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. 2015 Dec 1:188:194-201.
doi: 10.1016/j.jad.2015.08.022. Epub 2015 Sep 2.

Interpretation of ambiguity: Differences between children and adolescents with and without an anxiety disorder

Polly Waite  1 , Jon Codd  2 , Cathy Creswell  3
Affiliations

Interpretation of ambiguity: Differences between children and adolescents with and without an anxiety disorder

Polly Waite et al. J Affect Disord. .

Abstract

Background: Theory and treatment of anxiety disorders in young people are commonly based on the premise that interpretation biases found in anxious adults are also found in children and adolescents. Although there is some evidence that this may be the case, studies have not typically taken age into account, which is surprising given the normative changes in cognition that occur throughout childhood. The aim of the current study was to identify whether associations between anxiety disorder status and interpretation biases differed in children and adolescents.

Methods: The responses of children (7-10 years) and adolescents (13-16 years) with and without anxiety disorders (n=120) were compared on an ambiguous scenarios task.

Results: Children and adolescents with an anxiety disorder showed significantly higher levels of threat interpretation and avoidant strategies than non-anxious children and adolescents. However, age significantly moderated the effect of anxiety disorder status on interpretation of ambiguity, in that adolescents with anxiety disorders showed significantly higher levels of threat interpretation and associated negative emotion than non-anxious adolescents, but a similar relationship was not observed among children.

Conclusions: The findings suggest that theoretical accounts of interpretation biases in anxiety disorders in children and adolescents should distinguish between different developmental periods. For both ages, treatment that targets behavioral avoidance appears warranted. However, while adolescents are likely to benefit from treatment that addresses interpretation biases, there may be limited benefit for children under the age of ten.

Keywords: Anxiety/anxiety disorders; Child/adolescent; Cognition.

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Figures

Fig. 1
Fig. 1
Interactions between anxiety disorder and age group. (a) Threat, (b) negative emotions, (c) control, and (d) avoidance.
See this image and copyright information in PMC

References

    1. Adleman N.E., Menon V., Blasey C.M., White C.D., Warsofsky I.S., Glover G.H., Reiss A.L. A developmental fMRI study of the Stroop color-word task. Neuroimage. 2002;16(1):61–75. - PubMed
    1. Alkozei A., Cooper P.J., Creswell C. Emotional reasoning and anxiety sensitivity: associations with social anxiety disorder in childhood. J. Affect. Disord. 2014;152:219–228. - PMC - PubMed
    1. Amir N., Beard C., Bower E. Interpretation bias and social anxiety. Cognit. Ther. Res. 2005;29(4):433–443.
    1. Anderson V.A., Anderson P., Northam E., Jacobs R., Catroppa C. Development of executive functions through late childhood and adolescence in an Australian sample. Dev. Neuropsychol. 2001;20(1):385–406. - PubMed
    1. Angold A., Costello E.J., Messer S.C., Pickles A., Winder F., Silver D. Development of a short questionnaire for use in epidemiological studies of depression in children and adolescents. Int. J. Methods Psychiatr. Res. 1995;5:237–249.

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