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Anxiety sensitivity (AS; the fear of anxiety-related bodily sensations) has been earmarked as a significant risk factor in the development and maintenance of pathological anxiety in adults and children. Given the potential implications of heightened AS, recent research has focused on investigating the etiology and developmental course of elevated AS;

Anxiety sensitivity (AS; the fear of anxiety-related bodily sensations) has been earmarked as a significant risk factor in the development and maintenance of pathological anxiety in adults and children. Given the potential implications of heightened AS, recent research has focused on investigating the etiology and developmental course of elevated AS; however, most of this work has been conducted with adults and is retrospective in nature. Data from college students show that early anxiety-related learning experiences may be a primary source of heightened AS levels, but it remains unclear whether AS in children is linked to their learning experiences (i.e., parental reinforcement, modeling, punishment, and/or transmission of information about anxiety-related behaviors). Based on AS theory and its iterations, an emerging theoretical model was developed to aid further exploration of the putative causes and consequences of heightened AS levels. Using a sample of 70 clinic-referred youth (ages 6 to 16 years old; 51.4% Hispanic/Latino), the present study sought to further explicate the role of learning in the development of AS and anxiety symptoms. Results suggest that childhood learning experiences may be an important precursor to heightened AS levels and, subsequently, increased experiences of anxiety symptoms. Findings also indicate that some youth may be more vulnerable to anxiety-related learning experiences and suggest that culture may play a role in the relations among learning, AS, and anxiety symptoms.
ContributorsHolly, Lindsay (Author) / Pina, Armando A (Thesis advisor) / Crnic, Keith A (Committee member) / Sanabria, Federico (Committee member) / Arizona State University (Publisher)
Created2012
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Description
In this dissertation Mexican American (MA) youths environmental risk contexts, HPA axis functioning and mental health symptomatology were investigated in two separate studies. In the first study, environmental risk contexts were examined utilizing a person-centered approach and focusing on MA adolescents' family, peer, and cultural risk factors in fifth grade

In this dissertation Mexican American (MA) youths environmental risk contexts, HPA axis functioning and mental health symptomatology were investigated in two separate studies. In the first study, environmental risk contexts were examined utilizing a person-centered approach and focusing on MA adolescents' family, peer, and cultural risk factors in fifth grade (N = 750). Environmental contexts were then linked to mental health symptomatology in seventh grade. Results revealed three distinct environmental contexts: Low risk, Moderate risk-language, and High risk-peer. Youth in the High-risk peer context reported the highest levels of symptomatology; greater major depressive disorder (MDD), anxiety, conduct disorder (CD)/oppositional defiant disorder (ODD), and attention deficit hyperactive disorder (ADHD) symptoms than youth experiencing Low risk or Moderate risk-language context. Females, in particular, experiencing the High risk peer context appeared at greatest risk for MDD symptoms. Finally, adolescents in the Moderate risk-language context displayed similar levels of symptoms to the individuals in the Low risk context, with the exception of higher anxiety. This study suggested that MA youth live in unique environmental contexts and these contexts are differentially related to mental health symptomatology. In the second study, 98 MA youth participated in a three-day diurnal cortisol protocol in hopes of linking perceptions of discrimination and HPA diurnal cortisol rhythms. Results revealed that discrimination was related to greater overall cortisol output and marginally related to the cortisol awakening response and evening levels of cortisol. Results suggest that important physiological processes underlie the experiences of discrimination.
ContributorsZeiders, Katharine H (Author) / Roosa, Mark W. (Thesis advisor) / Doane, Leah D. (Committee member) / Dumka, Larry (Committee member) / Enders, Craig E. (Committee member) / Updegraff, Kimberly A. (Committee member) / Arizona State University (Publisher)
Created2011