Risk of co-occuring psychopathology: Testing a prediction of expectancy theory

Despite the high impact of anxiety sensitivity (AS; a fear of anxiety related sensations) research, almost no research attention has been paid to its parent theory, Reiss’ expectancy theory (ET). ET has gone largely unexamined to this point, including the prediction that AS is a better predictor of number of fears than current anxiety. To test Reiss’ prediction, we used a large (N = 317) clinical sample of anxiety outpatients. Specifically, we examined whether elevated AS predicted number of comorbid anxiety and non-anxiety disorder diagnoses in this sample. Consistent with ET, findings indicated that AS predicted number of comorbid anxiety disorder diagnoses above and beyond current anxiety symptoms. Also, AS did not predict the number of comorbid non-anxiety diagnoses when current anxiety symptoms were accounted for. These findings represent an important examination of a prediction of Reiss’ ET and are consistent with the idea that AS may be a useful transdiagnostic treatment target.

► Anxiety sensitivity (AS) predicts comorbid anxiety disorder diagnoses count.
► AS predicts anxiety disorder count beyond state anxiety sensations.
► AS does not predict non-anxiety disorder count beyond state anxiety sensations.
► Anxiety disorder count is associated with AS beyond non-anxiety disorder count.