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Cognitive Therapy and Research

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04-07-2023 | Original Article

Anxiety Sensitivity and Experiential Avoidance: Relations with Anxiety Severity and Treatment Outcomes in Anxious Youth

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

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 5/2023

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.

vorige artikel Evaluating Distress Tolerance and Anxiety Sensitivity as Simultaneous and Concurrent Transdiagnostic Risk Factors for Smoking Quit Problems and Perceived Barriers for Cessation

volgende artikel The Role of Negative Posttraumatic Cognitions in the Treatment of Patients with Post-traumatic Stress Disorder

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Titel: Anxiety Sensitivity and Experiential Avoidance: Relations with Anxiety Severity and Treatment Outcomes in Anxious Youth
Auteurs: Kyler R. Lehrbach
Margaret E. Crane
Thomas M. Olino
Philip C. Kendall
Publicatiedatum: 04-07-2023
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 5/2023
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-023-10408-2

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Abstract

Purpose

Methods

Results

Conclusions

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