Cited by 109Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesNeural and Behavioral Psychology StudiesNeurotransmitter Receptor Influence on Behavior

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Reinforcement sensitivity, depression and anxiety: A meta-analysis and meta-analytic structural equation model

Katz, Benjamin A., Matanky, Kathryn, Aviram, Gidi, Yovel, Iftah·2020·Clinical Psychology Review

DOI 10.1016/j.cpr.2020.101842

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Abstract

Reinforcement Sensitivity Theory (RST) posits that individual differences in reward and punishment processing predict differences in cognition, behavior, and psychopathology. We performed a quantitative review of the relationships between reinforcement sensitivity, depression and anxiety, in two separate sets of analyses. First, we reviewed 204 studies that reported either correlations between reinforcement sensitivity and self-reported symptom severity or differences in reinforcement sensitivity between diagnosed and healthy participants, yielding 483 effect sizes. Both depression (Hedges' g = .99) and anxiety (g = 1.21) were found to be high on punishment sensitivity. Reward sensitivity negatively predicted only depressive disorders (g = -.21). More severe clinical states (e.g., acute vs remission) predicted larger effect sizes for depression but not anxiety. Next, we reviewed an additional 39 studies that reported correlations between reinforcement sensitivity and both depression and anxiety, yielding 156 effect sizes. We then performed meta-analytic structural equation modeling to simultaneously estimate all covariances and control for comorbidity. Again we found punishment sensitivity to predict depression (β = .37) and anxiety (β = .35), with reward sensitivity only predicting depression (β = -.07). The transdiagnostic role of punishment sensitivity and the discriminatory role of reward sensitivity support a hierarchical approach to RST and psychopathology.

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An Examination of the Factor, Convergent, and Discriminant Validity of the Behavioral Inhibition System and Behavioral Activation System Scales
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Personality Traits in an Italian Sample: Relationship with Anxiety and Depression
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The Factor Structure of the Liebowitz Social Anxiety Scale for Children and Adolescents: Development of a Brief Version
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BIS and BAS Interact with Perceived Parental Affectionless Control to Predict Personality Disorder Symptomatology
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Personality and Major Depression among Directly Exposed Survivors of the Oklahoma City Bombing
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Temperament and Character Inventory (TCI) in adolescents with anorexia nervosa
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See all 109

Authors: Katz, B. A., Matanky, K., Aviram, G., & Yovel, I.
Affiliations: Hebrew University of Jerusalem (IL)
Corresponding author: Katz, Benjamin A.
ORCID: Katz, Benjamin A.
Yovel, Iftah
Venue: Clinical Psychology Review
Publisher: Elsevier BV
Published: 2020-04
Volume: 77
Pages: 101842
ISSN: 0272-7358 (ISSN-L)
DOI: 10.1016/j.cpr.2020.101842
OpenAlex: W3009760869
Cited by: 109
References: 410
Citations by year: 2026: 18 · 2025: 20 · 2024: 15 · 2023: 16 · 2022: 16 · 2021: 14 · 2020: 9
FWCI: 2.01
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Clinical Psychology Review (publishedVersion)
PubMed (publishedVersion)
Funders: Israel Science Foundation (886/18)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
Keywords: Reinforcement Sensitivity Theory, punishment sensitivity, reward sensitivity, depression, anxiety, psychopathology, transdiagnostic mechanisms, comorbidities, symptom severity, remission
MeSH terms: Latent Class Analysis, Anxiety, Depression, Humans, Punishment, Reward

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Reinforcement sensitivity, depression and anxiety: A meta-analysis and meta-analytic structural equation model

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