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The Relations between Anxiety Sensitivity and Anxiety Control in the Prediction of Anxiety Symptoms among Children and Adolescents

Published online by Cambridge University Press:  01 July 2008

Carla E. Marin ,
Yasmin Rey ,
Kristin Nichols-Lopez  and
Wendy K. Silverman
Carla E. Marin
Affiliation:
Florida International University, Miami, USA
Yasmin Rey
Affiliation:
Florida International University, Miami, USA
Kristin Nichols-Lopez
Affiliation:
Florida International University, Miami, USA
Wendy K. Silverman*
Affiliation:
Florida International University, Miami, USA
*
Reprint requests to Wendy K. Silverman, Florida International University – Psychology, University Park Campus, 11200 SW 8th Street, Miami, Florida 33199, USA. E-mail: [email protected]
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Abstract

The present study investigated the relations between youth anxiety sensitivity and perceived anxiety control over Internal Reactions and perceived anxiety control over External Threats within the context of a (partially) mediated model in the prediction of anxiety symptoms. Youth sex also was investigated as a moderator of the conceptual model. The sample consisted of 333 children and adolescents (51.4% boys; M = 10.27 years old) referred to a youth anxiety disorders specialty research clinic. Findings showed that high anxiety sensitivity predicted high levels of anxiety symptoms for both boys and girls. Findings also showed that for both boys and girls, high anxiety sensitivity predicted low perceived anxiety control over Internal Reactions, as well as low perceived anxiety control over External Threats. Interestingly, perceived anxiety control over Internal Reactions was a partial mediator of the relation between anxiety sensitivity and anxiety for boys, but not girls. In contrast, perceived anxiety control over External Threats was a partial mediator of the relation between anxiety sensitivity and anxiety for girls, but not boys. The results are discussed within the context of the study's conceptual model as well as potential clinical implications.

Keywords

Anxietyanxiety sensitivityanxiety controlyouth sexchildrenadolescents
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 36 , Issue 4: Anxiety of Childhood and Adolescence , July 2008 , pp. 391 - 402
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2008

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References

Arbuckle, J. L. (1996). Full information estimation in the presence of incomplete data. InMarcoulides, G. A. and Schumacker, R. E. (Eds.), Advanced Structural Equation Modeling: issues and techniques (pp. 243–277). Mahwah, NJ: Erlbaum.Google Scholar
Arbuckle, J. L. (2006a). Amos (Version 7.0) [Computer Program]. Chicago: SPSS.Google Scholar
Arbuckle, J. L. (2006b). AMOS User's Guide 7.0. Chicago: SPSS.Google Scholar
Barlow, D. H. (1991). Disorders of emotion. Psychological Inquiry, 2, 58–71.Google Scholar
Barlow, D. H. (2002). Anxiety and its Disorders: the nature and treatment of anxiety and panic (2nd ed.). New York: Guilford Press.Google Scholar
Barlow, D. H., Rapee, R. M. and Brown, T. A. (1992). Behavioral treatment of generalized anxiety disorder. Behavior Therapy, 23, 551–570.CrossRefGoogle Scholar
Beck, A. T. (1976). Cognitive Therapy and the Emotional Disorders. New York: International Universities Press.Google Scholar
Borkovec, T. C., Newman, M. G., Pincus, A. L. and Lytle, R. (2002). A component analysis of cognitive-behavioral therapy for generalized anxiety disorder and the role of interpersonal problems. Journal of Consulting and Clinical Psychology, 70, 288–298.CrossRefGoogle ScholarPubMed
Carter, M. M. and Barlow, D. H. (1995). Learned alarms: the origins of panic. InO'Donohue, W. T., and Krasner, L. (Eds.), Theories of Behavior Therapy: exploring behavior change (pp. 209–228). Washington, DC: American Psychological Association.CrossRefGoogle Scholar
Chorpita, B. F. and Barlow, D. H. (1998). The development of anxiety: the role of control in the early environment. Psychological Bulletin, 124, 3–21.CrossRefGoogle ScholarPubMed
Chorpita, B. F. and Lilienfeld, S. O. (1999). Clinical assessment of anxiety sensitivity in children and adolescents: where do we go from here? Psychological Assessment, 11, 212–224.CrossRefGoogle Scholar
Edelbrock, E., Costello, A. J., Dulcan, M. K., Conover, N. and Kalas, R. (1986). Parent-child agreement on child psychiatric symptoms assessed via structured interview. Journal of Child Psychology and Psychiatry, 27, 181–190.CrossRefGoogle ScholarPubMed
Ginsburg, G. S., Lambert, S. F. and Drake, K. L. (2004). Attributions of control, anxiety sensitivity, and panic symptoms among adolescents. Cognitive Therapy and Research, 28, 745–763.CrossRefGoogle Scholar
Hayward, C., Killen, J. D., Kraemer, H. C., Blair-Greiner, A., Strachowski, D., Cunning, D. and Taylor, C. B. (1997). Assessment and phenomenology of nonclinical panic attacks in adolescent girls. Journal of Anxiety Disorders, 11, 17–32.CrossRefGoogle ScholarPubMed
Hoyenga, K. I. and Hoyenga, K. T. (1979). The Question of Sex Differences: psychological, cultural, and biological issues. Boston: Little-Brown.Google Scholar
Kearney, C. A., Albano, A. M., Eisen, A. R., Allan, W. D. and Barlow, D. H. (1997). The phenomenology of panic disorder in youngsters: an empirical study of a clinical sample. Journal of Anxiety Disorders, 11, 49–62.CrossRefGoogle ScholarPubMed
Kendall, P. C. (1994). Treating anxiety disorders in children: results of a randomized clinical trial. Journal of Consulting and Clinical Psychology, 62, 100–110.CrossRefGoogle ScholarPubMed
Kendall, P. C. (Ed.). (2006). Child and Adolescent Therapy: cognitive-behavioral procedures (3rd ed.). New York: Guilford Press.Google Scholar
Maccoby, E. E. and Jacklin, C.N. (1974). The Psychology of Sex Differences. Stanford, Ca: Stanford University Press.Google Scholar
Marian, E. and McNally, R. J. (1996). Anxiety sensitivity, suffocation, fear, trait anxiety, and breath-holding duration as predictors of response to carbon dioxide challenge. Behaviour Research and Therapy, 34, 603–607.Google Scholar
McNally, R. J. (1989). Is anxiety sensitivity distinguishable from trait anxiety? Reply to Lilienfeld, Jacob and Turner (1989). Journal of Abnormal Psychology, 98, 193–194.CrossRefGoogle Scholar
Prins, P. J. (2001). Affective and cognitive processes and the development and maintenance of anxiety and its disorders. InSilverman, W. K. and Treffers, P. D. A. (Eds.), Anxiety Disorders in Children and Adolescents: research, assessment and intervention (pp. 23–44). New York: Cambridge University Press.Google Scholar
Rabian, B., Peterson, R. A., Richters, J. and Jensen, P. S. (1993). Anxiety sensitivity among anxious children. Journal of Clinical Child Psychology, 22, 441–446.CrossRefGoogle Scholar
Rao, S. and Murthy, V. N. (1984). Psychosocial correlates of locus of control among college students. Psychological Studies, 29, 51–56.Google Scholar
Rapee, R. M., Craske, M. G., Brown, T. A. and Barlow, D. H. (1996). Measurement of perceived control over anxiety related events. Behavior Therapy, 27, 279–293.CrossRefGoogle Scholar
Reiss, S. (1991). Expectancy model of fear, anxiety, and panic. Clinical Psychology Review, 11, 141–153.CrossRefGoogle Scholar
Reiss, S. and McNally, R. J. (1985). The expectancy model of fear. InReiss, S. and Bootzin, R. R. (Eds.), Theoretical Issues in Behavior Therapy (pp. 107–121). New York: Academic Press.Google Scholar
Reiss, S., Peterson, R. A., Gursky, D. M. and McNally, R. J. (1986). Anxiety sensitivity, anxiety frequency and the predictions of fearfulness. Behaviour Research and Therapy, 24, 1–8.CrossRefGoogle ScholarPubMed
Reynolds, C. R. and Richmond, B. O. (1978). What I think and feel: a revised measure of children's manifest anxiety. Journal of Abnormal Child Psychology, 6, 271–280.CrossRefGoogle Scholar
Reynolds, C. R. and Richmond, B. O. (1985). Revised Children's Manifest Anxiety Scale: manual. Los Angeles: Western Psychological Services.Google Scholar
Richert, A. J. (1981). Sex differences in relation of locus of control and reported anxiety. Psychological Reports, 49, 971–974.CrossRefGoogle ScholarPubMed
Rubinstein, G. (2004). Locus of control and helplessness: gender differences among bereaved parents. Death Studies, 28, 211–223.CrossRefGoogle ScholarPubMed
Silverman, W. K. and Albano, A. M. (1996). Anxiety Disorders Interview Schedule for Children. San Antonio, TX: Psychological Corporation.Google Scholar
Silverman, W. K. and Carter, R. (2006). Anxiety disturbance in girls and women. InWorell, J. and Goodheart, C. D. (Eds.), Handbook of Girls' and Women's Psychological Health: gender and well-being across the lifespan. (pp. 60–68). New York: Oxford University Press.Google Scholar
Silverman, W. K., Fleisig, W., Rabian, B. and Peterson, R. A. (1991). Childhood Anxiety Sensitivity Index. Journal of Clinical Child Psychology, 20, 162–168.CrossRefGoogle Scholar
Silverman, W. K., Kurtines, W. M., Ginsburg, G. S., Weems, C. F., Lumpkin, P. W. and Carmichael, D. H. (1999a). Treating anxiety disorders in children with group cognitive-behavioral therapy: a randomized clinical trial. Journal of Consulting and Clinical Psychology, 67, 995–1003.CrossRefGoogle ScholarPubMed
Silverman, W. K., Kurtines, W. M., Ginsburg, G. S., Weems, C. F., Rabian, B. and Serafini, L. T. (1999b). Contingency management, self-control, and education support in the treatment of childhood phobic disorders: a randomized clinical trial. Journal of Consulting and Clinical Psychology, 67, 675–687.CrossRefGoogle ScholarPubMed
Silverman, W. K., Saavedra, L. M. and Pina, A. A. (2001). Test-retest reliability of anxiety symptoms and diagnoses with the Anxiety Disorders Interview Schedule for DSM–IV: child and parent versions. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 937–943.CrossRefGoogle ScholarPubMed
Taylor, S. (1995). Anxiety sensitivity: theoretical perspectives and recent findings. Behaviour Research and Therapy, 33, 243–258.CrossRefGoogle ScholarPubMed
Weems, C. F., Costa, N. M., Watts, S. E., Taylor, L. K. and Cannon, M. F. (2007). Cognitive errors, anxiety sensitivity, and anxiety control beliefs: their unique and specific associations with childhood anxiety symptoms. Behavior Modification, 31, 174–201.CrossRefGoogle ScholarPubMed
Weems, C. F., Hammond-Laurence, K., Silverman, W. K. and Ginsburg, G. S. (1998). Testing the utility of the anxiety sensitivity construct in children and adolescents referred for anxiety disorders. Journal of Clinical Child Psychology, 27, 69–77.CrossRefGoogle ScholarPubMed
Weems, C. F., Hayward, C., Killen, J. and Taylor, C. B. (2002). A longitudinal investigation of anxiety sensitivity in adolescence. Journal of Abnormal Psychology, 111, 471–477.CrossRefGoogle ScholarPubMed
Weems, C. F., Silverman, W. K., Rapee, R. M. and Pina, A. A. (2003). The role of control in childhood anxiety disorders. Cognitive Therapy and Research, 27, 557–568.CrossRefGoogle Scholar
Wells, A. (1997). Cognitive Therapy of Anxiety Disorders: a practice manual and conceptual guide. Hoboken, NJ: John Wiley and Sons Inc.Google Scholar
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