Few consistent predictors of differential cognitive behavioral therapy (CBT) outcome for anxious youth have been identified, although emerging literature points to youth reward responsiveness as a potential predictor. In a sample of youth ages 7–17 with a primary anxiety disorder (N = 136; M_age = 12.18 years, SD_age = 3.12; 70 females; Caucasian n = 108, Black n = 12, Asian n = 4, Hispanic n = 5, other n = 7), the current study examined whether youth reward responsiveness assessed via the Behavioral Inhibition and Behavioral Activation System Scales for children, reward responsiveness subscale, predicted post-treatment (a) anxiety symptom severity, (b) depressive symptom severity, (c) functioning, (d) responder status and (e) number of homework/exposure tasks completed following 16-weeks of CBT, controlling for pre-treatment age, sex, anxiety/depressive symptom severity, and functioning. Moderation analyses examined whether relationships differed by age. Increased reward responsiveness was associated with lower anxiety and depressive symptom severity, higher functioning, and increased likelihood of being a responder, but not homework or exposure completion. Moderation analyses showed that younger, but not older, youth who were more reward responsive completed more exposures. Findings indicate that increased reward responsiveness is a predictor of better CBT outcomes for anxious youth, particularly functional outcomes, and that reward responsiveness may play a different role in exposure completion across development.

尽管新兴的文献指出，青年人的奖励反应能力是潜在的预测因素，但很少有人能确定焦虑青年对差异性认知行为疗法（CBT）结果的一致预测因素。在7-17岁患有原发性焦虑症的青年中（N = 136；M_年龄= 12.18岁，SD_年龄= 3.12； 70位女性；白种人n = 108，黑人n = 12，亚裔n = 4，西班牙裔n = 5，其他n= 7），本研究调查了是否通过针对儿童的行为抑制和行为激活系统量表，奖励反应量表，预测的治疗后评估（a）焦虑症状严重程度，（b）抑郁症状严重程度，（c）功能，（d）响应者状态和（e）在进行CBT 16周后完成的家庭作业/暴露任务数量，控制治疗前的年龄，性别，焦虑/抑郁症状的严重程度和功能。适度分析检查了年龄之间的关系是否不同。奖励反应的增加与焦虑和抑郁症状的严重程度降低，机能增强以及成为反应者的可能性增加有关，而与家庭作业或完成暴露无关。审核分析显示，年龄较小但年龄较小的人 奖励响应能力更强的年轻人完成了更多的曝光。研究结果表明，奖励响应能力的提高是焦虑青年CBT结局（尤其是功能性结局）改善的预示因素，并且奖励响应能力在整个开发过程中的暴露完成中可能发挥不同的作用。