Playing it safe: An examination of risk-avoidance in an anxious treatment-seeking sample

• Published in: Journal of affective disorders 2012-12, Vol.141 (1), p.63-71
• Main Authors: Lorian, Carolyn N, Mahoney, Alison, Grisham, Jessica R
• Format: Article
• Language: English
• Subjects: Adult; Adult and adolescent clinical studies; Anxiety; Anxiety disorders; Anxiety Disorders - diagnosis; Anxiety Disorders - psychology; Anxiety-Depression; Biological and medical sciences; Decision-making; Female; Helpseeking; Humans; Male; Medical sciences; Middle Aged; Mood disorders; Panic Disorder - psychology; Patient Acceptance of Health Care; Phobic Disorders - psychology; Psychiatry; Psychological distress; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; Risk Factors; Risk Reduction Behavior; Risk taking; Risk-avoidance; Surveys and Questionnaires; Symptoms; Transdiagnostic; Young Adult
• ISSN: 0165-0327; 1573-2517
• DOI: 10.1016/j.jad.2012.02.021

Abstract It has been argued that individuals who are anxious are less likely and willing to take perceived risks across multiple behavioral domains (e.g., social, recreational, financial etc.), and that this bias is likely implicated in the etiology of pathological anxiety. While evidence is accumulating, there has been minimal research investigating the characteristics of risk-avoidance across anxiety disorders and across the specific risk-taking domains. The current study investigated risk-avoidance across domains in an anxious treatment-seeking sample. We hypothesized that: (i) individuals with anxiety would be more risk averse across domains relative to healthy controls; and, (ii) risk-avoidance would predict unique variance in anxiety symptoms, above and beyond other vulnerability factors (e.g., neuroticism). Individuals diagnosed with one or more anxiety disorders ( n = 67) completed measures of risk-taking, anxiety and depression symptoms, personality, and psychological distress. Healthy controls ( n = 58) completed measures of risk-taking and psychological distress. Results partially confirmed our hypotheses, demonstrating that anxious individuals were significantly more risk averse relative to controls across most domains, even after controlling for age and psychological distress. Furthermore, specific domains were found to account for unique variance in specific anxiety symptoms, as well as symptoms of depression. The results of this study provide novel evidence to suggest that risk-aversion is a possible transdiagnostic factor contributing to anxiety pathology.