Cognitive vulnerabilities to anxiety symptoms among Chinese adolescents: A 3-year longitudinal study

Samuel M. Y. HO, Qiaochu ZHANG, Yihuan LAI, Wai Tong Darren DAI

Research output: Contribution to journalArticlespeer-review

3 Citations (Scopus)

Abstract

Objective: This study established cognitive vulnerability of anxiety symptoms among high school students. 

Method: A total of 72 grade 9–11 students completed measures on levels of anxiety sensitivity (AS), selective attentional processing, and anxiety symptoms annually between 2016 and 2018. 

Results: Latent class growth analysis (unconditional model) showed a four-class model: High (stable) (6.94%), low (stable) (11.11%), medium (decreasing) (61.11%), and medium (increasing) (20.83%). The conditioned model controlling for the physical-concerns dimension of AS and negative attentional bias demonstrated that a two-class model consisted of a low anxiety class (n = 59, 81.9%) and a high anxiety class (n = 13, 18.1%) provided the best fit for the data. Negative attentional bias is a significant factor related to the development of anxiety trajectories. 

Conclusion: Attentional bias modification to disengage from negative stimuli may serve as a potential target of intervention to reduce chronic anxiety among high school students. Copyright © 2021 Wiley Periodicals LLC.

Original languageEnglish
Pages (from-to)1700-1714
JournalJournal of Clinical Psychology
Volume77
Issue number7
Early online dateMay 2021
DOIs
Publication statusPublished - Jul 2021

Citation

Ho, S. M. Y., Zhang, Q., Lai, Y., & Dai, D. W. T. (2021). Cognitive vulnerabilities to anxiety symptoms among Chinese adolescents: A 3-year longitudinal study. Journal of Clinical Psychology, 77(7), 1700-1714. https://doi.org/10.1002/jclp.23161

Keywords

  • Adolescence
  • Anxiety
  • Anxiety sensitivity
  • Attentional bias
  • Developmental trajectory

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