Assessment & Research

Cognitive errors, anxiety sensitivity, and anxiety control beliefs: their unique and specific associations with childhood anxiety symptoms.

Weems et al. (2007) · Behavior modification 2007
★ The Verdict

Three quick belief scales give you unique, anxiety-specific data you cannot get from a single checklist.

✓ Read this if BCBAs who assess anxiety in any child or teen.
✗ Skip if Clinicians who only treat skill acquisition with no anxiety referrals.

01Research in Context

01

What this study did

Ruser et al. (2007) asked kids to fill out three short surveys. One asked about anxious thoughts like "I always expect the worst." One asked how scary it feels when your heart beats fast. One asked if you believe you can calm yourself down.

The team then looked at how each survey linked to anxiety and depression scores.

02

What they found

All three measures predicted anxiety, but each added its own slice of information. Kids who jumped to scary conclusions, feared body cues, and doubted their own ability to cope had higher anxiety.

The three measures were less tied to depression, so they give you anxiety-specific clues.

03

How this fits with other research

MacLennan et al. (2021) and Hwang et al. (2020) move the same idea into autism. They show that sensory over-responsivity and intolerance of uncertainty predict anxiety in autistic preschoolers and adults. This widens the lens from "cognitive errors" to include sensory and uncertainty factors.

Uljarević et al. (2018) found the same uncertainty-plus-sensory pattern in adults with Williams syndrome, giving a conceptual replication outside autism.

Sutton et al. (2022) add emotion dysregulation as a bridge between uncertainty and anxiety in autistic youth. Together these papers build a chain: cognitive beliefs matter in all kids, while sensory issues and emotion skills are key add-ons in developmental disabilities.

04

Why it matters

When a parent says "My child worries all the time," do not stop at a broad anxiety checklist. Add quick measures of cognitive errors, anxiety sensitivity, and perceived control. If the child is autistic or has sensory issues, also screen sensory reactivity and intolerance of uncertainty. These extra five minutes give you clearer treatment targets and show you whether to add coping-skills training, sensory supports, or uncertainty exposure.

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Add the 8-item Anxiety Control Questionnaire for Children to your intake packet.

02At a glance

Intervention
not applicable
Design
other
Population
not specified
Finding
not reported

03Original abstract

This study examined the interrelations among negative cognitive errors, anxiety sensitivity, and anxiety control beliefs and explored their unique and specific associations with anxiety symptoms in a community sample of youth. Existing research has suggested that these constructs are related to childhood anxiety disorder symptoms; however, additional research is needed to test the interrelations among negative cognitive errors, anxiety sensitivity, and anxiety control beliefs and to determine if they show unique and specific associations with anxiety symptoms. The results of this study indicated that negative cognitive errors, anxiety sensitivity, and anxiety control beliefs were associated with each other and that they demonstrated unique concurrent associations with childhood anxiety disorder symptoms. Moreover, certain cognitive biases showed specificity in their association with anxiety symptoms versus depressive symptoms.

Behavior modification, 2007 · doi:10.1177/0145445506297016