Different aspects of anxiety as predictors of post-operative anxiety and physical complaints

Previous studies have suggested that pre-operative anxiety consists of different aspects each with its own specific influence on post-operative state. This study investigated the influence of different aspects of transient anxiety i.e. state anxiety, specific anxiety, tension, observed anxiety and the amount of thinking about surgery, on post-operative anxiety and physical complaints in 126 patients undergoing lumbar surgery. Results showed that pre-operative state anxiety, specific anxiety, tension and observed anxiety each contributed uniquely to the prediction of post-operative anxiety after control for age, sex and medical variables. Tension showed a negative contribution, indicating that, when the effects of other anxiety aspects were removed, patients with high tension showed less post-operative anxiety than patients with low tension. The three other anxiety variables showed a positive contribution. Regarding postoperative physical complaints, only specific anxiety showed a positive significant contribution to the prediction. Results will be discussed in relation to the adaptation to surgery and to Janis' theory that experiencing moderate levels of anxiety is beneficial for recovery.     

Relationships between locus of control and anxiety

Reviews findings on the relationships between locus of control and anxiety and examines these relationships for three types of anxiety measures; general trait anxiety, situation specific trait anxiety, and state anxiety. In general, findings support the existence of meaningful relationships between greater externality and higher levels of both general trait anxiety and test anxiety. It was suggested that the relation between locus of control and state anxiety is a function of the situational context in which state anxiety is measured.     

Trajectory of change in anxiety sensitivity in relation to anxiety,depression, and quality of life among persons living with HIV/AIDS following transdiagnostic cognitive-behavioral therapy

ABSTRACT

Persons living with HIV/AIDS (PLHIV) disproportionately suffer from anxiety and depressive symptoms and disorders. Although past work has examined the efficacy of cognitive-behavioral therapy (CBT) for depression, and to a lesser extent anxiety, among PLHIV, little is known regarding potential mechanisms underlying improvement in anxiety/depression among this group. Anxiety sensitivity is a well-established risk/maintenance factor for anxiety and depressive disorders and is hypothesized to play an important role in maintaining anxiety among PLHIV. Past work has identified anxiety sensitivity as a mechanism of action underlying changes in various anxiety domains yet it is unknown whether changes in anxiety sensitivity relate to changes in anxiety symptoms among PLHIV undergoing transdiagnostic CBT for anxiety. The current study sought to examine treatment-related changes in anxiety sensitivity and how the trajectory of change relates to anxiety and depressive symptoms as well as overall quality of life. Individuals (n = 35) with HIV/AIDS and elevated anxiety symptoms received CBT for anxiety. Results indicated that reductions in anxiety sensitivity were significantly related to changes in anxiety, depression, and quality of life. Together, these data suggest that changes in anxiety sensitivity are significantly related to changes in anxiety/depression and quality of life among PLHIV seeking treatment.     

Separation,self‐disclosure,and social evaluation anxiety as facets of trait social anxiety

In the current article, we propose an expansion of the trait anxiety concept to include interpersonal or social facets of trait anxiety involving separation from significant others and disclosing aspects of the self to others, as a supplement to the existing focus on social evaluation anxiety. Participants in three studies completed a modified version of the Endler Multidimensional Anxiety Scales that included a measure of trait social evaluation anxiety, as well as new measures of trait separation anxiety and trait self‐disclosure anxiety (i.e., three measures of trait social anxiety). Results showed that the social evaluation, separation, and self‐disclosure trait anxiety scales have strong psychometric properties and that they represent distinct but related components of trait anxiety. With respect to validity, the facets of trait social anxiety were predictive of related variables including self‐concealment, anxiety sensitivity, and trait worry. The theoretical and practical implications of a multifaceted approach to trait social anxiety are discussed in terms of an expanded multidimensional interaction model of anxiety. Copyright © 2002 John Wiley & Sons, Ltd.     

Peer Perceptions and Liking of Children with Anxiety Disorders

Examined three aspects of childhood anxiety and peer liking: (1) whether or not children can detect anxiety in age-mates, (2) the degree to which peer-reported anxiety, self-reported anxiety, and presence of anxiety disorders are associated with peer liking, and (3) whether or not self-reported anxiety and presence of anxiety disorders are associated with peer liking after controlling for peer-reported anxiety. Peer raters (9.5–12.5 years) rated videotaped speech samples of target children with anxiety disorders (AD; 9.5–13 years) and target children without anxiety disorders (NAD; 9.5–13 years). Peer-rated anxiety was positively correlated with target children’s self-reported anxiety and was higher among children with AD and children with social phobia (SP). Peer liking was inversely related to peer-reported anxiety and was lower for target children with SP. Target children with SP were liked less regardless of how anxious peers perceived them to be. Peer rater and target child demographics did not moderate the relationship between peer-rated anxiety and peer liking.     

Child Anxiety Sensitivity and Family Environment as Mediators of the Relationship between Parent Psychopathology, Parent Anxiety Sensitivity, and Child Anxiety

This study examined child anxiety sensitivity and family environment as mediators of the relationship between (1) parent psychopathology and anxiety sensitivity and (2) child anxiety in a community sample of 157 youths aged 7–18 years. Parents completed measures of anxiety sensitivity, psychopathology, and family environment. Youths completed measures of anxiety sensitivity and anxiety. One structural equation model was tested with child anxiety sensitivity as a mediator of (1) parent psychopathology and parent anxiety sensitivity and (2) child anxiety. Mediation was found with respect to parent psychopathology but not anxiety sensitivity. A second structural equation model was tested with family environment (conflict and control) as a mediator of (1) parent psychopathology and parent anxiety sensitivity and (2) child anxiety. Mediation was found with respect to parent psychopathology and anxiety sensitivity. Possible explanations for these pathways are discussed, including information transmission from parents to children, modeling anxiety-based reactions, temperament, and isolation of children from anxiety-provoking situations.     

Anxiety sensitivity in adolescents: factor structure and relationships to trait anxiety and symptoms of anxiety disorders and depression

The current study examined the anxiety sensitivity construct in a large sample of normal Dutch adolescents aged 13-16 years (n=819). Children completed the Childhood Anxiety Sensitivity Index (CASI; Silverman, W. K., Fleisig, W., Rabian, B. & Peterson, R. A. (1991). Journal of Clinical Child Psychology, 20, 162-168) and measures of trait anxiety, anxiety disorder symptoms and depression. Results showed that (1) anxiety sensitivity as indexed by the CASI seems to be a hierarchically organized construct with one higher-order factor (i.e., anxiety sensitivity) and three or four lower-order factors, (2) anxiety sensitivity and trait anxiety were strongly correlated, (3) anxiety sensitivity was substantially connected to symptoms of anxiety disorders (in particular of panic disorder and agoraphobia) and depression, and (4) anxiety sensitivity and trait anxiety both accounted for unique proportions of the variance in anxiety disorder symptoms. Altogether these findings are in agreement with those of previous research in adult and child populations, and further support the notion that anxiety sensitivity should be viewed as an unique factor of anxiety vulnerability.     

小学儿童数学焦虑的潜在类别转变及其父母教育卷入效应：3年纵向考察

研究采用潜在转变分析考察小学儿童数学焦虑的类别转变以及父母教育卷入在小学儿童数学焦虑类别转变中的作用。以1720名三、四年级儿童为被试, 对其数学焦虑和感知到的父母教育卷入进行3次追踪, 每次间隔1年。结果表明：(1)小学儿童数学焦虑存在低数学焦虑组、高数学评估焦虑组和高数学获得焦虑组3种不同类别; (2)随时间的推移, 高数学评估焦虑组倾向于向低数学焦虑组转变, 高数学获得焦虑组倾向于向高数学评估焦虑组转变, 而低数学焦虑组稳定性较强; (3)父亲/母亲教育卷入对儿童数学焦虑类别转变的预测作用, 因不同的数学焦虑类别而异。上述发现为深入理解数学焦虑的形成机制以及干预措施的制定提供了重要参考。     

Training with anxiety has a positive effect on expert perceptual–motor performance under pressure

In two experiments, we examined whether training with anxiety can prevent choking in experts performing perceptual–motor tasks. In Experiment 1, 17 expert basketball players practised free throws over a 5-week period with or without induced anxiety. Only after training with anxiety did performance no longer deteriorate during the anxiety posttest. In Experiment 2, 17 expert dart players practised dart throwing from a position high or low on a climbing wall, thus with or without anxiety. Again, only after training with anxiety was performance maintained during the anxiety posttest, despite higher levels of anxiety, heart rate, and perceived effort. It is concluded that practising under anxiety can prevent choking in expert perceptual–motor performance, as one acclimatizes to the specific processes accompanying anxiety.     

焦虑情绪对图像信息意识提取和无意识提取影响的实验研究

采用加工分离程序,以不同性价图片为实验材料,考察了特质焦虑、启动焦虑和非焦虑三种焦虑类型对图片信息意识提取和无意识提取的影响,结果表明：（1）不同焦虑类型对图像信息的意识提取和无意识提取均有影响,其中特质焦虑对图像的无意识提取更敏感,非焦虑状态对意识提取更敏感;（2）特质焦虑明显促进了负性图片的意识和无意识提取且干扰了正性图片的提取,启动焦虑促进了对负性图片的意识提取。     

Experiential Avoidance and Anxiety Sensitivity: Independent and Specific Associations with Children’s Depression,Anxiety, and Social Anxiety Symptoms

Experiential avoidance (EA) is a key component in acceptance and commitment therapy (ACT) theory and research. EA is associated with a wide range of psychopathology in adults including anxiety, in particular social anxiety, and depression, yet little research exists on EA in youth. Anxiety sensitivity (AS), like EA, has been viewed as a form of distress tolerance or emotion regulation. In a sample of 124 children (age 10 to 12), this study examined the independent and specific relations of EA and AS to children’s depression, anxiety, and social anxiety symptoms, both before and after controlling for comorbid symptoms. EA and AS had independent associations with each of children’s depression, anxiety, and social anxiety; and EA had significantly stronger relations than AS with each of children’s social anxiety and anxiety. After controlling for depression, only EA (and not AS) was uniquely related to both children’s anxiety and social anxiety. After controlling for anxiety and social anxiety, only AS (and not EA) was uniquely related to depression. After controlling for depression and social anxiety, neither EA nor AS was significantly related to anxiety. In contrast, after controlling for depression and anxiety, EA (and not AS) showed a significant and unique relation to children’s social anxiety. These findings indicate: 1) there are distinctions between EA and AS; 2) EA and AS are overlapping yet independent correlates for each of depression, anxiety and social and anxiety; and 3) EA and AS show some differential relations with children’s depression, anxiety, and social anxiety when comorbid symptoms are considered. Theoretical and treatment implications are highlighted.     

Pain anxiety among chronic pain patients: specific phobia or manifestation of anxiety sensitivity?

Rather than viewing anxiety among chronic pain patients as simply a component of negative affectivity, investigators have developed a model of "pain anxiety" in which patients develop fear and avoidance of activity linked to pain. We examined whether pain anxiety can be conceptualized as a specific phobia, or whether evidence supported the notion that pain anxiety is better understood as a manifestation of anxiety sensitivity in the context of chronic pain. Chronic musculoskeletal pain patients (N=70) underwent cold pressor and mental arithmetic tasks while cardiovascular, self-report, and behavior indexes were recorded. They completed measures of pain anxiety, anxiety sensitivity, fear of negative evaluation, depression and trait anxiety. Correlation analyses showed pain anxiety was related to pain-relevant responses during cold pressor, but it was also related to evaluation-relevant responses during cold pressor, and to pain- and evaluation-relevant responses (including subtraction accuracy) during mental arithmetic. Regression analyses showed that almost all effects of pain anxiety on task responses were accounted for by anxiety sensitivity. Fear of negative evaluation, in contrast, correlated only with evaluation-relevant responses, and mostly during mental arithmetic. These effects remained significant when depression, trait anxiety, or anxiety sensitivity were statistically controlled. Pain anxiety may be an expression of anxiety sensitivity rather than a circumscribed phobia; a distinction that could profitably guide treatment strategies.     

Trait anxiety moderation of the effects of life stress on state anxiety

Many theories of anxiety have predicted and much previous research has indicated a person × situation interaction between stressors and trait anxiety. This study examined the hypothesized role of individual differences in trait anxiety in the relationship between naturally occurring stressors and state anxiety scores. Two hundred eighty-seven college undergraduates completed the State-Trait Anxiety Inventory, which provides both state and trait anxiety measures, and the Life Experiences Survey, which provides a measure of the amount of stress a person has undergone in the previous year. Trait anxiety scores were divided into quartiles and correlations between state anxiety scores and Life Experiences Survey scores and multiple regressions for trait anxiety and life stress to predict state anxiety were computed within each quartile. The results were that only in the first quartile was there a significant correlation between life stress and state anxiety, which was contrary to the predictions of state-trait anxiety theory. The validity of state-trait anxiety theory, as it relates to life stress, was questioned.     

焦虑和抑郁对正负性注意偏向的影响：注意控制的中介作用

采用状态-特质焦虑量表、流调抑郁量表、注意控制量表和正负性信息注意量表,对481名在校大学生进行调查研究,考察了焦虑、抑郁对注意偏向的影响,并探讨了注意控制在其中的中介作用。研究发现：（1）正性注意偏向与注意控制呈正相关,与状态焦虑、特质焦虑和流调抑郁呈负相关;负性注意偏向与注意控制呈负相关,与状态焦虑、特质焦虑和流调抑郁呈正相关。（2）特质焦虑、注意集中、注意转移可显著预测正性注意偏向,状态焦虑、流调抑郁和注意集中则显著预测负性注意偏向。（3）注意转移和注意集中中介了状态焦虑、特质焦虑、流调抑郁和正、负性注意偏向间的关系。研究提示注意控制是一个重要的保护性因素,可缓解或消除焦虑和抑郁对注意偏向的负面影响。     

Brief report--associations of personality disorder with early separation anxiety in patients with adult separation anxiety disorder

A recent study has suggested a link between early separation anxiety and personality disorder. It is possible that this relationship is mediated or confounded by the presence of adult separation anxiety disorder (ASAD). In a clinic study of 397 anxiety patients, we found that ASAD patients with heightened early separation anxiety had higher rates of any Cluster C personality disorder compared to ASAD patients without elevated early separation anxiety, and higher rates of any Cluster B or C personality disorder compared to anxiety patients with low early separation anxiety and no ASAD. Although cross-sectional in design, the study supports a direct link between early separation anxiety and some adult personality disorders, irrespective of the type of adult anxiety disorder present, including ASAD.     

A consciousness-sampling analysis of test anxiety and performance

In order to evaluate cognitive-interference, reassertion, and reaction-to-performance models of test anxiety, 82 students completed the Test Anxiety Scale, provided state measures of anxiety just before and after a course examination, described their preparation for the test, and reported thought content and state anxiety up to six times during the test. Test Anxiety Scale scores were predictive of pre- and posttest state anxiety but not performance or problem-solving thought frequency during the test. Thought content was significantly but weakly correlated with performance, which was well correlated with posttest state anxiety but not with pretest anxiety. Pretest state anxiety was virtually uncorrelated with posttest state anxiety, with the correlations gradually declining during the test. Question-answering thought content correlated inversely with anxiety during the test. There was no group for whom anxiety appeared to facilitate performance. Preparation correlated only with performance. The pattern of results appears inconsistent with a cognitive-interference interpretation of test anxiety and suggests that in the naturalistic setting used, anxiety is more clearly an effect than a cause of poor performance.     

Anxiety sensitivity and attentional bias to threat interact to prospectively predict anxiety

The purpose of the present study was to examine anxiety sensitivity, attentional bias to threat (ABT), and the aggregate influence of these constructs as prospective predictors of anxiety. Participants (N = 176) completed a baseline assessment session which included the completion of self-report measures of anxiety and anxiety sensitivity, as well as an eye-tracking task in which eye movements were recorded during the viewing of neutral and threat images. Measures of anxiety and anxiety sensitivity were completed again as part of an online questionnaire battery at a 1-year follow-up session. As predicted, baseline anxiety sensitivity and ABT predicted anxiety at 1-year follow-up even after accounting for baseline anxiety. However, these main effects were qualified by a significant interaction effect such that those high in anxiety sensitivity at baseline reported relatively higher anxiety at the 1-year follow-up, but only if they also exhibited higher levels of ABT at baseline. Results suggest that individuals with this combination of vulnerability factors (high levels of both anxiety sensitivity and ABT) may be at particularly high risk for developing anxiety and may benefit from preemptive efforts to reduce ABT.     

Developmental Trajectories of Anxiety Symptoms in Early Adolescence: The Influence of Anxiety Sensitivity

Children and adolescents seem to suffer from anxiety disorders at rates similar to adults. Interestingly, anxiety symptoms appear to generally decline over time within children as evidenced by lower rates in early and middle adolescence. There is some evidence that there may be heterogeneous subpopulations of adolescent children with different trajectories of anxiety symptoms, including a class of adolescents with elevated levels of anxiety that do not dissipate over time. Anxiety sensitivity has been identified as an important risk factor in the development of anxiety psychopathology. This study prospectively examined the development of anxiety symptoms in a sample of 277 adolescents (M _age?=?11.52; 44 % female, 56 % male) over a 3 year period including the influence of anxiety sensitivity on this development. Further, this study investigated whether there were distinct classes of adolescents based on their anxiety symptom trajectories and including anxiety sensitivity as a predictor. Consistent with other reports, findings indicated an overall decline in anxiety symptoms over time in the sample. However, three classes of adolescents were found with distinct anxiety symptom trajectories and anxiety sensitivity was an important predictor of class membership. Adolescents with elevated anxiety sensitivity scores were more likely to be classified as having high and increasing anxiety symptoms over time versus having moderate to low and decreasing anxiety symptoms over time. There are important implications for identification of adolescents and children who are at risk for the development of an anxiety disorder.     

Attachment,Behavioral Inhibition,and Anxiety in Preschool Children

This study examined the association between insecure attachment, behavioral inhibition, and anxiety in an at risk sample of preschool children. The relationship between maternal anxiety and child anxiety was also assessed. Participants were 104 children aged 3–4 years who were assessed for behavioral inhibition and mother–child attachment (using the Strange Situation procedure). DSM-IV criteria were used to assess childhood anxiety disorders. Insecure attachment and behavioral inhibition were both independently associated with child anxiety, even after controlling for the effect of maternal anxiety. Maternal anxiety was also associated with child anxiety. This study identified both constitutional and environmental factors associated with the expression of anxiety in young children. Furthermore, the highest levels of anxiety were shown by children who were behaviorally inhibited and insecurely attached and whose mothers were also anxious.     

COMMUNICATION FEAR: A CORRELATIONAL STUDY OF TRAIT GENERALITY

Recent theoretical analyses of communication fear have employed the analogy of state and trait anxiety. Communication apprehension is considered to be representative of general trait anxiety which is a function of disordered personality processes. Public speaking fear represents state anxiety and is a function of normal social evaluation anxiety. Two studies are reported which correlate state-trait measures of anxiety with communication apprehension and public speaking fear. The data support the hypothesis that communication apprehension is associated with trait anxiety but, contrary to the theoretical analysis, public speaking anxiety is associated with both state anxiety and trait anxiety. The results are discussed in terms of the theoretical analysis of communication fear. The implications for future research on assessment and amelioration of communication fear are considered.