The DOI matches its Crossref record; 65 of the 66 references it cites were found in a registry or an index.
The efficacy of cognitive-behavioral interventions for reducing anxiety sensitivity: A meta-analytic review
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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“Indeed, CBT has been shown to successfully reduce AS across a range of mood and anxiety disorders, with large effect sizes (Smits et al., 2008).”
From Early reduction in anxiety sensitivity predicts greater reduction in disordered eating and trait anxiety during treatment for bulimia nervosa. (2024) · cites this paper as Smits et al., 2008
In the citing paper
“AS is effectively reduced during CBT for anxiety (Smits et al., 2008) and brief interventions targeting AS (Fitzgerald et al., 2021).”
From Early reduction in anxiety sensitivity predicts greater reduction in disordered eating and trait anxiety during treatment for bulimia nervosa. (2024) · cites this paper as Smits et al., 2008
In the citing paper
“There is evidence that treatments specifically targeting DT can help “pre-train” individuals for coping with high stress and withdrawal sensations.”
From A randomized controlled trial protocol for engaging distress tolerance and working memory to aid smoking cessation in low socioeconomic status (SES) adults (2020) · cites this paper as Smits, Berry, Tart, & Powers, 2008
In the citing paper
“For example, M. W. Otto and associates have repeatedly documented the value of interoceptive exposure (IE) interventions targeting anxiety sensitivity for helping prepare patients to persist through the stress, negative affect, and somatic symptoms inherent to benzodiazepine withdrawal, with intervention effects reflecting large effect sizes (M. W. Otto et al., 1993; M. W. Otto et al., 2010; for”
From A randomized controlled trial protocol for engaging distress tolerance and working memory to aid smoking cessation in low socioeconomic status (SES) adults (2020) · cites this paper as Smits, Berry, Tart, & Powers, 2008
Citations
Cites
Wasserman, S. S., Hedges, L. V., & Olkin, I. (1988) · Journal of Educational Statistics · doi:10.2307/1164953 · Cited by 10,377
Statistical Methods for Meta-Analysis.
Freeman, P. R., Hedges, L. V., & Olkin, I. (1986) · Biometrics · doi:10.2307/2531069 · Cited by 4,840
Meta-Analytic Procedures for Social Research
Rosenthal, R. (1991) · doi:10.4135/9781412984997 · Cited by 4,635
Assessing heterogeneity in meta-analysis: Q statistic or I² index?
Huedo-Medina, T. B., Sánchez-Meca, J., Marín-Martínez, F., & Botella, J. (2006) · Psychological Methods · doi:10.1037/1082-989x.11.2.193 · Cited by 4,256
Meta-Analytic Procedures for Social Research.
Metcalfe, A., & Rosenthal, R. (1994) · Journal of the Royal Statistical Society Series D (The Statistician) · doi:10.2307/2348600 · Cited by 4,249
Relation of the therapeutic alliance with outcome and other variables: a meta-analytic review
Martin, D. J., Garske, J. P., & Davis, M. K. (2000) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.68.3.438 · Cited by 3,355
Anxiety, sensitivity, anxiety frequency, and the prediction of fearfulness
Reiss, S., Peterson, R. A., Gursky, D. M., & McNally, R. J. (1986) · Behaviour Research and Therapy · doi:10.1016/0005-7967(86)90143-9 · Cited by 3,169
Fixed-and random-effects models in meta-analysis.
Hedges, L. V., & Vevea, J. L. (1998) · Psychological Methods · doi:10.1037/1082-989x.3.4.486 · Cited by 2,977
Relation between working alliance and outcome in psychotherapy: A meta-analysis
Horvath, A. O., & Symonds, B. D. (1991) · Journal of Counseling Psychology · doi:10.1037/0022-0167.38.2.139 · Cited by 2,673
Set correlation and contingency tables
Cohen, J. (1988) · Applied Psychological Measurement · doi:10.1177/014662168801200410 · Cited by 1,825
Flagged first, then by citations
1 of the 66 references couldn’t be matched to a known paper.
Research works printed but not linked: 1
- Plotkin, D. (2001). The effects of interoceptive exposure on fear reduction and return of fear in individuals with public speaking anxiety. Unpublished doctoral dissertation. Los Angeles: University of California.
Cited by
Sorted by citations
Items 201–241 of 241
DeWolfe, C. E. J., Romero‐Sanchiz, P., Watt, M. C., & Stewart, S. H. (2023) · Journal of Clinical Sport Psychology · doi:10.1123/jcsp.2022-0059 · Cited by 2
Zvolensky, M. J., Robison, J. H., Ayers, Z. S., Senger, A. R., Clausen, B. K., Businelle, M. S., & Gallagher, M. W. (2024) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2024.2360054 · Cited by 2
Nwakpadolu, G. M., Ede, M. O., Nwadi, C. L., Ede, K. R., Okoro, J. O., Onyishi, U. C., Omeke, F. C., & Oneli, J. O. (2024) · Medicine · doi:10.1097/md.0000000000039379 · Cited by 2
Assessment of emotion and emotion-related processes in PTSD
McDevitt‐Murphy, M. E., Zakarian, R. J., & Olin, C. C. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-816022-0.00001-6 · Cited by 3
MacDonald, E. M. (2021) · doi:10.32920/ryerson.14656167.v1 · Cited by 2
DiPietro, C. P., Nakajima, S., Oe, Y., Ito, M., & Curtiss, J. E. (2025) · International Journal of Cognitive Behavioral Therapy · doi:10.1007/s41811-025-00259-y · Cited by 1
Berry, A. M., Johnson, D. H., Porro, D., Clausen, B. K., Schmidt, N. B., & Albanese, B. J. (2026) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2026.2643715 · Cited by 1
Self-citationDavis, J. T. (2009) · Psychoanalytic Psychology · doi:10.1037/a0017716 · Cited by 1
Evaluating the Role of Anxiety Sensitivity on Behavioral Health Outcomes among Latinx Persons
Mayorga, N. A., Brooks, J. R., Walker, R. L., Garey, L., Cardoso, J. B., Garza, M. J., Ochoa‐Perez, M., Lemaire, C. M., Viana, A. G., & Zvolensky, M. J. (2021) · Cognitive Therapy and Research · doi:10.1007/s10608-021-10239-z · Cited by 1
Jamali, M., Heidari, H., Davoodi, H., & Ghaffari, K. (2024) · Journal of Assessment and Research in Applied Counseling · doi:10.61838/kman.jarac.6.1.5 · Cited by 1
Circadian Rhythm in Panic Disorder
Levitan, M. N., & Papelbaum, M. (2016) · Springer eBooks · doi:10.1007/978-3-319-12538-1_8 · Cited by 1
Farris, S. G., Davis, M. L., Hopkins, L. B., Smits, J. A. J., & Powers, M. B. (2012) · doi:10.1002/9781119945901.ch6 · Cited by 1
Self-citationUrbanowicz, A. M. (2022) · theses.fr (ABES) · doi:10.23889/suthesis.61639 · Cited by 1
An examination of the relationship between Alexithymia and health anxiety
Zeng, G. (2015) · Murdoch University Research Portal
De rol van angstgevoeligheid en neuroticisme bij cognitieve gedragstherapie voor angststoornissen.
van der Knijff, S. (2013) · Utrecht University Repository (Utrecht University)
Anxiety Sensitivity in Patients with Alcohol Dependence: A Cross-Sectional Case-Control Study
Pozza, A., Berardi, D., Domenichetti, S., & Dèttore, D. (2014) · American journal of public health research · doi:10.12691/ajphr-2-6-8
Reducing anxiety sensitivity : effects of anxiety education and interoceptive exposure with CO₂
Pai, A. V. (2011) · Texas ScholarWorks (Texas Digital Library)
Panic disorder: Treatment outcomes and psychophysiological concomitants
Hovland, A. (2013) · NORA - Norwegian Open Research Archives
The relationship between anxiety, gaze direction and increased falls risk in walking older adults
Curzon-Jones, B. T. (2016) · University of Birmingham Institutional Research Archive (University of Birmingham)
Stress management in a medical career
Borrelli, M., Farwana, R., & Agha, R. (2017) · IJS Short Reports · doi:10.4103/ijssr.ijssr_12_17
Fear of emotion: Association with anxiety and depressive disorders and response to treatment
Campbell, B. N. C. (2017) · Murdoch University Research Portal
van Schaik, P., Unwin, M., Eves, D., Lara, M., & Mensah, A. (2017) · Quality and User Experience · doi:10.1007/s41233-017-0013-6
Cochrane, M. (2018) · UVic’s Research and Learning Repository (University of Victoria)
Internal versus External Predictors of Physical Activity in Youth
Ryan, P. M. (2019) · Louisiana State University · doi:10.31390/gradschool_dissertations.4906
Bogucki, O. E., Tomer, A., & Sawchuk, C. N. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-818697-8.00160-6
Bibliografía vasca de Amado Alonso
Arriola, J. G. (1981) · Dialnet (Universidad de la Rioja)
MacDonald, E. M. (2021) · doi:10.32920/ryerson.14656167 · Cited by 1
Moses, K., & Wootton, B. M. (2022) · Clinical Psychologist · doi:10.1080/13284207.2021.2023488
Klyce, D. W., West, S. J., Perrin, P. B., Agtarap, S., Finn, J. A., Juengst, S. B., Dams-O’Connor, K., Eagye, C. B., Vargas, T. A., Chung, J. S., et al. (2021) · doi:10.31234/osf.io/xqubf
Douaihy, A. B., Spada, M. L., Bates, N., Macedo, J., & Gorman, J. M. (2017) · doi:10.1093/med/9780199392742.003.0018
Roushani, K., Nejad, S. B., Arshadi, N., Honarmand, M. M., & Fakhri, A. (2017) · Jentashapir Journal of Health Research · doi:10.17795/jjhr-40231
Myers, N. S., Ojalehto, H. J., Tadross, M. E., DuBois, C. M., & Abramowitz, J. S. (2024) · Journal of Cognitive Psychotherapy · doi:10.1891/jcp-2024-0006
Newcombe, B. C., Olthuis, J. V., & Giberson, E. R. (2025) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2025.2491467
Secondary Youth-Level Mechanisms of Change in Parent Training for Anxious Youth
Anderberg, J. L., Barry, K. R., Upshaw, B. M., Mangen, K. H., Spencer, S. D., Guzick, A. G., Ayton, D. M., Palo, A. D., Candelari, A. E., & Storch, E. A. (2025) · Child & Youth Care Forum · doi:10.1007/s10566-025-09880-6
Lebeaut, A., Pedersen, E. R., Francis, D. J., Zvolensky, M. J., & Vujanovic, A. A. (2025) · Behaviour Research and Therapy · doi:10.1016/j.brat.2025.104935
PICS in Survivors of Cardiac Arrest
Sayde, G. E., & Agarwal, S. (2026) · Cambridge University Press eBooks · doi:10.1017/9781009501477.052
Johnson, D. H., Vujanovic, A. A., & Albanese, B. J. (2026) · Behaviour Research and Therapy · doi:10.1016/j.brat.2026.105092
Bigler, M. E., Milgram, L., Grassie, H. L., Halliday, E. R., & Ehrenreich, J. T. (2026) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2026.103241
Metadata
- 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.
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2008-09
- Volume
- 46
- Issue
- 9
- Pages
- 1047-1054
- ISSN
- 0005-7967 (ISSN-L)
- 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
- 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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