The Role of Fear-Avoidance Cognitions and Behaviors in Patients with Chronic Tinnitus

作者: Maria Kleinstäuber , Kristine Jasper , Isabell Schweda , Wolfgang Hiller , Gerhard Andersson

DOI: 10.1080/16506073.2012.717301

关键词: TinnitusAnxietyCognitionHospital Anxiety and Depression ScaleDepression (differential diagnoses)PsychiatryChronic tinnitusAnxiety sensitivityClinical psychologyChronic painPsychology

摘要: The current study investigated the role of fear-avoidance—a concept from chronic pain research—in tinnitus. A self-report measure “Tinnitus Fear-Avoidance Cognitions and Behaviors Scale (T-FAS)” was developed validated. Furthermore, fear-avoidance behavior as mediator relationship between anxiety sensitivity tinnitus handicap investigated. From a clinical setting, N = 373 patients with completed questionnaires assessing (Tinnitus Handicap Inventory), anxiety, depression (Hospital Anxiety Depression Scale), (Anxiety Sensitivity Index-3), personality factors (Big Five Inventory-10), fear-avoidance. To analyze psychometric properties, principal component analysis parallel extraction correlational analyses were used. examine possible mediating effect, hierarchical regression applied. resulted in three-factor solution: Fear-avoidan...

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