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01-12-2013 | Original Article

Anxiety Sensitivity and Childhood Learning Experiences: Impacts on Panic Symptoms Among Adolescents

Auteurs: Ashley A. Knapp, Jamie Frala, Heidemarie Blumenthal, Christal L. Badour, Ellen W. Leen-Feldner

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 6/2013

Abstract

Specific parenting behaviors, in the context of offspring bodily arousal, relate to elevated risk for panic symptomatology. Research with adults also suggests anxiety sensitivity (AS) plays an important role in this relationship. However, very limited research has been conducted with adolescents. To address this gap in the literature, the current study evaluated the interplay between AS and arousal-reactive as well as arousal non-reactive childhood learning experiences in predicting panic symptomatology among a community sample of 10–17 year old adolescents (n = 153). Findings indicated arousal-reactive learning experiences were associated with increased panic symptomatology, but only among youth high in AS. Further, this model evidenced relative specificity in that arousal non-reactive learning experiences did not interact with AS to predict panic symptomatology. The current findings add to the literature seeking to elucidate the interplay between specific parenting behaviors and offspring characteristics as they relate to elevated risk for panic-related outcomes.

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We also evaluated the meditational model proposed by Stewart et al. (2001). While some evidence of mediation was evident, a reviewer suggested we consider an interactional model for statistical and theoretical reasons. Across a substantial re-analysis (during which it was observed that the interactional model accounted for greater variance than the meditational model and provided an overall pattern of data that was more consistent with the larger literature) and a thorough review of the literature in which we could not find compelling evidence for parenting behaviors “leading to” AS (or vice versa), we concluded that an interactional analysis was optimal for the current data.

To examine whether this relation was unique to panic symptomatology, additional models were run predicting the other subscales of the RCADS (i.e., depression, social anxiety, separation anxiety, obsessive–compulsive, and generalized anxiety). With the exception of a significant interaction between AS and arousal-reactive childhood learning experiences predicting symptoms of separation anxiety (β = − .21, t = − 2.76, p = .007, sr ² = .04), the model was not predictive of any of the remaining subscales.

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Titel: Anxiety Sensitivity and Childhood Learning Experiences: Impacts on Panic Symptoms Among Adolescents
Auteurs: Ashley A. Knapp
Jamie Frala
Heidemarie Blumenthal
Christal L. Badour
Ellen W. Leen-Feldner
Publicatiedatum: 01-12-2013
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 6/2013
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-013-9558-8

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