Effects of Anxiety Sensitivity and Distress Overtolerance on Posttraumatic Stress Symptoms:The Mediating Roles of Brooding and Reflection
10.22722/KJPM.2025.33.1.1
- Author:
Eunjae LEE
1
;
Eunkyung KIM
;
Joonho CHOI
;
Daeho KIM
;
Eunsoog AN
Author Information
1. Department of Psychiatry, Hanyang University Guri Hospital, Guri, Korea
- Publication Type:Original Articles
- From:Korean Journal of Psychosomatic Medicine
2025;33(1):1-9
- CountryRepublic of Korea
- Language:English
-
Abstract:
Objectives::This study aimed to investigate the effects of anxiety sensitivity and distress overtolerance onposttraumatic stress symptoms (PTSS), and examined the role of brooding and reflection as a mediator.
Methods::A self-reported data of 216 psychiatric outpatients was analyzed using structural equation modeling. The questionnaires included are Korean Anxiety Sensitivity Index-3, Korean version of the Distress Overtolerance Scale, Korean-Ruminative Response Scale, and Impact of Event Scale-Revised Korean Version.
Results::Anxiety sensitivity and distress overtolerance positively predicted PTSS. Also, the mediating effects of brooding in the relationship between anxiety sensitivity and PTSS, and distress overtolerance and PTSSwere significant. Conversely, reflection did not significantly mediate the relationships between anxiety sensitivi-ty or distress overtolerance, and PTSS.
Conclusions::The results drawn from this study highlighted the differential roles of brooding and reflectionin the mediating role. Findings suggest the important role of brooding as a mechanism mediating the relationship between anxiety sensitivity and PTSS, as well as distress overtolerance and PTSS.