Cognitive Predictors of Internalizing Symptoms in Clinically Anxious Youth.
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| Title: | Cognitive Predictors of Internalizing Symptoms in Clinically Anxious Youth. |
|---|---|
| Authors: | Amarneh, Dania Y. (AUTHOR), Zvolensky, Michael J. (AUTHOR), Storch, Eric A. (AUTHOR), Viana, Andres G. (AUTHOR) |
| Source: | Cognitive Therapy & Research. Dec2025, Vol. 49 Issue 6, p1322-1336. 15p. |
| Subjects: | Anxiety sensitivity, Cognitive bias, Disease risk factors, Symptom burden, Adjustment disorders, Youth health |
| Abstract: | Background: Internalizing disorders are the most common psychiatric disorders in youth and are associated with a host of deleterious outcomes (e.g., self-harm, substance use, interpersonal difficulties), highlighting the critical need for identifying risk factors that confer risk for these disorders. The present study investigated the unique and shared roles of two prominent cognitive biases—anxiety sensitivity and interpretation biases—as predictors of internalizing symptom severity in clinically anxious youth, above and beyond the effects of negative emotionality and after accounting for sociodemographic covariates. Method: A diverse sample of clinically anxious youth (N = 105; Mage = 10.09 years, SD = 1.22; 56.7% female; 49% ethnic minority) completed a diagnostic interview and self-report measures of interpretation biases, anxiety sensitivity, and internalizing symptom severity. Results: Hierarchical regression analyses revealed that both anxiety sensitivity (b = 0.77, 95% CI [0.53, 1.00], sr2 = 0.11) and interpretation biases (b = 0.21, 95% CI [0.11, 0.30], sr2 = 0.05) accounted for an additional 22% of unique variance in internalizing symptom severity (p <.001), above and beyond the effects of negative emotionality. Post hoc exploratory analyses identified the disease and social concerns facets of anxiety sensitivity, and the overgeneralization facet of interpretation biases, as predictors of internalizing symptoms. Conclusion: Future research should examine whether targeting cognitive biases would be beneficial among temperamentally labile youth. [ABSTRACT FROM AUTHOR] |
| Copyright of Cognitive Therapy & Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 189532583 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Cognitive Predictors of Internalizing Symptoms in Clinically Anxious Youth. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Amarneh%2C+Dania+Y%2E%22">Amarneh, Dania Y.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zvolensky%2C+Michael+J%2E%22">Zvolensky, Michael J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Storch%2C+Eric+A%2E%22">Storch, Eric A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Viana%2C+Andres+G%2E%22">Viana, Andres G.</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Cognitive+Therapy+%26+Research%22">Cognitive Therapy & Research</searchLink>. Dec2025, Vol. 49 Issue 6, p1322-1336. 15p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Anxiety+sensitivity%22">Anxiety sensitivity</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+bias%22">Cognitive bias</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+risk+factors%22">Disease risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Symptom+burden%22">Symptom burden</searchLink><br /><searchLink fieldCode="DE" term="%22Adjustment+disorders%22">Adjustment disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Youth+health%22">Youth health</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: Internalizing disorders are the most common psychiatric disorders in youth and are associated with a host of deleterious outcomes (e.g., self-harm, substance use, interpersonal difficulties), highlighting the critical need for identifying risk factors that confer risk for these disorders. The present study investigated the unique and shared roles of two prominent cognitive biases—anxiety sensitivity and interpretation biases—as predictors of internalizing symptom severity in clinically anxious youth, above and beyond the effects of negative emotionality and after accounting for sociodemographic covariates. Method: A diverse sample of clinically anxious youth (N = 105; Mage = 10.09 years, SD = 1.22; 56.7% female; 49% ethnic minority) completed a diagnostic interview and self-report measures of interpretation biases, anxiety sensitivity, and internalizing symptom severity. Results: Hierarchical regression analyses revealed that both anxiety sensitivity (b = 0.77, 95% CI [0.53, 1.00], sr2 = 0.11) and interpretation biases (b = 0.21, 95% CI [0.11, 0.30], sr2 = 0.05) accounted for an additional 22% of unique variance in internalizing symptom severity (p <.001), above and beyond the effects of negative emotionality. Post hoc exploratory analyses identified the disease and social concerns facets of anxiety sensitivity, and the overgeneralization facet of interpretation biases, as predictors of internalizing symptoms. Conclusion: Future research should examine whether targeting cognitive biases would be beneficial among temperamentally labile youth. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Cognitive Therapy & Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s10608-025-10612-2 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 15 StartPage: 1322 Subjects: – SubjectFull: Anxiety sensitivity Type: general – SubjectFull: Cognitive bias Type: general – SubjectFull: Disease risk factors Type: general – SubjectFull: Symptom burden Type: general – SubjectFull: Adjustment disorders Type: general – SubjectFull: Youth health Type: general Titles: – TitleFull: Cognitive Predictors of Internalizing Symptoms in Clinically Anxious Youth. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Amarneh, Dania Y. – PersonEntity: Name: NameFull: Zvolensky, Michael J. – PersonEntity: Name: NameFull: Storch, Eric A. – PersonEntity: Name: NameFull: Viana, Andres G. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 12 Text: Dec2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 01475916 Numbering: – Type: volume Value: 49 – Type: issue Value: 6 Titles: – TitleFull: Cognitive Therapy & Research Type: main |
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