So. Lilienfeld et al., ANXIETY SENSITIVITY - AN EXAMINATION OF THEORETICAL AND METHODOLOGICAL ISSUES, Advances in behaviour research and therapy, 15(2), 1993, pp. 147-183
The construct of anxiety sensitivity (AS) has occupied an increasingly
important place in theorizing and research on anxiety and anxiety dis
orders. Although a number of recent studies have provided support for
the construct validity of the principal operationalization of AS, the
Anxiety Sensitivity Index (ASI), the relation of the AS construct and
the ASI to trait anxiety continues to be a source of controversy. Key
issues in the AS-trait anxiety debate include the assimilative nature
of traits and the concept of incremental validity. Recent research on
AS lends some support to the claim that trait anxiety cannot fully acc
ount for AS findings. Important areas for future AS research include (
1) demonstrating that AS is a risk factor for panic disorder and relat
ed conditions, rather than simply a consequence of these conditions, (
2) developing and utilizing multiple operationalizations of constructs
, (3) minimizing the impact of potentially inapplicable items, (4) tes
ting for interactions between AS and other variables, and (5) testing
hierarchical factor models that allow trait anxiety and AS to coexist
as higher- and lower-order factors, respectively. Researchers in this
area will need to develop alternative measures of the AS construct, re
cognize the distinction between different levels of trait specificity,
clarify a number of theoretical issues relevant to the AS construct,
and continue to subject predictions to stringent theoretical risks.