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The Role of Fear-Av...
The Role of Fear-Avoidance Cognitions and Behaviors in Patients with Chronic Tinnitus
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- Kleinstaeuber, Maria (författare)
- Johannes Gutenberg University of Mainz, Germany
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- Jasper, Kristine (författare)
- Johannes Gutenberg University of Mainz, Germany
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- Schweda, Isabell (författare)
- Johannes Gutenberg University of Mainz, Germany
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- Hiller, Wolfgang (författare)
- Johannes Gutenberg University of Mainz, Germany
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- Andersson, Gerhard (författare)
- Karolinska Institutet,Linköpings universitet,Institutet för handikappvetenskap (IHV),Handikappvetenskap,Hälsouniversitetet,Linnaeus Centre HEAD
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- Weise, Cornelia (författare)
- Linköpings universitet,Institutet för handikappvetenskap (IHV),Handikappvetenskap,Hälsouniversitetet
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(creator_code:org_t)
- Taylor and Francis (Routledge): STM, Behavioural Science and Public Health Titles / Taylor and Francis (Routledge), 2013
- 2013
- Engelska.
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Ingår i: Cognitive Behaviour Therapy. - : Taylor and Francis (Routledge): STM, Behavioural Science and Public Health Titles / Taylor and Francis (Routledge). - 1650-6073 .- 1651-2316. ; 42:2, s. 84-99
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- The current study investigated the role of fear-avoidance—a concept from chronic pain research—in chronic tinnitus. A self-report measure the “Tinnitus Fear-Avoidance Cognitions and Behaviors Scale (T-FAS)” was developed and validated. Furthermore, the role of fear-avoidance behavior as mediator of the relationship between anxiety sensitivity and tinnitus handicap was investigated. From a clinical setting, N = 373 patients with chronic tinnitus completed questionnaires assessing tinnitus handicap (Tinnitus Handicap Inventory), anxiety, depression (Hospital Anxiety and Depression Scale), anxiety sensitivity (Anxiety Sensitivity Index-3), personality factors (Big Five Inventory-10), and fear-avoidance. To analyze the psychometric properties, principal component analysis with parallel component extraction and correlational analyses were used. To examine a possible mediating effect, hierarchical regression analysis was applied. The principal component analysis resulted in a three-factor solution: Fear-avoidance Cognitions, Tinnitus-related Fear-Avoidance Behavior, and Ear-related Fear-Avoidance Behavior. Internal consistency was satisfactory for the total scale and all subscales. High correlations between tinnitus-related handicap scales, depressive and anxiety symptoms, and the T-FAS were found, whereas associations with personality factors were low. Moreover, results indicate a significant partial mediation of fear-avoidance behaviors in the relationship between anxiety sensitivity and the cognitive dimension of tinnitus handicap. Results show that fear-avoidance behavior plays an important role in tinnitus handicap. More attention should be paid to this concept in research and clinical practice of psychotherapy for chronic tinnitus.
Nyckelord
- fear-avoidance
- avoidance behaviors
- avoidance cognitions
- anxiety sensitivity
- mediating effect
- SOCIAL SCIENCES
- SAMHÄLLSVETENSKAP
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