Specificity of Childhood Learning Experiences in Relation to Anxiety Sensitivity and Illness/Injury Sensitivity: Implications for Health Anxiety and Pain

  title={Specificity of Childhood Learning Experiences in Relation to Anxiety Sensitivity and Illness/Injury Sensitivity: Implications for Health Anxiety and Pain},
  author={M. Watt and Roisin M O'Connor and Sherry H. Stewart and Erin Moon and Lesley L. Terry},
  journal={Journal of Cognitive Psychotherapy},
  pages={128 - 142}
Health anxiety refers to the preoccupation with and fear of bodily sensations arising from catastrophic misinterpretations about the significance of these sensations (Hadjistavropoulos, Asmundson, & Kowalyk, 2004). Constructs theoretically relevant to the development of both health anxiety and chronic pain are two of the putative “fundamental fears” identified by Reiss (1991)—anxiety sensitivity (AS) and illness/injury sensitivity (IS) (Cox, Borger, & Enns, 1999; Vancleef, Peters, Roelofs… 
Childhood Learning History Origins of Adult Pain Anxiety
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Maintaining Mechanisms of Health Anxiety: Current State of Knowledge
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A retrospective study of the learning history origins of anxiety sensitivity.
Fear of Physical Harm: Factor Structure and Psychometric Properties of the Injury/Illness Sensitivity Index
Assessment of the factor structure and psychometric properties of the ISI suggests the ISI comprises two distinct lower order factors—Fear of Illness and Fear of Injury—that load onto a higher order factor of Fear of Physical Harm.
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Although the measure demonstrated good factorial validity, convergent and discriminant validity require further evaluation, and a substantial correlation with fear of pain suggests a shift in perspective on what constitutes a fundamental fear, results supported a two‐factor solution after removal of two overinclusive items.
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A large, nonclinical sample of young adults was prospectively followed over a 5-week highly stressful period of time and anxiety sensitivity was found to predict the development of spontaneous panic attacks after controlling for a history of panic attacks and trait anxiety.