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Behavioral problems in anxious youth: Cross-sectional and prospective associations with reinforcement sensitivity and parental rejection

A subsample of children and young people (CYP) with anxiety disorders presents with comorbid behavioral problems. These CYP have greater impairment in daily life, profit less from current treatments, and have an increased risk for continued mental problems. We investigated two potential explanations...

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Autores principales: Kreuze, Leonie J., de Jong, Peter J., Jonker, Nienke C., Hartman, Catharina A., Nauta, Maaike H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9612547/
https://www.ncbi.nlm.nih.gov/pubmed/36301807
http://dx.doi.org/10.1371/journal.pone.0267177
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author Kreuze, Leonie J.
de Jong, Peter J.
Jonker, Nienke C.
Hartman, Catharina A.
Nauta, Maaike H.
author_facet Kreuze, Leonie J.
de Jong, Peter J.
Jonker, Nienke C.
Hartman, Catharina A.
Nauta, Maaike H.
author_sort Kreuze, Leonie J.
collection PubMed
description A subsample of children and young people (CYP) with anxiety disorders presents with comorbid behavioral problems. These CYP have greater impairment in daily life, profit less from current treatments, and have an increased risk for continued mental problems. We investigated two potential explanations for these comorbid behavioral problems. First, high punishment sensitivity (PS) may lead to a strong inclination to experience threat, which may not only elicit anxiety but also defensive behavioral problems. Second, behavioral problems may arise from high reward sensitivity (RS), when rewards are not obtained. Behavioral problems may subsequently elicit parental rejection, thereby fueling anxiety. We used a cross-sectional (age = 16.1, N = 61) and prospective (age = 22.2, N = 91) approach to test the relationship between PS/RS and comorbid behavioral problems. Participants were a subsample of highly anxious CYP from a large prospective cohort study. PS/RS were indexed by a spatial orientation task. We also investigated the prospective association between behavioral problems and anxiety at 6-year follow-up, and the proposed mediation by parental rejection. PS and RS showed no cross-sectional or prospective relationships with comorbid behavioral problems in highly anxious CYP. Yet, behavioral problems in adolescence showed a small prospective relationship with anxiety in young adulthood, but this was not mediated nor moderated by parental rejection. No evidence was found for PS/RS being involved in comorbid behavioral problems in anxious CYP. Findings point to comorbid behavioral problems as potential factor contributing to the further increase of anxiety.
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spelling pubmed-96125472022-10-28 Behavioral problems in anxious youth: Cross-sectional and prospective associations with reinforcement sensitivity and parental rejection Kreuze, Leonie J. de Jong, Peter J. Jonker, Nienke C. Hartman, Catharina A. Nauta, Maaike H. PLoS One Research Article A subsample of children and young people (CYP) with anxiety disorders presents with comorbid behavioral problems. These CYP have greater impairment in daily life, profit less from current treatments, and have an increased risk for continued mental problems. We investigated two potential explanations for these comorbid behavioral problems. First, high punishment sensitivity (PS) may lead to a strong inclination to experience threat, which may not only elicit anxiety but also defensive behavioral problems. Second, behavioral problems may arise from high reward sensitivity (RS), when rewards are not obtained. Behavioral problems may subsequently elicit parental rejection, thereby fueling anxiety. We used a cross-sectional (age = 16.1, N = 61) and prospective (age = 22.2, N = 91) approach to test the relationship between PS/RS and comorbid behavioral problems. Participants were a subsample of highly anxious CYP from a large prospective cohort study. PS/RS were indexed by a spatial orientation task. We also investigated the prospective association between behavioral problems and anxiety at 6-year follow-up, and the proposed mediation by parental rejection. PS and RS showed no cross-sectional or prospective relationships with comorbid behavioral problems in highly anxious CYP. Yet, behavioral problems in adolescence showed a small prospective relationship with anxiety in young adulthood, but this was not mediated nor moderated by parental rejection. No evidence was found for PS/RS being involved in comorbid behavioral problems in anxious CYP. Findings point to comorbid behavioral problems as potential factor contributing to the further increase of anxiety. Public Library of Science 2022-10-27 /pmc/articles/PMC9612547/ /pubmed/36301807 http://dx.doi.org/10.1371/journal.pone.0267177 Text en © 2022 Kreuze et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Kreuze, Leonie J.
de Jong, Peter J.
Jonker, Nienke C.
Hartman, Catharina A.
Nauta, Maaike H.
Behavioral problems in anxious youth: Cross-sectional and prospective associations with reinforcement sensitivity and parental rejection
title Behavioral problems in anxious youth: Cross-sectional and prospective associations with reinforcement sensitivity and parental rejection
title_full Behavioral problems in anxious youth: Cross-sectional and prospective associations with reinforcement sensitivity and parental rejection
title_fullStr Behavioral problems in anxious youth: Cross-sectional and prospective associations with reinforcement sensitivity and parental rejection
title_full_unstemmed Behavioral problems in anxious youth: Cross-sectional and prospective associations with reinforcement sensitivity and parental rejection
title_short Behavioral problems in anxious youth: Cross-sectional and prospective associations with reinforcement sensitivity and parental rejection
title_sort behavioral problems in anxious youth: cross-sectional and prospective associations with reinforcement sensitivity and parental rejection
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9612547/
https://www.ncbi.nlm.nih.gov/pubmed/36301807
http://dx.doi.org/10.1371/journal.pone.0267177
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