The present study examined the interaction between pubertal status and anxiety sensitivity (AS) in predicting anxious and fearful responding to a three-minute voluntary hyperventilation challenge among 124 (57 females) adolescents between the ages of 12 and 17 years (Mage = 15.04; SD = 1.49). As predicted, after controlling for baseline anxiety, age, and gender, there was a significant interaction between pubertal status and AS in predicting anxious responding to bodily sensations to the hyperventilation challenge. Specifically, adolescents reporting more advanced pubertal status and higher levels of AS reported the greatest post-challenge self-reported anxiety focused on bodily sensations, whereas pubertal status had relatively less of an effect on low AS adolescents. A test of specificity also was conducted; as expected, the interaction between AS and pubertal status was unrelated to generalized negative affectivity, suggesting the predictor variables interact to confer specific risk for anxious responding to bodily sensations. Finally, exploratory analyses of psychophysiological reactivity to the challenge indicated AS, but not pubertal status, moderated the relation between challenge-related change in heart-rate and post-challenge anxiety such that high AS youth who had experienced a relatively greater heart-rate change reported the most anxious reactivity to the challenge. Results are discussed in relation to theory regarding vulnerability to anxious responding to bodily sensations among adolescents.
[Show abstract][Hide abstract] ABSTRACT: The current paper critically reviews the empirical literature focused on the association between puberty and anxiety. A detailed review of more than 45 empirical articles is provided. There is some evidence that among girls, but not boys, a more advanced pubertal status (controlling for age) is associated with higher reported anxiety symptoms. Also among girls, earlier pubertal timing is linked to higher anxiety scores. It is unclear whether early puberty may lead to increased anxiety or if high anxiety influences pubertal timing. With respect to hormones, there were relatively few significant associations for girls, although this literature is very small. Among boys, several studies reported positive associations between both gonadal and adrenal hormones and anxiety. The direction of effect for these finding is also unstudied. The primary limitation of the hormone-anxiety literature pertains to the absence of pubertal measures in samples of youth in which hormones are measured. The paper concludes with a comprehensive examination of the methodological strengths and weaknesses of the literature and recommendations for future work.
[Show abstract][Hide abstract] ABSTRACT: Poor sleep quality commonly co-occurs with anxiety among youth. However, little research has examined linkages between sleep
quality and factors thought to underlie panic vulnerability. This study tested the association between self-reported sleep
quality and anxiety and fear reported during panic-relevant abrupt increases in bodily arousal elicited by a laboratory-based
biological challenge procedure among community-recruited adolescents (n=88; M
age=14.00years; SD=2.37). As predicted, both anxiety and fear reported during a well-established 3-min voluntary hyperventilation
procedure were significantly positively associated with self-reported sleep quality, after controlling for age, gender, and
disease concerns sub-facet of anxiety sensitivity. Findings are discussed in terms of additional research needed to better
understand why sleep quality and anxiety reported during elevated bodily arousal are related among youth.
KeywordsSubjective sleep quality-Bodily arousal-Biological challenge-Adolescents
Cognitive Therapy and Research 08/2010; 34(4):359-367. DOI:10.1007/s10608-009-9240-3 · 1.70 Impact Factor
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