: Stony Brook University)
Abstract Background Anxious youth are at increased risk for later depressive disorders, but not all anxious youth develop depression. Sequential comorbidity models emphasize shared risk factors and anxiety sequelae, but some anxious youth who later develop depression may have risk factors that are relatively specific to depression, in addition to a liability to anxiety. We examined several variables that appear relatively specific to risk for depression—the personality traits of low positive aff...
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