ABSTRACT The present study examined the underlying role of anxiety sensitivity in the association between effortful control and anxiety and depressive symptoms in a sample of clinically anxious children. It was hypothesized that effortful control would exert an indirect effect through anxiety sensitivity in relation to child anxiety and depressive symptoms. Clinically anxious children (N= 105; M age = 10.09 years, SD = 1.22; 56.7% female; 61% ethnic minority) and their mothers completed a diagnostic interview and a battery of questionnaires that included self- and mother-ratings of child effortful control, anxiety sensitivity, and anxiety and depressive symptoms. The indirect effect of effortful control via anxiety sensitivity on child anxiety and depressive symptoms was significant across child- and mother-completed measures. Among clinically anxious youth, greater effortful control was related to lower anxiety sensitivity, which was related to lower anxiety and depressive symptoms. Future work should evaluate whether targeting effortful control leads to clinically meaningful reductions in anxiety sensitivity and child anxiety and depressive symptoms.

中文翻译：

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焦虑敏感性在努力控制与儿童焦虑和抑郁症状之间的关联中的解释作用

摘要：本研究在临床焦虑儿童样本中检验了焦虑敏感性在努力控制与焦虑和抑郁症状之间的关联中的潜在作用。据推测，努力控制会通过与儿童焦虑和抑郁症状相关的焦虑敏感性产生间接影响。临床焦虑儿童（N = 105；M 年龄 = 10.09 岁，SD = 1.22；56.7% 为女性；61% 少数族裔）及其母亲完成了诊断访谈和一系列调查问卷，其中包括儿童努力程度的自我评价和母亲评价控制、焦虑敏感性以及焦虑和抑郁症状。在儿童和母亲完成的测量中，通过焦虑敏感性进行努力控制对儿童焦虑和抑郁症状的间接影响是显着的。在临床焦虑的青少年中，更强的控制力与较低的焦虑敏感性有关，而较低的焦虑敏感性又与较低的焦虑和抑郁症状有关。未来的工作应该评估以努力控制为目标是否会导致焦虑敏感性以及儿童焦虑和抑郁症状的临床有意义的降低。