Browsing by Author "Breaux, Rosanna"

Now showing 1 - 20 of 30
  • Thumbnail Image
    Adolescent Emotionality and Emotion Regulation in the Context of Parent Emotion Socialization Among Adolescents with Neurodevelopmental Disorders: A Call to Action with Pilot Data
    Breaux, Rosanna; Eadeh, Hana-May; Swanson, Courtney S.; McQuade, Julia D. (Springer, 2021-06-30)
    To date, only three studies have examined the role of emotion socialization in the emotional functioning of youth with neurodevelopmental disorders. As such, this review article with pilot data sought to provide a call to action and first step in addressing this limited research body. Pilot data was collected with 18 adolescents (Mage = 13.5, SD = 1.6; 70% male) with a neurodevelopmental disorder and their primary caregiver. All adolescents were diagnosed with attention-deficit/hyperactivity disorder and displayed a range of comorbid disorders: autism spectrum disorder (27.8%), anxiety (66.7%), depression (44.4%), and disruptive behavior disorders (50%). Adolescents and caregivers completed a conflict discussion task while physiological, observational, and self-report measures of emotion socialization and emotional functioning were measured. Observed supportive parent emotion socialization behaviors were significantly associated with more observed adaptive emotion regulation strategies, and decreased observed and adolescent-reported negative affect, whereas non-supportive emotion socialization behaviors were associated with more observed negative affect and less observed adaptive emotion regulation strategies. Our pilot findings support growing research suggesting that adaptive parent emotion socialization practices can help foster less negative emotionality and better emotion regulation in youth with neurodevelopment disorders. We make a call to action for more emotion socialization research focused on youth with neurodevelopmental disorders, and propose four important directions for future research: 1) Research examining emotion socialization behaviors during daily life, 2) Understanding the nuanced role of emotion socialization practices, 3) Considering diversity in emotion socialization practices with clinical populations, and 4) Longitudinal and intervention research studies.
  • Thumbnail Image
    Anxiety, worry, and difficulty concentrating: A longitudinal examination of concurrent and prospective symptom relationships
    Blendermann, Mary; Breaux, Rosanna; Fried, Eiko I.; Naragon-Gainey, Kristin; Starr, Lisa R.; Stewart, Jeremy; Teachman, Bethany A. (Elsevier, 2025-01)
    Difficulty concentrating is an understudied cognitive phenomenon, despite its status as a diagnostic criterion for generalized anxiety disorder and contributor to clinically significant distress and impairment. Worry may constitute a cognitive mechanism by which anxiety leads to difficulty concentrating. The present study examined concurrent and prospective associations between self-reported anxiety, worry, and subjective difficulty concentrating across three timepoints (T1 April/May, T2 July/August, T3 October/November 2020) in 198 adults (M age = 37.94, SD = 13.42; 81% women, 2% gender minority) drawn from a larger study of trajectories of psychopathology during the COVID-19 pandemic. In multilevel models, anxiety was associated with worry both between (β = 0.65, SE = 0.13) and within participants (β = 0.12, SE = 0.11). Difficulty concentrating was also associated with worry between (β = 0.38, SE = 0.03) and within participants (β = 0.09, SE = 0.02). In a structural equation model, worry partially mediated the longitudinal association between anxiety and difficulty concentrating, though this effect was nonsignificant after controlling for difficulty concentrating at T2 and worry, depression, sleep disturbance, and difficulty concentrating at T1. The unadjusted mediation and these other findings are in line with theoretical accounts of worry as a cognitive mechanism linking anxiety to subjective attentional problems.
  • Thumbnail Image
    The Association of Microbreaks with Work Performance: A Self-Determination Theory Perspective
    Rost, Emily Alexis (Virginia Tech, 2022-05-17)
    Microbreaks are short, voluntary breaks taken during the workday that have been found to be beneficial in the recovery process as they are less structured and can be taken when an employee is feeling heightened levels of fatigue. Self-determination theory provides an important lens through which to study the possible association between microbreaks and work performance. Self-determination theory states that when an individual's needs for autonomy, competence, and relatedness are satisfied the individual will have intrinsic motivation which will drive performance. In this experience sampling study, I recruited employees to respond to four surveys per day for five days. Based on the results of 100 participants, using unconflated multilevel modeling I found that higher work engagement covaried with higher personal initiative. Using multilevel structural equation modeling and focusing on between-person relationships, I found that autonomy need satisfaction during microbreaks covaried with increased intrinsic work motivation, while relatedness covaried with decreased intrinsic work motivation. Also, focusing on the between-person relationships, higher intrinsic work motivation covaried with higher work engagement, which then covaried with higher personal initiative. At the between-person level autonomy influenced personal initiative indirectly via enhancements in work engagement extending from intrinsic motivation. In this dissertation, I provided a comparative analysis of microbreak activities and implications of need satisfaction on various work-related constructs.
  • Thumbnail Image
    Autism Assessment from Home: Evaluating the Remote Childhood Autism Rating Scale, Second Edition (rCARS2) Observation for Tele-Assessment of Autism
    Bertollo, Jennifer Rose (Virginia Tech, 2024-05-17)
    Since the start of the COVID-19 pandemic, tele-based methods of autism assessment have been relied upon to a previously unparalleled degree; however, the need for such advancements is not new. Observation-based measures are a crucial component of face-to-face autism diagnostic evaluations, but few validated observation tools exist for remotely assessing autism across childhood, particularly for older children and adolescents, providing minimal guidance in this arena. Sanchez and Constantino (2020) previously validated a brief, face-to-face, clinician-facilitated observation coded according to the Childhood Autism Rating Scale, Second Edition (CARS-2). During the pandemic, this measure was adapted as a remote observation (rCARS2 Observation), but has yet to be validated in this format. The current study validated the rCARS2 Observation against the "gold-standard," in-person Autism Diagnostic Observation Schedule, Second Edition (ADOS-2). In this sample of 30 children ages 1.97 to 16.66 years (M = 7.35, SD = 4.00), ADOS-2 and rCARS2 Observation total scores were highly correlated (ρ = .644, p < .001). Receiver operating characteristic (ROC) curves optimized rCARS2 Observation cutoff scores to maximize sensitivity and specificity in predicting possible diagnostic classification (88.9% sensitivity, 80% specificity) and ADOS-2 classification (83.3% sensitivity, 70.6%, specificity). At optimal cutoffs, the rCARS2 Observation predicted the correct diagnosis in 82.8% of cases and the same classification as the ADOS-2 in 75.9% of cases. Validation of this instrument provides support for an accessible and efficient remote autism observation. This is crucial in ensuring uniform training and clinical procedures for tele-assessment of autism, to help mitigate long-standing barriers to service access (e.g., geography, cost, availability).
  • Thumbnail Image
    Autonomic Nervous System Correlates of Emotion Regulation in Autistic Adults
    Fok, Megan (Virginia Tech, 2024-06-11)
    Emotion regulation difficulty is commonly experienced by autistic adults and has been explored as a transdiagnostic mechanism contributing to anxiety and depression in autistic adults. Previous research has found that emotion regulation strategies and autonomic nervous system (ANS) responses involved in emotion regulation differ between autistic and non-autistic individuals. These findings highlight the role of the ANS as a measure of emotion regulation; however, this has not been studied in an autistic adult sample. The current study examined ANS activity, as measured by respiratory sinus arrhythmia (RSA), root mean square successive differences (rMSSD), and skin conductance level (SCL), and subjective ratings of valence and arousal at rest and while viewing emotional film clips and engaging in emotion regulation in autistic adults. The study consisted of 31 autistic and 31 non-autistic adults, matched on age, intellectual ability, sex, and race/ethnicity. Participants also self-reported their daily emotion regulation use via the Emotion Regulation Questionnaire. Results demonstrated group differences in baseline RSA and rMSSD, self-reported valence of viewing neutral and negative stimuli, and cognitive reappraisal used in daily life. There was also increased SCL and self-reported arousal and decreased self-reported valence to negative stimuli across the whole sample. Exploratory results also showed that SCL and self-reported arousal to negative stimuli were correlated for autistic participants, and that emotion regulation changed physiological and subjective experiences of negative emotion across the whole sample. Supplementary analyses explored the covarying role of co-occurring depression and anxiety and antidepressant use, and showed that these covariates may explain variance in some physiological and self-reported responses whereas in other models, they may suppress these changes. This study extends previous research on emotion regulation in daily life of autistic adults and is the first investigation that demonstrates how an objective measure, such as correlates of ANS, provides additional insight in emotion regulation in autistic adults beyond subjective ratings. This study is important insofar as it shows how emotion regulation strategies manifest in autistic adults and its implications for informing the use of emotion regulation treatment intervention.
  • Thumbnail Image
    Childhood Maltreatment is Associated with Adult Depression: Is Inflammation to Blame?
    Lewis, Jasmine (Virginia Tech, 2022-12-12)
    By 2030 major depression is predicted to be the leading cause of disease burden in the world; as such, it is critical to understand factors that contribute to the development of depression. The social signal transduction theory of depression hypothesizes that adversity and social threat upregulate pro-inflammatory biomarkers leading to depression. The current study examined whether pro-inflammatory biomarkers (interleukin-6, interleukin-8, c-reactive protein, and tumor necrosis factor alpha) mediate the association between various types of childhood maltreatment (physical abuse, sexual abuse, emotional abuse, physical neglect, emotional neglect) and adult depression symptoms in a sample of 740 adults (372 female; Mage= 51.6 years, SD = 13.6) who provided retrospective report of childhood maltreatment as part of the Midlife in the United States (MIDUS) Refresher Biomarker study. Additionally, it explored whether these relations differ for males versus females. A series of linear regression analyses were run in SPSS; separate models were run for each form of childhood maltreatment and for interleukin-6, interleukin-8, c-reactive protein, and tumor necrosis factor-alpha. The results showed that childhood maltreatment is a robust predictor of adulthood depression; however, this association did not differ between biological sexes. In addition, only interleukin-6 was shown to partially mediate the association between childhood maltreatment and adulthood depression. These findings highlight the need to explore the use of interleukin-6 to screen for depression in youth.
  • Thumbnail Image
    The connection between the triple network model and locus coeruleus integrity in those exhibiting inattentive symptoms
    Neal, Joshua (Virginia Tech, 2024-01)
    The locus coeruleus (LC) is a nucleus within the brainstem associated with physiological arousal and attention performance, with altered structure and function previously identified in neurodegenerative disorders. Pathologies related to difficulties with attention have previously been understood within a cortical triple network model, abnormalities in which may be relate to dysfunction in either LC structure or function. To examine the possibility of LC alteration being associated with inattentive symptom report, a set of analyses have been performed. In the first analysis, LC neuromelanin contrast was regressed onto ADHD symptom report for 141 individuals across the lifespan, finding a significant negative relationship between neuromelanin in the right hemisphere of the LC and inattentive symptom report. A second analysis tested for possible mediation of the neuromelanin contrasts with structural volumes of regions associated with the salience network, which has also been previously associated with attention deficits and ADHD symptoms. These findings support the relationship between LC and attention-related behavior through both neuromelanin-sensitive and structural imaging, and observes multiple significant structural associations for cortical regions previously associated to inattention functionally.
  • Thumbnail Image
    COVID-19 Resulted in Lower Grades for Male High School Students and Students With ADHD
    Breaux, Rosanna; Dunn, Nicholas C.; Langberg, Joshua M.; Cusick, Caroline N.; Dvorsky, Melissa R.; Becker, Stephen P. (2021-10-26)
    Objective: Researchers have speculated that the COVID-19 pandemic may expand the academic performance gap experienced by at-risk students. We examined learning experiences during the 2020 to 2021 school year and the impact the pandemic has had on high school student grade point average (GPA), including predictors of change in GPA from 2019-2020 to 2020-2021. Method: Participants were 238 adolescents (55.5% male), 49.6% with attention-deficit/hyperactivity disorder (ADHD), in the United States. Adolescents reported on their GPAs via online surveys. Results: GPA significantly decreased on average from 2019-2020 to 2020-2021 school year. ADHD status and biological sex significantly moderated change-students with ADHD and male students reported decreased GPA, whereas students without ADHD and female students' GPA did not change. Low income and Black/Latinx students had lower GPAs in both school years. Conclusion: It is imperative that additional supports be provided for at-risk students to help them catch up on missed learning during the pandemic.
  • Thumbnail Image
    Criminological, psychological, and developmental aspects of pandemic strain and online cruelty
    Parti, Katalin; Sanders, Cheryl E.; Breaux, Rosanna; McCoy, Meghan (Springer, 2024-12)
  • Thumbnail Image
    Does Social Competence in Preschoolers Predict Psychopathology Symptoms in Childhood and Adolescence?
    Swanson, Courtney (Virginia Tech, 2021-05-12)
    A large body of research has examined if early psychopathology symptoms predict continued social difficulties into adolescence; however, few studies have examined whether early social competence predict which children will develop and maintain psychopathology symptoms across childhood and adolescence. Utilizing the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development dataset, this study included a multi-method assessment of social competence in preschoolers and examined whether these social competency measures predicted internalizing and externalizing psychopathology symptom trajectories throughout childhood and adolescence. Additionally, it examined whether social competency measures predicted narrowband measures of attention-deficit/hyperactivity disorder, oppositional defiant disorder, depression, and psychopathy in 3rd - 9th grade. Exploratory factory analyses could not identify underlying factors among the social competency measures; as such, these were examined individually. Two to four classes were identified using Growth Mixture Modeling for parent- and teacher-reported internalizing and externalizing trajectories. Generally, children who had worse preschool social competence were more likely to be in the various moderate and high psychopathology symptom trajectory classes. Some measures of social competency were predictive of parent and teacher-reported ADHD and ODD and self-reported psychopathy, with differing relations for males and females; no measures were predictive of self-reported depression. This study has important implications with regard to early identification of and intervention for at-risk youth. Identifying these youth during the preschool years can result in improved developmental trajectories and significantly decreased societal costs.
  • Thumbnail Image
    Examination of Emotion Socialization in Early Childhood: Indian vs. U.S. White Families
    Shroff, Delshad Mahiar (Virginia Tech, 2024-05-09)
    Parent emotion socialization (ES), the process through which caregivers influence the development and expression of emotions in their children, needs to be interpreted within a socio- cultural context. Given that current research has primarily been conducted in Western cultures, it is critical to examine parent ES among families from Eastern cultural backgrounds. The current study aimed to acquire empirical knowledge on ES goals, beliefs, and practices during early childhood (i.e., with toddlers and preschoolers) using parent-report and observational measures among urban Indian parents and White parents in the United States (US). Data was derived from two samples. Study 1 includes 77 parent-toddler dyads in the US (New York; n = 39) and India (Chennai, n = 38); study 2 includes 217 parents of preschoolers residing in India (native Indian parents, n = 98) and the US (White parents, n = 119). As hypothesized, Indian parents of toddlers and preschoolers endorsed more balanced (i.e. with collectivistic and individualistic components) socialization goals, had differing beliefs on the value and function of emotions, and exhibited some ES practices (i.e., minimization reactions and expressive encouragement) that differed in utility and functionality, compared to White families in the US. Results highlight the need for considering the specific settings in which emotions are expressed when examining ES in Indian contexts, and the importance of considering cultural diversity in examining parent ES beliefs and practices and their impact on child outcomes. The current study contributes to the emerging body of literature on ES during early childhood among urban Indian populations. Findings will facilitate more effective early intervention supporting young children's development in an Indian cultural context, setting them up for success in social, emotional, and academic domains.
  • Thumbnail Image
    Experiences of Stress, Trauma, and Coping among Black Communities in Southwest Virginia
    Dike, Janey Elizabeth (Virginia Tech, 2023-05-23)
    In 2020, instances of anti-Black racism and racial injustice became increasingly prevalent and garnered widespread public attention. Simultaneously, the COVID-19 pandemic contributed to experiences of stress and elevated risk of exposure to maladaptive health outcomes. Black communities were disproportionately affected by these intersecting events, leaving them more vulnerable to increased stress and trauma, differential access to healthcare, and adverse mental health outcomes (Hooper et al., 2020; Schmitt et al., 2014; Vindegaard and Benros, 2020). In a sample of trauma-exposed Black adults residing in southwest Virginia, this mixed methods investigation examined the associations between psychopathology and exposure to COVID-19 and racial discrimination stressors, as well as between resilience/coping factors and psychological difficulties. Open-ended questions related to stressors, coping strategies, and mental health care perceptions and barriers were posed. Results indicated racial discrimination associated significantly with posttraumatic stress disorder (PTSD), depression and anxiety, and shame symptoms, whereas pandemic-related stress associated only with PTSD symptoms. Afrocentric worldview emerged as the most salient resilience factor negatively associated with psychopathology, followed by social support and resilient coping. Common barriers to care included a dearth in Black providers, feasibility factors, and limited availability of services, though the majority of the sample expressed a belief in mental health services as helpful. Future implications of this work include implementation of accessible, community-based resources, support for increased racial-ethnic representation among mental health providers, and incorporation of culturally-appropriate and client-centered strategies in existing evidence-based treatments.
  • Thumbnail Image
    Exploration of Clinician Adherence and Competency as Predictors of Treatment Outcomes in a School-Based Homework and Organization Intervention for Students with ADHD
    Breaux, Rosanna; Willis, Kelcie D.; Eadeh, Hana-May; Bourchtein, Elizaveta; McCowan, Alissa; Langberg, Joshua M. (Springer, 2021-02-27)
    Addressing the complex homework and organization problems faced by students with attention-deficit/hyperactivity disorder (ADHD) must be balanced with ensuring that interventions are feasible to implement. The Homework, Organization, and Planning Skills (HOPS) intervention was developed to be a brief intervention implemented in typical school settings with minimal training/support required for school clinicians. Given this, it is critical to explore how clinician adherence and competency relate to student outcomes. Participants included 107 adolescents with ADHD (Mage = 11.95, SD = 1.04; 69% male; 57% on ADHD medication) who participated in the HOPS intervention. Path analyses examined the relation between clinician adherence (fidelity to session content, session length) and competency (e.g., empathic, enthusiastic, calm, collaborative), controlling for baseline scores of the outcome measure and other relevant therapeutic processes (parent and adolescent engagement, working alliance). Clinician fidelity and competency were inversely related, such that highly competent clinicians had lower fidelity to the HOPS content. Importantly, clinician competency was a significant predictor of fewer parent-reported adolescent organizational problems and a higher percentage of assignments turned in post-HOPS, whereas clinician fidelity was unrelated to treatment outcomes. Session length was inversely related to parent-reported homework performance, such that longer session length was associated with worse homework outcomes. Findings suggest that school clinician competency is an important factor in predicting positive treatment outcomes for youth who participate in school-based homework and organization interventions. Training to help school clinicians improve their competency including being more empathetic, calm, motivating, and collaborative with students, and to help them flexibly implement school-based interventions is warranted.
  • Thumbnail Image
    Help Seeking Behaviors Among Black Indigenous and People of Color (BIPOC) Following Mass Trauma
    George, Brianna (Virginia Tech, 2021-12-16)
    Interpersonal Violence in the form of school shootings is prevalent in American society and can negatively impact the mental health of survivors. Black, Indigenous and People of Color (BIPOC) tend to bear the worse outcomes following such events due in part by effects of complex trauma (e.g., minority stress). Using the Andersen Model of Behavioral Healthcare Use within a sample of 4,627 students who were enrolled at the time of the Virginia Tech 4/16 shooting, the current thesis sought to: (1) examine predisposing factors as a mediator of the relationship among racial identity and help seeking, (2) to examine enabling factors as a mediator of the relationship among racial identity and help seeking and (3) to examine need factors as a mediator of the relationship among racial identity and help seeking. Using negative binomial regressions within a mediational framework, the relationships among racial identity and help seeking were assessed, with variables capturing predisposing, enabling, and need components of the Andersen Model of Behavioral Healthcare Use entered as mediators. The results showed that predisposing factors mediated the relationship among racial identity and help seeking behavior in Asian, Black, and White students, but not Latinx students. Enabling factors mediated the relationship among racial identity and help seeking in Asian and Latinx students, but not Black and White students. Need factors mediated the relationship among racial identity and help seeking behavior in White students, but not in Asian, Black or Latinx students. Clinical implications of these results and future directions are discussed.
  • Thumbnail Image
    The Impact of Birth Order on Language Development in Children with Autism Spectrum Disorder in Simplex Families
    McFayden, Tyler Christine (Virginia Tech, 2021-05-11)
    The impact of birth order on language development has gained significant traction over the years, with contradictory evidence suggesting that lower birth order may hinder language development in typically-developing children (Nafissi and Vosoughi, 2015). However, results also suggest that when considering measures of social communication, second-born typically-developing children demonstrate a significant advantage (Kheirkhah and Cekaite, 2018). These findings have interesting ramifications when considering autistic children, as language impairments are characteristic of the disorder. The current study investigated the impact of birth order, in particular having an older, typically-developing sibling, on vocabulary and social language development in autistic youth. Participants included 1338 first-borns and 1049 second-borns (M age = 9.03 years, SD = 3.57; 86.4% male) with diagnoses of Autistic disorder, Aspergers, or PDD-NOS from the Simons Simplex Collection (Fischbach and Lord, 2010). Results indicated no significant differences in vocabulary or social language between first-borns and second-borns. Hierarchical linear regressions indicated no significant main effect of birth order; however, significant 2-way interactions with birth order x income and birth order x age predicted expressive vocabulary and inappropriate speech. Post-hoc simple slopes suggested that birth order may have a greater impact on language in younger autistic children, and lower-income families. This is the first work to date to investigate birth order and contextual factors on expressive language outcomes in autistic youth.
  • Thumbnail Image
    Impacts of COVID-19 quarantine and isolation on adolescent social functioning
    Breaux, Rosanna; Cash, Annah R.; Lewis, Jasmine; Garcia, Katelyn M.; Dvorsky, Melissa R.; Becker, Stephen P. (Elsevier, 2023-06)
    This review discusses research conducted globally between March 2020 and March 2023 examining the impact of the COVID-19 pandemic on adolescent social functioning, including their lifestyle, extracurricular activities, family environment, peer environment, and social skills. Research highlights the widespread impact, with largely negative effects. However, a handful of studies support improved quality of relationships for some young people. Study findings underscore the importance of technology for fostering social communication and connectedness during periods of isolation and quarantine. Most studies specifically examining social skills were cross-sectional and conducted in clinical populations, such as autistic or socially anxious youth. As such, it is critical that ongoing research examines the long-term social impacts of the COVID-19 pandemic, and ways to promote meaningful social connectedness via virtual interactions.
  • Thumbnail Image
    Increasing Screen Exposure Time Harms Inhibitory-Control Network in Developing Children: A Two Years Follow-up of the ABCD Study
    Chen, Ya-Yun (Virginia Tech, 2021-12)
    As virtual experiences are rapidly substituting a significant proportion of in-person interactions during the COVID pandemic, it is critical to monitor the effect of screen exposure time on developing children’s behavior and nervous system. Screen use boosts information accessibility and, therefore, may delay the development of the inhibitory control networks in children, who are vulnerable to immediate reward-orientated tendencies and not yet capable of controlling their impulsivity. Therefore, it was hypothesized that as children become more exposed to screens, the development of the inhibitory control network would be delayed and their reward sensitivity will be augmented. Using the ABCD Study Data Repository, 8,334 children’s behavioral and neural data (aged 9-11) were included. Robust mediation analysis and correlation analysis were used to investigate how Screen Time interacts with children’s reward-orientated tendency (e.g. Behavioral approach system, BAS) and the brain's inhibitory network. Intrinsic Frontoparietal Network-Striatum (FPN-Striatum) connectivity strength was used as neural indices of the inhibitory control quality in children. Results showed that Screen Time significantly mediated the relationship between BAS and both waves of the intrinsic inhibitory process. A higher BAS was linked to a longer Screen Time and weaker inhibitory network connectivity. This complete/full mediation model indicates that Screen Time negatively influenced the strength of FPN-Striatum connectivity. In conclusion, the study revealed specific behavioral and neural correlates of screen exposure using a large database, and suggested that increasing screen exposure time may impair the inhibitory capability and increase impulsivity in children.
  • Thumbnail Image
    #InspireInclusion: Addressing the Undue Service Burden Placed on Women Faculty in Psychology
    Breaux, Rosanna (The Association for Child and Adolescent Mental Health, 2024-03-08)
  • Thumbnail Image
    Intolerance of uncertainty as a predictor of anxiety severity and trajectory during the COVID-19 pandemic
    Breaux, Rosanna; Naragon-Gainey, Kristin; Katz, Benjamin; Starr, Lisa; Stewart, Jeremy; Teachman, Bethany; Burkhouse, Katie; Caulfield, M. Kathleen; Cha, Christine; Cooper, Samuel; Dalmaijer, Edwin; Kriegshauser, Katie; Kusmierski, Susan; Ladouceur, Cecile; Asmundson, Gordon; Davis Goodwine, Darlene; Fried, Eiko; Gratch, Ilana; Kendall, Philip; Lissek, Shmuel; Manbeck, Adrienne; McFayden, Tyler; Price, Rebecca; Roecklein, Kathryn; Wright, Aidan; Yovel, Iftah; Hallion, Lauren (Pergamon-Elsevier, 2024-08-03)
    Background: Efforts to identify risk and resilience factors for anxiety severity and course during the COVID-19 pandemic have focused primarily on demographic rather than psychological variables. Intolerance of uncertainty (IU), a transdiagnostic risk factor for anxiety, may be a particularly relevant vulnerability factor. Method: N = 641 adults with pre-pandemic anxiety data reported their anxiety, IU, and other pandemic and mental health-related variables at least once and up to four times during the COVID-19 pandemic, with assessments beginning in May 2020 through March 2021. Results: In preregistered analyses using latent growth models, higher IU at the first pandemic timepoint predicted more severe anxiety, but also a sharper decline in anxiety, across timepoints. This finding was robust to the addition of pre-pandemic anxiety and demographic predictors as covariates (in the full sample) as well as pre-pandemic depression severity (in participants for whom pre-pandemic depression data were available). Younger age, lower self/parent education, and self-reported history of COVID-19 illness at the first pandemic timepoint predicted more severe anxiety across timepoints with strong model fit, but did not predict anxiety trajectory. Conclusions: IU prospectively predicted more severe anxiety but a sharper decrease in anxiety over time during the pandemic, including after adjustment for covariates. IU therefore appears to have unique and specific predictive utility with respect to anxiety in the context of the COVID-19 pandemic.
  • Thumbnail Image