Evidence map›Paper›PMID 31829717›Full record

ArticleEmotion (Washington, D.C.)2021

Childhood anxiety sensitivity, fear downregulation, and anxious behaviors: Vagal suppression as a moderator of risk.

Andres G Viana, Erika S Trent, Elizabeth M Raines, Emma C Woodward, Eric A Storch, Michael J Zvolensky

Open access · hybridAbstract read
In one paragraph

Article in Emotion (Washington, D.C.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.3field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Cognitive Behavioral Therapy for Children and Adolescents with Anxiety Disorders.Child and adolescent psychiatric clinics of North America · 2023
    Review
  6. Article
  7. Article
  8. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Andres G VianaDepartment of Psychology.
Erika S TrentDepartment of Psychology.ORCID 0000-0003-4775-5999
Elizabeth M RainesDepartment of Psychology.ORCID 0000-0003-3246-0389
Emma C WoodwardDepartment of Psychology.ORCID 0000-0002-0661-1756
Eric A StorchMenninger Department of Psychiatry and Behavioral Sciences.
Michael J ZvolenskyDepartment of Psychology.
Menninger Clinic · US

Funding

Effects of Maternal Interpretation Biases on Child Anxiety and Related ResponsesR21MH101309 · NIMH · UNIVERSITY OF MISSISSIPPI MED CTR · PI VIANA, ANDRES G. · 2014 to 2015
$407k
NIMH NIH HHSNIMH NIH HHS R21 MH101309
6 · The paper itself

Abstract

Anxiety sensitivity-the fear that anxiety-related sensations will result in catastrophic physical, social, or psychological consequences-is a robust risk factor for clinical anxiety. However, less is known about how anxiety sensitivity may interact with physiological modulation of arousal to predict anxious children's fear responses. The present investigation examined vagal withdrawal as a moderator of the association between anxiety sensitivity and anxious children's ability to downregulate subjective feelings of fear in response to an anxiety-provoking speech task. Observer ratings of anxious behaviors and performance during the task were also examined. It was hypothesized that children's anxiety sensitivity levels would interact with respiratory sinus arrhythmia (RSA) suppression to explain unique variance in subjective fear downregulation, anxious behaviors, and task performance. Participants were 105 children with anxiety disorders (N = 105; M = 10.07 years, SD = 1.22; 57% female) who completed diagnostic interviews, questionnaires, a speech about their family, and an RSA assessment in baseline and speech conditions. Interactions between RSA suppression and anxiety sensitivity predicted unique variance in subjective fear downregulation. Specifically, the greatest difficulties downregulating subjective fear responses were exhibited by children with high anxiety sensitivity and low RSA suppression. Interactions between RSA suppression and anxiety sensitivity did not predict variance in observer ratings of anxious behaviors or task performance. However, higher baseline RSA and speech RSA were significantly associated with fewer anxious behaviors during the speech. Higher baseline RSA was also significantly associated with better speech performance. These findings highlight the importance of vagal withdrawal and its interaction with anxiety sensitivity in predicting downregulation of subjective fear among clinically anxious children. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Indexed as

AnxietyChildDown-RegulationFearFemaleHumansMaleRespiratory Sinus ArrhythmiaVagus Nerve

Identifiers

PMID31829717
PMCPMC7289655
OpenAlexW2995538054

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.