Anxiety sensitivity and experiential avoidance: Relations with anxiety severity and treatment outcomes in anxious youth.

IF 2.8 3区心理学 Q2 PSYCHOLOGY, CLINICAL

Cognitive Therapy and Research Pub Date : 2023-10-01 Epub Date: 2023-07-04 DOI:10.1007/s10608-023-10408-2

Kyler R Lehrbach, Margaret E Crane, Thomas M Olino, Philip C Kendall

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Abstract

Purpose: Anxiety sensitivity (AS) and experiential avoidance (EA) are associated with anxiety in both adults and youths. This study examined the separate contributions of AS and EA in predicting (a) anxiety (symptom severity) and (b) differential treatment outcomes in anxious youth receiving cognitive behavioral therapy (CBT).

Methods: Participants (N = 89; age 10-17 years; 37% male; 78% white) met diagnostic criteria for an anxiety disorder and received CBT (Coping Cat). AS and EA were child-report measures collected at baseline. The outcome variables were anxiety symptom severity (Multidimensional Anxiety Scale for Children; child- and parent-reported) and Independent Evaluator-rated anxiety severity (Child Global Impression-Severity) collected at baseline and posttreatment. Multilevel models (MLM) examined independent and relative contributions of AS and EA to the outcome variables as a secondary analysis.

Results: Both AS and EA were associated with levels of anxiety symptom severity at pretreatment and at posttreatment, varying by reporter. Neither AS nor EA predicted differential treatment outcomes: youth at varying levels had comparably favorable outcomes.

Conclusions: Findings suggest similarity in AS and EA, and that both constructs may be adequately and equally addressed in CBT. Future research could consider examining change in AS and EA and anxiety across treatment in diverse populations.

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焦虑敏感性与经验回避:与焦虑严重程度及治疗结果的关系

目的：焦虑敏感性（AS）和体验性回避（EA）与成人和青少年的焦虑有关。本研究探讨了焦虑敏感和体验回避在预测（a）焦虑（症状严重程度）和（b）接受认知行为疗法（CBT）的焦虑青少年的不同治疗结果方面的不同作用：参与者（89 人；年龄 10-17 岁；37% 为男性；78% 为白人）符合焦虑症诊断标准，并接受了 CBT（应对猫）治疗。AS和EA是在基线时收集的儿童报告量表。结果变量是在基线和治疗后收集的焦虑症状严重程度（儿童多维焦虑量表；儿童和家长报告）和独立评估人评定的焦虑严重程度（儿童整体印象-严重程度）。作为辅助分析，多层次模型（MLM）检验了AS和EA对结果变量的独立和相对贡献：AS和EA都与治疗前和治疗后的焦虑症状严重程度有关，但因报告人而异。AS和EA都不能预测不同的治疗结果：处于不同水平的青少年的治疗结果相当好：结论：研究结果表明，AS 和 EA 具有相似性，在 CBT 中可以充分、平等地解决这两个问题。未来的研究可以考虑在不同的人群中研究AS和EA以及焦虑在不同治疗中的变化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cognitive Therapy and Research PSYCHOLOGY, CLINICAL-

CiteScore

5.30

自引率

0.00%

发文量

期刊介绍： Cognitive Therapy and Research (COTR) focuses on the investigation of cognitive processes in human adaptation and adjustment and cognitive behavioral therapy (CBT). It is an interdisciplinary journal welcoming submissions from diverse areas of psychology, including cognitive, clinical, developmental, experimental, personality, social, learning, affective neuroscience, emotion research, therapy mechanism, and pharmacotherapy.