Anxiety In Health Behaviors And Physical Illness

383 Pages·2008·2.41 MB·English

by  Michael J. Zvolensky Ph.D.

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
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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