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Factors Predicting Youth Anxiety Severity: Preliminary Support for a Standardized Behavioral Assessment of Parental and Youth Avoidance Behaviors

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Anxiety severity in youth is associated with a host of negative outcomes including poor response to treatment. Thus, a better understanding of factors that contribute to anxiety severity is needed. Such factors may include parental anxiety as well as anxiety-related approach and avoidance behaviors in both children and parents. In this study, we examined automatic behavioral tendencies as a method of quantifying anxiety-related approach and avoidance behaviors in children and their parents. Clinically anxious youth (N = 19) with mixed anxiety diagnoses and their parents completed an approach-avoidance task (AAT) comprising different emotional expressions. Our results suggest that in addition to parent report of youth anxiety, both youth and parent automatic avoidance biases predict clinician-rated youth anxiety severity accounting for 62% of the variance in clinician-rated youth anxiety. These results suggest that the AAT may be a useful measure of automatic behavioral tendencies in clinically anxious youth and their parents and that these factors may be relevant to youth anxiety severity.
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Keywords: APPROACH-AVOIDANCE TASK; AUTOMATIC ACTION TENDENCIES; BEHAVIOR; YOUTH ANXIETY

Document Type: Research Article

Publication date: 01 August 2015

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  • The Journal of Cognitive Psychotherapy is no longer available to subscribers on Ingenta Connect. Please go to http://connect.springerpub.com/content/sgrjcp to access your online subscription to Journal of Cognitive Psychotherapy.
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