Anxiety sensitivity: Changes with puberty and cardiovascular variables

Akça, Ömer Faruk; T, Vural; Türkoğlu, Serhat; Kılıç, Emine Zinnur

doi:10.1111/ped.12443

Cited by 8 publications

(6 citation statements)

References 71 publications

(108 reference statements)

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“…A few studies have connected AS to indicators of cardiovascular disease (e.g., Norman & Lang, ; Seldenrijk et al., ), but to our knowledge, there are few studies on the association between AS and blood pressure. In a study of healthy adolescents (Akça, Ağaç Vural, Türkoğlu, & Kılıç, ), AS was associated with higher diastolic blood pressure even when controlling for age, sex, and pubertal stage. Two other studies found that, compared to healthy controls, individuals with hypertension report higher levels of AS (Delle Chiaie et al., ; Pagotto, Fallo, Fava, Boscaro, & Sonino, ).…”

Section: Pathophysiological/pathomechanical Alterationsmentioning

confidence: 98%

How does anxiety sensitivity increase risk of chronic medical conditions?

Horenstein

Potter

Heimberg

2018

Clin Psychol Sci Pract

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Anxiety sensitivity (AS; fear of anxiety‐related symptoms) is an established transdiagnostic risk factor for psychiatric disorders and is related to a variety of chronic medical conditions. However, AS has not been established as a risk factor for chronic medical conditions. In this study, we review studies on AS and chronic medical conditions (and symptoms/behaviors related to chronic medical conditions) and propose four pathways through which AS may increase risk of chronic medical conditions: (a) increasing fear of medical condition‐specific symptoms, (b) perpetuating avoidance of healthy activities, (c) promoting engagement in unhealthy behaviors, and (d) increasing risk of detrimental pathophysiological and pathomechanical alterations. We also discuss the potential utility of using AS reduction interventions as a means of reducing risk of chronic medical conditions.

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Section: Pathophysiological/pathomechanical Alterationsmentioning

confidence: 98%

How does anxiety sensitivity increase risk of chronic medical conditions?

Horenstein

Potter

Heimberg

2018

Clin Psychol Sci Pract

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“…Those with high levels of anxiety sensitivity may be particularly vulnerable to panic attacks. Adolescents self-reported higher anxiety sensitivity in the early stages of puberty than in the later stages, but did not report sex differences (45). In a study of healthy adolescents ages 12–17 years, those with more advanced pubertal status and increased emotional reactivity were most likely to experience panic symptoms in a hyperventilation challenge, after controlling for age and gender (46).…”

Section: Epidemiology Of Anxiety Disorders Across the Female Lifespanmentioning

confidence: 99%

Anxiety Disorders Among Women: A Female Lifespan Approach

Hantsoo

Epperson

2017

FOC

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Anxiety symptoms may present differently between women and men, and at different points in the female lifespan. The female lifespan includes distinct epochs of hormonal function, including puberty, the premenstruum, in some women pregnancy or postpartum, and the menopausal transition. These stages give rise to important treatment considerations when treating anxiety in women. When making assessments, the clinician should consider reproductive events and hormonal status, as well as sex differences in anxiety presentation. This review is structured to: 1) Define major epochs of the female lifespan, 2) Provide a brief summary of the major anxiety disorders, with a focus on prevalence and presentation in the context of sex differences and at points in the female lifespan, 3) Describe potential biopsychosocial underpinnings of anxiety disorders among women, 4) Provide guidelines for assessment and differential diagnosis, and 5) Describe treatment options with attention to reproductive events such as pregnancy.

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“…Adolescents are at a critical point in the transition from child to adults, involving a variety of physiological, psychological, and social function upheavals (e.g., genital development and pubic hair growth) that are stressful events for them [ 14 , 15 ]. A robust body of research indicates that pubertal status is a key predictor of various internalizing and externalizing problems for adolescents that influence the resilience of adolescents [ 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

The effect of peer education based on adolescent health education on the resilience of children and adolescents: A cluster randomized controlled trial

et al. 2022

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Background An increasing number of children and adolescents have reported mental health problems, and resilience is a protective factor against these problems. Therefore, the aim of the study is to verify the effect of peer education based on adolescent health education on adolescent resilience. Method A cluster randomized controlled trial was conducted including 1,613 students who were divided into an intervention group (19 classes, 732 participants) and a control group (24 classes, 881 participants). One-year peer education was performed in the intervention group, and the control group had no interventions. The Resilience Scale for Chinese Adolescents by Yueqin Hu and a self-designed basic information questionnaire were used to collect data. Chi-square test and rank-sum test were used to compare the differences of demographic characteristics between the two groups. A linear mixed model was used to compare the changes of resilience between the two groups after intervention, and the intra-cluster correlation coefficient (ICC) was calculated. A generalized linear mixed model (GLMM) was used to verify the effect of peer education on adolescent resilience. The significance was set at P < 0.05. Results After intervention, compared with the control group, the intervention group showed significant improvement in target focus, emotion adjustment, interpersonal assistance and total resilience (P < 0.05). The ICC range was 0.003 to 0.034. The GLMM results indicated that peer education based on adolescent health education had significant effects on adolescents’ target focus (β = 0.893, P = 0.002), emotional adjustment (β = 1.766, P < 0.001), interpersonal assistance (β = 1.722, P = 0.016) and total mental resilience (β = 5.391, P < 0.001), and the effect was greater for boys than for girls. Conclusions Peer education based on adolescent health education is effective for improving adolescents’ target focus, emotional adjustment, interpersonal assistance, and total resilience, especially for males. Future research should devote more attention to positive cognition and family support as well as gender differences.

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Anxiety sensitivity: Changes with puberty and cardiovascular variables

Abstract: AS, which is reported to be a trait-like variable, may change during adolescence, due to the effect of pubertal growth and blood pressure interacting with AS during adolescence.

Cited by 8 publications

References 71 publications

How does anxiety sensitivity increase risk of chronic medical conditions?

How does anxiety sensitivity increase risk of chronic medical conditions?

Anxiety Disorders Among Women: A Female Lifespan Approach

The effect of peer education based on adolescent health education on the resilience of children and adolescents: A cluster randomized controlled trial

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