“…In children and adolescents, anxiety disorders and symptoms have been associated with an increased startle reflex during baseline (Borelli et al, 2015; Quevedo, Smith, Donzella, Schunk, & Gunnar, 2010), safety (Barker, Reeb-Sutherland, & Fox, 2014; Borelli et al, 2015; Reeb-Sutherland et al, 2009; Waters et al, 2014), and aversive/threat conditions (Waters et al, 2014). In addition, children of parents with an anxiety disorder have demonstrated an increased startle reflex across multiple conditions (Grillon, Dierker, & Merikangas, 1997; Kujawa, Glenn, Hajcak, & Klein, 2015; Merikangas, Avenevoli, Dierker, & Grillon, 1999), and an increased startle reflex during safety cues has been shown to prospectively predict first onset of anxiety disorders (Craske et al, 2013).…”