Cited by 241Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychological Treatments and AssessmentsPsychotherapy Techniques and Applications

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The efficacy of cognitive-behavioral interventions for reducing anxiety sensitivity: A meta-analytic review

Smits, Jasper A.J., Berry, Angela C., Tart, Candyce D., Powers, Mark B.·2008·Behaviour Research and Therapy

DOI 10.1016/j.brat.2008.06.010

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Abstract

The present study meta-analytically reviewed the efficacy of cognitive-behavioral therapy (CBT) vs. control conditions in the reduction of anxiety sensitivity. A computerized search was conducted to identify CBT outcome studies that included the Anxiety Sensitivity Index as a dependent variable. Of the 989 studies that were identified, 24 randomized-controlled trials with a total of 1851 participants met inclusion criteria and were included in the analysis. Data were extracted separately for treatment-seeking (16 studies) and at-risk (eight studies) samples. Results indicated large effect sizes for treatment-seeking samples, Hedges' g=1.40, SE=0.21, 95% CI: 1.00-1.81, p<0.001, and moderate to large effect sizes for at risk samples Hedges' g=0.74, SE=0.18, 95% CI: 0.39-1.08, p<0.001. Additionally, both the amount of therapist contact and control modality (waitlist vs. psychological control) moderated the effect sizes for treatment-seeking samples. Our review indicates that CBT is efficacious in reducing anxiety sensitivity. However, more research is needed to determine the mechanisms by which CBT exert its effects on anxiety sensitivity.

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Authors: Smits, J. A. J., Berry, A. C., Tart, C. D., & Powers, M. B.
Affiliations: Southern Methodist University (US)
University of Amsterdam (NL)
Corresponding author: Smits, Jasper A.J.
ORCID: Smits, Jasper A.J.
Powers, Mark B.
Venue: Behaviour Research and Therapy
Publisher: Elsevier BV
Published: 2008-09
Volume: 46
Issue: 9
Pages: 1047-1054
ISSN: 0005-7967 (ISSN-L)
DOI: 10.1016/j.brat.2008.06.010
OpenAlex: W2116897798
Cited by: 241
References: 66
Citations by year: 2026: 5 · 2025: 9 · 2024: 12 · 2023: 14 · 2022: 16 · 2021: 16 · 2020: 13 · 2019: 24 · 2018: 16 · 2017: 16 · 2016: 21 · 2015: 20 · 2014: 12 · 2013: 10 · 2012: 19
FWCI: 7.73
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Behaviour Research and Therapy (publishedVersion)
PubMed (publishedVersion)
UvA-DARE (University of Amsterdam) (publishedVersion)
Radboud Repository (Radboud University) (submittedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords: cognitive behavioral therapy, anxiety sensitivity, Anxiety Sensitivity Index, treatment efficacy, therapist contact, waitlist control, psychological control, mechanisms of change
MeSH terms: Anxiety Disorders, Female, Humans, Male, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic

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The efficacy of cognitive-behavioral interventions for reducing anxiety sensitivity: A meta-analytic review

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