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Gepubliceerd in: Cognitive Therapy and Research 1/2021

25-11-2020 | Original Article

Developmental Differences in Child and Adolescent Reasoning About Anxiety Sensations

Auteurs: Carl F. Weems, Randie D. Camp, Erin L. Neill, Brandon G. Scott

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 1/2021

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Abstract

Background

The development of reasoning as to the potential negative consequences of emotional sensations is a critical aspect of emotion knowledge and central to cognitive risk for anxiety disorders. The purpose of this paper is to explore the reasoning children and adolescents give for negative interpretations of anxiety sensations, testing a priori hypotheses quantitatively and exploring the content of the reasons qualitatively.

Methods

This study used a cross sectional design with interviews as well as cognitive and emotional assessments in a sample of 227 youth aged 6–17 years. Coding schemes to assess the logical validity, affective valence, and qualitative reasons that youth give to evaluate anxiety sensations and anxiety situations were developed.

Results

Findings indicated diverse reasoning was used and responses could be reliably coded with developmental differences across age, cognitive, and verbal development. The logical sophistication of the reasoning used by youth increased across age in a non-linear manner and linearly with cognitive and verbal abilities. Child anxiety sensitivity and internalizing symptom levels moderated the main effect of age.

Conclusions

The results add to the existing understanding of emotional development and are consistent with the idea that the process of cognitive-emotional understanding is not a simple linear one because various domains may show differential development.
vorige artikel Psychotherapy, Atomoxetine or Both? Preliminary Evidence from a Comparative Study of Three Types of Treatment for Attention-Deficit/Hyperactivity Disorder in Children
volgende artikel Residual Anxiety in Patients with Bipolar Disorder in Full or Partial Remission: Metacognitive Beliefs and Neurocognitive Function
Voetnoten
1
Black youth had lower logical validity ratings but were on average younger than white and Hispanic youth in the study sample. Importantly, when controlling for age no differences in logical validity or affective valence ratings emerged across ethnic/racial groups.
 
2
We also saw similarity of findings with just the anxiety items of RCADS. We found relatively low internal consistency on the depression scale and so did not analyze depression separately. Total scale had high internal consistency at .93. Detailed output and data files are available from the first author.
 
3
This effect was significant with the RCADS outlier removed as well with model R2 = 0.22, p < 0.001, interaction term t(205) = 2.26; β = 0.15, p = 0.025.
 
4
The RCADS outlier was not in this analysis by virtue of the subsample.
 
5
Details of the specific item coding scheme and the top 10 specific codes for each item are available upon request.
 
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Metagegevens
Titel
Developmental Differences in Child and Adolescent Reasoning About Anxiety Sensations
Auteurs
Carl F. Weems
Randie D. Camp
Erin L. Neill
Brandon G. Scott
Publicatiedatum
25-11-2020
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 1/2021
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-020-10182-5

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