Anxiety Sensitivity and Anxious Responding to Bodily Sensations: A Test among Adolescents Using a Voluntary Hyperventilation Challenge

Leen‐Feldner, Ellen W.; Feldner, Matthew T.; Bernstein, Amit; McCormick, Justin T.; Zvolensky, Michael J.

doi:10.1007/s10608-005-3510-5

Cited by 40 publications

(51 citation statements)

References 35 publications

(45 reference statements)

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“…Internal reliabilites for the present sample were comparable to prior studies (e.g., Leen-Feldner, Feldner, Bernstein, McCormick, & Zvolensky, 2005;Silverman et al, 2003): total scale α = .83; Disease Concerns (4 items) α = .58, Unsteady Concerns (3 items) α = .72, Mental Incapacitation Concerns (3 items) α = .54, and Social Concerns (3 items) α = .61.…”

Section: Methodssupporting

confidence: 84%

Anxiety sensitivity and posttraumatic stress among traumatic event-exposed youth

Leen‐Feldner

Feldner

Reardon

et al. 2008

Behaviour Research and Therapy

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Total and factor scores of the Childhood Anxiety Sensitivity Index (CASI) were examined in relation to posttraumatic stress symptom levels within a community-based sample of 68 (43 females) traumatic event-exposed youth between the ages of 10 and 17 years (M age = 14.74 years). Findings were consistent with hypotheses; global AS levels, as well as disease, unsteady, and mental incapacitation concerns related positively to posttraumatic stress levels, whereas social concerns were unrelated to symptom levels. These results suggest that fears of the physical and mental consequences of anxiety are associated with relatively higher levels of posttraumatic stress subsequent to traumatic event exposure. Findings are discussed in terms of potential implications for the role of AS in developmentally-sensitive etiological models of PTSD.

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Section: Methodssupporting

confidence: 84%

Anxiety sensitivity and posttraumatic stress among traumatic event-exposed youth

Leen‐Feldner

Feldner

Reardon

et al. 2008

Behaviour Research and Therapy

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“…Laboratory studies indicate that AS is a significant predictor of fear responses to the CO 2 challenge ; these effects are observed above and beyond variance accounted for by trait anxiety among both adults [Zinbarg et al, 2001;Zvolensky et al, 2001] and youth [Leen-Feldner et al, 2005]. Clark [1993] and others have suggested that challenge-induced fear occurs because of learned predispositions to panic in the context of certain stimuli.…”

Section: Introductionmentioning

confidence: 91%

Anxiety sensitivity and CO2 challenge reactivity as unique and interactive prospective predictors of anxiety pathology

Schmidt

Zvolensky

2007

Depress. Anxiety

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Emerging evidence suggests that anxiety sensitivity (AS) and CO(2)-induced fear reactivity are associated with panic attacks and anxiety disorders. However, evidence regarding the unique and potentially synergistic effects of these variables is currently lacking. Our primary aims in this study were to determine whether AS and CO(2)-induced fear reactivity are unique and potentially interactive vulnerability factors involved in the pathogenesis of panic attacks and anxiety psychopathology. A large nonclinical sample of young adults (N=404) was prospectively followed over approximately 2 years. AS (i.e., 16-item Anxiety Sensitivity Index total scores) and biological challenge reactivity [i.e., fearful responding to pre- and postchallenge changes in subjective units of distress (SUDS) to a 20-s 20% CO(2) challenge] at study entry served as the primary predictor variables. Consistent with expectation, AS and challenge reactivity correlated only moderately with one another. Challenge reactivity was uniquely associated with the development of spontaneous panic attacks, whereas AS was uniquely associated with anxiety disorder diagnoses, including panic disorder. Moreover, the combination of both risk factors predicted spontaneous panic attacks beyond the effects of either risk factor individually. These data provide novel evidence for the unique and combined effects of AS and CO(2)-induced fear reactivity as risk factors in the development of anxiety and its disorders.

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“…More specifically, the voluntary hyperventilation procedure has been used with adolescents to safely elicit bodily arousal in the controlled laboratory environment to systematically study factors related to anxious reacitivity to such arousal while overcoming limitations inherent in retrospective self-report [Leen-Feldner et al 2005; see also Olatunji et al (2007) as well as for discussions of the role of this type of method more broadly] making this an ideal procedure for studying factors that predict anxious and fearful reactivity to bodily arousal (Rapee 1995;Zvolensky and Eifert 2001).…”

Section: Introductionmentioning

confidence: 99%

Specificity of Peritraumatic Fear in Predicting Anxious Reactivity to a Biological Challenge among Traumatic Event-Exposed Adolescents

et al. 2011

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Theory implicates peritraumatic fear-based interoceptive conditioning in the development of panic spectrum problems subsequent to traumatic event exposure. Relatively little empirical work has directly investigated this hypothesis. The current study tested the hypothesis that level of peritraumatic fear would predict anxious reactivity to a well-established 3-min voluntary hyperventilation procedure administered to 63 adolescents who had experienced a DSM-IV-TR-defined traumatic event. This relation was examined after controlling for variance accounted for by posttraumatic stress symptoms, sex, age, anxiety sensitivity, general symptoms of psychopathology, and both peritraumatic helplessness and disgust. As predicted, peritraumatic fear was related to anxious reactivity to hyperventilation-elicited bodily arousal. Specificity tests suggested this relation was specific to peritraumatic fear. Prospective research is now needed to better elucidate the relation between peritraumatic fear and subsequent development of anxious reactivity to bodily arousal and panic spectrum problems.

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Anxiety Sensitivity and Anxious Responding to Bodily Sensations: A Test among Adolescents Using a Voluntary Hyperventilation Challenge

Cited by 40 publications

References 35 publications

Anxiety sensitivity and posttraumatic stress among traumatic event-exposed youth

Anxiety sensitivity and posttraumatic stress among traumatic event-exposed youth

Anxiety sensitivity and CO2 challenge reactivity as unique and interactive prospective predictors of anxiety pathology

Specificity of Peritraumatic Fear in Predicting Anxious Reactivity to a Biological Challenge among Traumatic Event-Exposed Adolescents

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