Abstract
Anxiety sensitivity (AS) is the perception that anxiety symptoms and experiences have negative consequences, and has been identified as a risk factor for the development of anxiety disorders. AS has been measured in adults and in children, but to date, the construct of parent’s sensitivity to their children’s anxiety symptoms has not been identified, measured, or evaluated. The current study presents a novel measure of this construct, the Parent Sensitivity to Child Anxiety Index (PSCAI), and an initial evaluation of its psychometric properties. Factor analysis revealed a three-factor structure consisting of parents’ concern for physical symptoms, concern of social evaluation, and fear of anxiety symptoms. The PSCAI demonstrated good internal consistency, and was positively correlated with relevant parental constructs such as parental accommodation, anxiety sensitivity, and trait anxiety. This new measurement system opens new avenues for researching the early development of anxiety disorders and the possibility for novel targeted interventions.
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References
Beesdo K, Knappe S, Pine DS (2009) Anxiety and anxiety disorders in children and adolescents: developmental issues and implications for DSM-V. Psychiatr Clin N Am 32(3):483–524
Costello EJ, Egger HL, Angold A (2005) The developmental epidemiology of anxiety disorders: phenomenology, prevalence, and co-morbidity. Child Adolesc Psychaitr Clin N Am 14(4):631–648
Beesdo K (2010) Incidence and risk patterns of anxiety and depressive disorders and categorization of generalized anxiety disorder. Arch Gen Psychiatry 67(1):47–57
Bittner A, Egger HL, Erkanli A, Costello EJ, Foley DL, Angold A (2007) What do childhood anxiety disorders predict? J Child Psychol Psychiatry 48(12):1174–1183
Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE (2005) Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 62(6):593–602
Last CG, Perrin S, Hersen M, Kazdin AE (1996) A prospective study of childhood anxiety disorders. J Am Acad Child Adolesc Psychiatry 35(11):1502–1510
Pine DS (2007) Research review: a neuroscience framework for pediatric anxiety disorders. J Child Psychol Psychiatry 48(7):631–648
Pine DS, Cohen P, Gurley D, Brook J, Ma Y (1998) The risk for early-adulthood anxiety and depressive disorders in adolescents with anxiety and depressive disorders. Arch Gen Psychiatry 55(1):56–64
Wittchen HU, Lieb R, Pfister H, Schuster P (2000) The waxing and waning of mental disorders: evaluating the stability of syndromes of mental disorders in the population. Compr Psychiatry 41(2 Suppl 1):122–132
Reiss S, McNally RJ (1985) Expectancy model of fear. In: Reiss S, Bootzin RR (eds) Theoretical issues in behavior therapy. Academic Press, San Diego, pp 107–121
Reiss S, Peterson RA, Gursky DM, McNally RJ (1986) Anxiety sensitivity, anxiety frequency and the prediction of fearfulness. Behav Res Ther 24(1):1–8
Comeau N, Stewart SH, Loba P (2001) The relations of trait anxiety, anxiety sensitivity, and sensation seeking to adolescents’ motivations for alcohol, cigarette, and marijuana use. Addict Behav 26:803–825
McNally RJ (1989) Is anxiety sensitivity distinguishable from trait anxiety? Reply to Liienfeld, Jacob, and Turner (1989). J Abnorm Psychol 98(2):192–194
Peterson RA, Heilbronner RL (1987) The Anxiety Sensitivity Index: construct validity and factor analytic structure. J Anxiety Disord 1:117–121
Taylor S, Zvolensky MJ, Cox BJ, Deacon B, Heimberg RG, Ledley DR et al (2007) Robust dimensions of anxiety sensitivity: development and initial validation of the Anxiety Sensitivity Index-3. Psychol Assess 19(2):176–188
Taylor S, Koch WJ, Crockett DJ (1991) Anxiety sensitivity, trait anxiety, and the anxiety disorders. J Anxiety Disord 5(4):293–311
Noël VA, Francis SE (2011) A meta-analytic review of the role of child anxiety sensitivity in child anxiety. J Abnorm Child Psychol 39(5):721–733
Olatunji BO, Wolitzky-Taylor KB (2009) Anxiety sensitivity and the anxiety disorders: a meta-analytic review and synthesis. Psychol Bull 135(6):974–999
Taylor S, Koch WJ, McNally RJ (1992) How does anxiety sensitivity vary across the anxiety disorders? J Anxiety Disord 6(3):249–259
Schmidt NB, Lerew DR, Jackson RJ (1997) The role of anxiety sensitivity in pathogenesis of panic: prospective evaluation of spontaneous panic attacks during acute stress. J Abnorm Psychol 106(3):355–364
Schmidt NB, Maner JK, Zvolensky MJ (2007) Reactivity to challenge with carbon dioxide as a prospective predictor of panic attacks. Psychiatry Res 151(1):173–176
Boswell JF, Farchione TJ, Sauer-Zavala S, Murray HW, Fortune MR, Barlow DH (2013) Anxiety sensitivity and interoceptive exposure: a transdiagnostic construct and change strategy. Behav Ther 44(3):417–431
Schmidt NB, Zvolensky M, Maner J (2006) Anxiety sensitivity: prospective prediction of panis attacks and axis I pathology. J Psychiatr Res 40(8):691–699
Broman-Fulks JJ, Storey KM (2008) Evaluation of a brief aerobic exercise intervention for high anxiety sensitivity. Anxiety Stress Coping 21(2):117–128
Capron DW, Norr AM, Allan NP, Schmidt NB (2017) Combined “top-down” and “bottom-up” intervention for anxiety sensitivity: pilot randomized trial testing the additive effect of interpretation bias modification. J Psychiatr Res 85:75–82
Capron DW, Schmidt NB (2016) Development and randomized trial evaluation of a novel computer-delivered anxiety sensitivity intervention. Behav Res Ther 81:47–55
Feldner MT, Zvolensky MJ, Babson K, Leen-Feldner EW, Schmidt NB (2008) An integrated approach to panic prevention targeting the empirically supported risk factors of smoking and anxiety sensitivity: theoretical basis and evidence from a pilot project evaluating feasibility and short-term efficacy. J Anxiety Disord 22(7):1227–1243
Gardenswartz CA, Craske MG (2001) Prevention of panic disorder. Behav Ther 32(4):725–737
Schmidt NB, Capron DW, Raines AM, Allan NP (2014) Randomized clinical trial evaluating the efficacy of a brief intervention targeting anxiety sensitivity cognitive concerns. J Consult Clin Psychol 82(6):1023–1033
Schmidt NB, Eggleston AM, Woolaway-Bickel K, Fitzpatrick KK, Vasey MW, Richey JA (2007) Anxiety Sensitivity Amelioration Training (ASAT): a longitudinal primary prevention program targeting cognitive vulnerability. J Anxiety Disord 21(3):302–319
Schmidt NB, Norr AM, Allan NP, Raines AM, Capron DW (2017) A randomized clinical trial targeting anxiety sensitivity for patients with suicidal ideation. J Consult Clin Psychol 85(6):596
Merikangas KR, Nakamura EF, Kessler RC (2009) Epidemiology of mental disorders in children and adolescents. Dialogues Clin Neurosci 11(1):7–20
Silverman WK, Fleisig W, Rabian B, Peterson RA (1991) Childhood Anxiety Sensitivity Index. J Clin Child Psychol 20(2):162–168
Allan NP, Felton JW, Lejuez CW, MacPherson L, Schmidt NB (2016) Longitudinal investigation of anxiety sensitivity growth trajectories and relations with anxiety and depression symptoms in adolescence. Dev Psychopathol 28(2):459–469
Epkins CC (2016) Experiential avoidance and anxiety sensitivity: independent and specific associations with children’s depression, anxiety, and social anxiety symptoms. J Psychopathol Behav Assess 38(1):124–135
Knapp AA, Blumenthal H, Mischel ER, Badour CL, Leen-Feldner EW (2016) Anxiety sensitivity and its factors in relation to generalized anxiety disorder among adolescents. J Abnorm Child Psychol 44(2):233–244
Hayward C, Killen JD, Kraemer HC, Taylor CB (2000) Predictors of panic attacks in adolescents. J Am Acad Child Adolesc Psychiatry 39(2):207–214
Muris P, Merckelbach H, Meesters C (2001) Learning experiences and anxiety sensitivity in normal adolescents. J Psychopathol Behav Assess 33(4):279–283
Weems CF, Taylor LK, Marks AB, Varela RE (2010) Anxiety sensitivity in childhood and adolescence: parent reports and factors that influence associations with child reports. Cogn Ther Res 34(4):303–315
Stein MB, Jang KL, Livesley WJ (1999) Heritability of anxiety sensitivity: a twin study. Am J Psychiatry 156(2):246–251
East AJ, Berman ME, Stoppelbein L (2007) Familial association of anxiety sensitivity and psychopathology. Depress Anxiety 24(4):264–267
Drake KL, Kearney CA (2008) Child anxiety sensitivity and family environment as mediators of the relationship between parent psychopathology, parent anxiety sensitivity, and child anxiety. J Psychopathol Behav Assess 30(2):79–86
Tsao JC, Myers CD, Craske MG, Bursch B, Kim SC, Zeltzer LK (2005) Parent and child anxiety sensitivity: relationship in a nonclinical sample. J Psychopathol Behav Assess 27(4):259–268
Noel VA, Francis SE, Brinston H, White H, St John K (2008) Parental anxiety sensitivity: a predictor childhood anxiety. Poster presented at the annual meeting of the Association for Behavioral and Cognitive Therapies, Orlando
Silverman WK, Weems CF (1999) Anxiety sensitivity in children. In: Taylor S (ed) Anxiety sensitivity: theory, research, and treatment of the fear of anxiety, vol 6. Erlbaum, Mahwah, pp 239–268
Van Beek N, Perna G, Schruers K, Muris P, Griez E (2005) Anxiety sensitivity in children of panic disorder patients. Child Psychiatry Hum Dev 35(4):315–324
Schleider JL, Lebowitz ER, Silverman WK (2017) Anxiety sensitivity moderates the relation between family accommodation and anxiety symptom severity in clinically anxious children. Child Psychiatry Hum Dev. https://doi.org/10.1007/s10578-017-0740-1
Graham RA, Weems CF (2015) Identifying moderators of the link between parent and child anxiety sensitivity: the roles of gender, positive parenting, and corporal punishment. J Abnorm Child Psychol 43(5):885–893
Kane EJ, Braunstein K, Ollendick TH, Muris P (2015) Relations of anxiety sensitivity, control beliefs, and maternal over-control to fears in clinic-referred children with specific phobia. J Child Fam Stud 24(7):2127–2134
Timpano KR, Carbonella JY, Keough ME, Abramowitz J, Schmidt NB (2015) Anxiety sensitivity: an examination of the relationship with authoritarian, authoritative, and permissive parental styles. J Cogn Psychother 29(2):95–105
Watt MC, Stewart SH, Cox BJ (1998) A retrospective study of the learning history origins of anxiety sensitivity. Behav Res Ther 36(5):505–525
Lebowitz ER, Woolston J, Bar-Halm Y, Calvocoressi L, Dauser C, Warnick et al (2013) Family accommodation in pediatric anxiety disorders. Depress Anxiety 30(1):47–54
Calvocoressi L, Lewis B, Harris M, Trufan SJ, Goodman WK, McDougle CJ et al (1995) Family accommodation in obsessive-compulsive disorder. Am J Psychiatry 152:441–443
Spielberger CD, Gorsuch RL, Lushene RE (1970) Manual for the state-trait anxiety inventory
Schuderman S, Schluderman E (1988) Questionnaire for children and youth (CRPBI-30). Unpublished manuscript. University of Manitoba, Winnipeg
Kaiser HF (1974) An index of factorial simplicity. Psychometrika 39(1):31–36
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Wissemann, K., Gorday, J.Y. & Meyer, A. The Parent Sensitivity to Child Anxiety Index. Child Psychiatry Hum Dev 49, 814–821 (2018). https://doi.org/10.1007/s10578-018-0797-5
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DOI: https://doi.org/10.1007/s10578-018-0797-5