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Consequences of Not Planning Ahead: Reduced Proactive Control Moderates Longitudinal Relations Between Behavioral
Sonya V Troller-Renfree1, George A Buzzell1, Daniel S Pine2
1University of Maryland, College Park, MD.
Journal of the American Academy of Child and Adolescent Psychiatry
|February 16, 2019
Summary
Children with behavioral inhibition (BI) who use a reactive cognitive control strategy are at higher risk for anxiety. Shifting towards proactive control may reduce anxiety in at-risk youth.
Area of Science:
- Developmental psychology
- Clinical psychology
- Neuroscience
Background:
- Behavioral inhibition (BI) in early childhood is a known risk factor for developing anxiety disorders.
- Not all children with BI develop anxiety, suggesting moderating factors are at play.
- Cognitive control strategies vary among individuals, potentially influencing this risk.
Purpose of the Study:
- To investigate whether proactive or reactive cognitive control strategies moderate the link between early behavioral inhibition (BI) and later anxiety symptoms.
- To identify specific cognitive control styles associated with increased anxiety risk in children with BI.
Main Methods:
- Longitudinal study tracking BI (2-3 years) and anxiety symptoms (13 years).
- Assessed cognitive control strategy at 13 years using the AX-Continuous Performance Task.
- Examined the moderating role of control strategy on the BI-anxiety relationship.
Main Results:
- Toddler BI predicted a greater tendency towards reactive cognitive control in adolescence.
- Cognitive control strategy moderated the BI-anxiety link: high BI plus reactive control predicted more anxiety.
- Reactive control, not BI alone, was associated with heightened anxiety in this context.
Conclusions:
- This study identifies reactive cognitive control as a specific risk factor for anxiety in children with BI.
- The findings highlight that the *type* of cognitive control, not just its presence, influences anxiety development.
- Interventions targeting a reduction in reactive control and enhancement of proactive control may mitigate anxiety risk.
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