Assessment & Research

Introduction to the Special Issue on Cognitive and Behavioral Flexibility in Fear and Anxiety Disorders.

Boisseau et al. (2018) · Behavior modification 2018
★ The Verdict

Flexibility is the new lens for anxiety research, and early trials show CBT plus mindfulness or PBS can boost it.

✓ Read this if BCBAs who treat anxiety in ASD, IDD, or social-phobia caseloads.
✗ Skip if Clinicians seeking step-by-step protocols today—this is a roadmap, not a manual.

01Research in Context

01

What this study did

Stephens et al. (2018) wrote a short editorial. It opens a special journal issue. The topic is flexibility in fear and anxiety disorders.

The authors do not run an experiment. They do not test clients. They simply tell readers why flexibility matters for future research.

02

What they found

The paper reports no new data. It frames cognitive and behavioral flexibility as key ideas. It urges scientists to study how people shift thoughts and actions when anxious.

03

How this fits with other research

Mulder et al. (2020) extend the call. They test two brief CBT techniques in socially anxious adults. Both methods boost decentering, a form of flexibility, and lower anxiety.

Boulter et al. (2014) also extend the idea. They show intolerance of uncertainty links ASD and anxiety. Less flexibility predicts more worry.

Taylor et al. (2017) go further. They blend CBT and PBS for children with ASD and IDD. All three kids gain calm and lose problem behavior.

Pickard et al. (2019) sound a warning. Most CBT-anxiety trials for youth with ASD use mostly White, higher-SES families. Flexibility research may not yet fit your caseload.

04

Why it matters

You now have a map. Flexibility is the next frontier in anxiety work. When you write goals, add shifting sets, tolerating change, or decentering drills. Check if the client’s culture and income match the studies you cite. If not, adapt materials and track outcomes.

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Add one decentering trial to your next anxiety session: have the client label thoughts as ‘just thoughts’ then practice a valued action.

02At a glance

Intervention
not applicable
Design
narrative review
Finding
not reported

03Original abstract

Converging lines of research highlight the significance of cognitive and behavioral flexibility in the etiology, maintenance, and treatment of fear and anxiety disorders. We have developed a Special Issue to highlight recent empirical investigations, contemporary theory, and novel directions for future study. It is hoped that this special issue will (a) underscore the centrality of cognitive and behavioral flexibility to fear- and anxiety-related psychopathology, (b) call attention to cognitive science approaches investigating related neuropsychological correlates, and (c) highlight novel experimental and theoretical research on germane contextual factors.

Behavior modification, 2018 · doi:10.1177/0145445518755350