Anxiety sensitivity: An examination of theoretical and methodological issues

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Abstract

The construct of anxiety sensitivity (AS) has occupied an increasingly important place in theorizing and research on anxiety and anxiety disorders. Although a number of recent studies have provided support for the construct validity of the principal operationalization of AS, the Anxiety Sensitivity Index (ASI), the relation of the AS construct and the ASI to trait anxiety continues to be a source of controversy. Key issues in the AS-trait anxiety debate include the assimilative nature of traits and the concept of incremental validity. Recent research on AS lends some support to the claim that trait anxiety cannot fully account for AS findings. Important areas for future AS research include (1) demonstrating that AS is a risk factor for panic disorder and related conditions, lather than simply a consequence of these conditions, (2) developing and utilizing multiple operationalizations of constructs, (3) minimizing the impact of potentially inapplicable items, (4) testing for interactions between AS and other variables, and (5) testing hierarchical factor models that allow trait anxiety and AS to coexist as higher- and lower-order factors, respectively. Researchers in this area will need to develop alternative measures of the AS construct, recognize the distinction between different levels of trait specificity, clarify a number of theoretical issues relevant to the AS construct, and continue to subject predictions to stringent theoretical risks.

References (133)

  • A. Ellis

    A note on the treatment of agoraphobics with cognitive modification versus prolonged exposure in vivo

    Behaviour Research and Therapy

    (1979)
  • H.J. Eysenck

    A theory of the incubation of anxiety/fear responses

    Behaviour Research and Therapy

    (1968)
  • J.H. Geer

    The development of a scale to measure fear

    Behaviour Research and Therapy

    (1965)
  • A.J. Goldstein et al.

    A reanalysis of agoraphobia

    Behavior Therapy

    (1978)
  • R. Ley

    Panic disorder and agoraphobia: Fear of fear or fear of the symptoms produced by hyperventilation?

    Behaviour Research and Therapy

    (1987)
  • R.G. Maller et al.

    A behavioral validation of the anxiety sensitivity index

    Journal of Anxiety Disorders

    (1987)
  • R.G. Maller et al.

    Anxiety sensitivity in 1984 and panic attacks in 1987

    Journal of Anxiety Disorders

    (1992)
  • R.J. McNally et al.

    Anxiety sensitivity in agoraphobics

    Journal of Behavior Therapy and Experimental Psychiatry

    (1987)
  • R.J. McNally et al.

    Sensitivity to stress-relevant stimuli in posttraumatic stress disorder

    Journal of Anxiety Disorders

    (1987)
  • G.R. Norton et al.

    Nonclinical panickers: A critical review

    Clinical Psychology Review

    (1992)
  • G.R. Norton et al.

    Factors associated with panic attacks in nonclinical subjects

    Behaviour Research and Therapy

    (1986)
  • T.H. Ollendick

    Reliability and validity of the Revised Fear Survey Schedule for Children (FSSC-R)

    Behaviour Research and Therapy

    (1983)
  • M.W. Otto et al.

    Hypochondriacal concerns, anxiety sensitivity, and panic disorder

    Journal of Anxiety Disorders

    (1992)
  • R.A. Peterson et al.

    The anxiety sensitivity index: Construct validity and factor analytic structure

    Journal of Anxiety Disorders

    (1987)
  • S.J. Rachman

    The conditioned theory of fear acquisition: A critical examination

    Behaviour Research and Therapy

    (1977)
  • R.M. Rapee et al.

    Emotional reactions to physiological sensations: panic disorder patients and non-clinical subjects

    Behaviour Research and Therapy

    (1988)
  • S. Reiss

    Theoretical perspectives on the fear of anxiety

    Clinical Psychology Review

    (1987)
  • S. Reiss

    Expectancy model of fear, anxiety, and panic

    Clinical Psychology Review

    (1991)
  • S. Reiss et al.

    Anxiety sensitivity, injury sensitivity, and individual differences in fearfulness

    Behaviour Research and Therapy

    (1988)
  • S. Reiss et al.

    Anxiety sensitivity, anxiety frequency, and the prediction of fearfulness

    Behaviour Research and Therapy

    (1986)
  • I. Ajzen et al.

    Attitude-behavior relations: A theoretical analysis and review of empirical research

    Psychological Bulletin

    (1977)
  • G.W. Allport

    Personality: A psychological interpetation

    (1937)
  • G.W. Allport

    Pattern and growth in personality

    (1961)
  • American Psychiatric Association

    Diagnostic and statistical manual of mental disorders

    (1987)
  • D.H. Barlow

    Anxiety and its disorders: The nature and treatment of anxiety and panic

    (1988)
  • A.T. Beck et al.

    Anxiety disorders and phobias: A cognitive perspective

    (1985)
  • A.T. Beck et al.

    An inventory for measuring clinical anxiety: Psychometric properties

    Journal of Consulting and Clinical Psychology

    (1988)
  • A.T. Beck et al.

    An inventory for measuring depression

    Archives of General Psychiatry

    (1961)
  • D. Byrne

    The Repression-Sensitization scale: Rationale, reliability and validity

    Journal of Personality

    (1961)
  • D.L. Chambless et al.

    Assessment of fear in agoraphobics: The body sensations questionnaire and the agoraphobic cognitions questionnaire

    Journal of Consulting and Clinical Psychology

    (1984)
  • D.L. Chambless et al.

    Fear of fear and the anxiety disorders

    Cognitive Therapy and Research

    (1989)
  • M. Cloitre et al.

    Implicit and explicit memory for catastrophic associations to bodily sensation words in panic disorder

    (1992)
  • J. Cohen

    The costs of dichotimization

    Applied Psychological Measurement

    (1983)
  • J. Cohen et al.

    Applied multiple regression/correlation analysis for the behavioral sciences

    (1983)
  • D.A. Cole et al.

    Effects of mono-versus multiple-operationalization in construct validation efforts

    Journal of Consulting and Clinical Psychology

    (1981)
  • M.G. Craske et al.

    Mobility, cognitions, and panic

    Journal of Psychopathology and Behavioral Assessment

    (1986)
  • L.J. Cronbach

    Essentials of psychological testing

    (1990)
  • R.A. Depue et al.

    Conceptualizing a serotonin trait: A dimension of behavioral constraint

  • P.A. DiNardo et al.

    The Anxiety Disorders Interview Schedule — Revised (ADIS-R)

    (1985)
  • J. Dorward

    Cognitive phenomena associated with panic and nonpanic anxiety in a student sample

    Canadian Psychology

    (1990)
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