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Updated: Nov 3, 2025

Reducing State Anxiety Using Working Memory Maintenance
Published on: July 19, 2017
A randomized controlled trial evaluating the efficacy of a brief computerized anxiety sensitivity reduction
Emily M O'Bryan1, Alison C McLeish2, Aaron M Norr3
1Department of Psychology, University of Cincinnati, USA; Anxiety Disorders Center, Hartford Hospital/Institute of Living, USA.
Insights
A single-session computerized intervention effectively reduced anxiety sensitivity (AS) in university students with high health anxiety (HA). This reduction in AS may indirectly decrease health anxiety over time.
Area of Science:
- Psychology
- Clinical Psychology
- Health Psychology
Background:
- Severe health anxiety (HA) leads to increased healthcare resource utilization.
- Identifying effective interventions for HA in clinical settings is crucial.
Purpose of the Study:
- To assess the impact of a computerized anxiety sensitivity (AS) intervention on AS and HA.
- To evaluate the intervention's effectiveness in a university student population.
Main Methods:
- 68 university students with elevated AS and HA were randomized to an AS intervention or an active control group.
- Assessments included self-report and behavioral measures at post-intervention, 1-week, and 1-month follow-ups.
Main Results:
- The AS intervention group showed significantly greater reductions in AS compared to the control group at all follow-ups.
- No significant direct effect of the intervention on HA was observed.
- Mediation analysis indicated that reductions in AS indirectly influenced changes in HA.
Conclusions:
- A single-session computerized AS intervention effectively reduces AS in individuals with high HA and AS.
- Reductions in AS may indirectly lead to decreased health anxiety over time.
- The intervention shows promise for managing HA in clinical settings.
Abstract:
It is estimated that individuals with severe health anxiety (HA) utilize 41 %-78 % more healthcare resources than individuals with identified medical diagnoses. Thus, identifying targets for intervention and prevention efforts for HA that are appropriate for primary care or specialty clinic settings is imperative. The aim of the present investigation was to evaluate the effect of a single-session, computerized anxiety sensitivity (AS) intervention on AS and HA. Participants were 68 university students (79.4 % female; Mage = 19.68) with elevated levels of AS and HA. Participants were randomized to either the AS intervention condition or an active control condition and completed self-report and behavioral follow-up assessments at post-intervention, 1-week follow-up, and 1-month follow-up. Results indicated a significant Time x Condition interaction for ASI-3 at each follow-up assessment (all ps < .001), such that individuals in the active condition exhibited greater reductions in AS compared to the control condition. There was no significant Time x Condition interaction for HA at any follow-up. Mediation analyses revealed a significant indirect effect of Condition on changes in HA through changes in AS. No significant effects were observed for behavioral outcomes. Findings suggest that this intervention successfully reduces AS among those who are high in HA and AS and may indirectly contribute to reductions in HA over time through reductions in AS.
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