Risk factors associated with the development of anxiety disorders have been identified; however, the development of preventive interventions targeting these risk factors is in the nascent stage. To date, preventive interventions have tended to target specific anxiety disorder symptoms (e.g., panic attacks). Although these interventions are effective at reducing risk for the targeted disorder (e.g., panic disorder), the focus of the intervention is narrow, thereby limiting the dissemination of these interventions. One approach that may broaden the scope of our prevention efforts is the development of a transdiagnostic intervention. Currently, transdiagnostic interventions have only been used in those with diagnosed conditions (e.g., anxiety disorders); however, it stands to reason that a transdiagnostic approach may also be helpful for those at-risk for developing anxiety disorders. The present study reported on the development and use of a brief preventative intervention for those with subclinical anxiety (i.e., worry, social anxiety). Participants were randomized into either a transdiagnostic preventative intervention, focused on reduction of safety aids, or a health focused control group. Participants consisted of sixty-nine individuals with subclinical levels of anxiety. Results revealed significant between group differences in the reduction of social anxiety, worry, and levels of impairment with the active intervention group relative to the control group. Further, change in safety aid utilization was a significant mediator in the association between intervention group and social anxiety and worry at Week 1; however, it was not a significant mediator at Month 1. Implications of these results and avenues for future research are discussed.

中文翻译：

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亚临床焦虑的经诊断性预防干预：开发和初步验证。

已经确定了与焦虑症发展有关的危险因素。但是，针对这些危险因素的预防性干预措施的开发尚处于初期阶段。迄今为止，预防性干预措施倾向于针对特定的焦虑症症状（例如，惊恐发作）。尽管这些干预措施可以有效降低目标疾病（例如恐慌症）的风险，但干预措施的重点很窄，从而限制了这些干预措施的传播。可以扩大我们的预防工作范围的一种方法是开发一种经诊断的干预措施。目前，经转诊的干预措施仅用于那些被诊断出患有疾病（例如焦虑症）的患者。然而，有理由认为，经诊断的方法也可能对那些患焦虑症风险的人有所帮助。本研究报告了对亚临床焦虑症（即忧虑，社交焦虑症）患者的简要预防性干预措施的开发和使用。参与者被随机分为以减少安全辅助工具为重点的经转诊预防干预或以健康为中心的对照组。参加者由69名亚临床水平的焦虑症患者组成。结果显示，与干预组相比，积极干预组在减少社交焦虑，忧虑和障碍程度方面存在显着差异。进一步，在第1周，安全援助利用的变化是干预组与社交焦虑和担忧之间的重要中介。但是，它在第​​1个月并不是重要的调解人。我们讨论了这些结果的含义和未来研究的途径。