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Reciprocal and Indirect Effects Among Intervention, Perceived Social Support, and Anxiety Sensitivity Within a
Allison V Metts1, Peter Roy-Byrne2, Murray B Stein3
1University of California, Los Angeles.
Behavior Therapy
|January 12, 2024
Summary
Social support and anxiety sensitivity have a reciprocal relationship, influencing each other over time. Effective anxiety disorder treatments can improve both, suggesting integrated therapeutic approaches.
Area of Science:
- Psychology
- Clinical Psychology
- Psychiatry
Background:
- Social support can aid in reappraising stressors, including somatic symptoms.
- Anxiety sensitivity, characterized by negative beliefs about anxiety-related somatic symptoms, may affect perceptions of social support.
- Evidence-based treatments might mediate the interplay between social support and anxiety sensitivity.
Purpose of the Study:
- To investigate the reciprocal relationship between perceived social support and anxiety sensitivity.
- To explore indirect effects of an intervention on these constructs.
- To examine these associations within a randomized controlled trial for anxiety disorders.
Main Methods:
- Longitudinal study design over 18 months.
- Random intercept cross-lagged panel models.
- Analysis of data from 940 primary care patients in a randomized controlled trial (CALM vs. usual care).
Main Results:
- Significant reciprocal associations were found between increases in perceived social support and decreases in anxiety sensitivity.
- The intervention (CALM) showed indirect effects on both constructs, mediated by changes in the other.
- CALM predicted changes in social support and anxiety sensitivity over usual care.
Conclusions:
- Perceived social support and anxiety sensitivity dynamically influence each other.
- Anxiety disorder treatments like CALM can positively impact both constructs reciprocally.
- Future treatments could target social support to improve somatic symptom reappraisal and vice versa.
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