Abstract
While a number of factors have been linked with excessive anxiety (e.g., parenting, child temperament), the impact of stressful life events remains under-studied. Moreover, much of this literature has examined bivariate associations rather than testing more complex theoretical models. The current study extends the literature on life events and child anxiety by testing a theory-driven meditational model. Specifically, one child factor (child cognitions/locus of control), two parent factors (parent psychopathology and parenting stress), and two parent–child relationship factors (parent–child dysfunctional interaction and parenting style) were examined as mediators in the relationship between stressful life events and severity of child anxiety. One hundred and thirty anxious parents and their nonanxious, high-risk children (ages ranged from 7 to 13 years) participated in this study. Results indicated that levels of parenting stress, parental anxious rearing, and dysfunctional parent–child interaction mediated the association between stressful life events and severity of anxiety symptoms. Child cognition and parent psychopathology factors failed to emerge as mediators. Findings provide support for more complex theoretical models linking life events and child anxiety and suggest potential targets of intervention.
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Copeland WE, Shanahan L, Costello EJ, Angold A (2009) Childhood and adolescent psychiatric disorders as predictors of young adult disorders. Arch Gen Psychiatry 66:764–772
Beesdo K, Knappe S, Pine DS (2009) Anxiety and anxiety disorders in children and adolescents: developmental issues and implications for DSM-V. Psychiatr Clin N Am 32:483–524
Eley T, Bolton D, O’Conner T, Perrin S, Smith P, Plomin R (2003) A twin study of anxiety-related behaviours in pre-school children. J Child Psychol Psychiatry 44:945–960
Hettema JM, Neale MC, Kendler KS (2001) A review and meta-analysis of the genetic epidemiology of anxiety disorders. Am J Psychiatry 158:1568–1578
Wood JJ, McLeod BD, Sigman M, Hwang WC, Chu BC (2003) Parenting and childhood anxiety: theory, empirical findings, and future directions. J Child Psychol Psychiatry 44:134–151
Colonnesi C, Draijer EM, Jan JM, Stams G, Van der Bruggen CO, Bögels SM et al (2011) The relation between insecure attachment and child anxiety: a meta-analytic review. J Clin Child Adolesc Psychol 40:630–645
Drake KL, Ginsburg GS (2012) Family factors in the development, treatment, and prevention of childhood anxiety disorders. Clin Child Fam Psychol Rev 15:144–162
Hudson JL, Dodd HF, Lyneham HJ, Bovopoulous N (2011) Temperament and family environment in the development of anxiety disorder: two-year follow-up. J Am Acad Child Adolesc Psychiatry 50:1255–1264
Affrunti NW, Ginsburg GS (2012) Exploring parental predictors of child anxiety: the mediating role of child interpretation bias. Child Youth Care Forum 41:517–527
Dougherty LR, Tolep MR, Bufferd SJ, Olino TM, Dyson M, Traditi J et al (2013) Preschool anxiety disorders: comprehensive assessment of clinical, demographic, temperamental, familial, and life stress correlates. J Clin Child Adolesc Psychol 42:577–589
Grover RL, Ginsburg GS, Ialongo N (2005) Childhood predictors of anxiety symptoms: a longitudinal study. Child Psychiatry Hum Dev 36:133–153
Kim KJ, Conger RD, Elder GH, Lorenz FO (2003) Reciprocal influences between stressful life events and adolescent internalizing and externalizing problems. Child Dev 74:127–143
McLaughlin KA, Greif Green J, Gruber MJ, Sampson NA, Zaslavsky AM, Kessler RC (2012) Childhood adversities and first onset of psychiatric disorders in a national sample of US adolescents. Arch Gen Psychiatry 69:1151–1160
Luby JL, Belden AC, Spitznagel E (2006) Risk factors for preschool depression: the mediating role of early stressful life events. J Child Psychol Psychiatry 47:1292–1298
Tiet QQ, Bird HR, Hoven CW, Moore R, Wu P, Wicks J et al (2001) Relationship between specific adverse life events and psychiatry disorders. J Abnorm Child Psychol 29:153–164
Gothelf D, Aharonovsky O, Horesh N, Carty T, Apter A (2004) Life events and personality factors in children and adolescents with obsessive–compulsive disorder and other anxiety disorders. Compr Psychiatry 45:192–198
Lansford JE, Malone PS, Castellino DR, Dodge KA, Pettit GS, Cates JE (2006) Trajectories of internalizing, externalizing, and grades for children who have and have not experienced their parents’ divorce or separation. J Fam Psychol 20:292–301
McCabe RE, Antony MM, Summerfeldt LJ, Liss A, Swinson RP (2002) Preliminary examination of the relationship between anxiety disorders in adults and self-reported history of teasing or bullying experiences. Cogn Behav Ther 32:187–193
Wei C, Kendall PC (2014) Parental involvement: contribution to childhood anxiety and its treatment. Clin Child Fam Psychol Rev 17(4):319–339
Ginsburg GS, Drake KL, Tein JY, Teetsel R, Riddle MA (under review) Preventing the onset of anxiety disorders in offspring of anxious parents: a randomized controlled trial of a family-based intervention. Am J Psychiatry
Schreier A, Wittchen HU, Höfler M, Lieb R (2008) Anxiety disorders in mothers and their children: prospective longitudinal community study. Br J Psychiatry 192:308–309
Burstein M, Ginsburg GS (2010) The effect of parental modeling of anxious behaviors and cognitions in school-aged children: an experimental pilot study. Behav Res Ther 48:506–515
Ostberg M, Hagekull B (2013) Parenting stress and external stressors as predictors of maternal ratings of child adjustment. Scand J Psychol 54:213–221
van Oort FVA, Verhulst FC, Ormel J, Huizink AC (2010) Prospective community study of family stress and anxiety in (pre)adolescents: the TRAILS study. Eur Child Adolesc Psychiatry 19:483–491
Williams NL, Shahar G, Riskind JH, Joiner TE (2005) The looming maladaptive style predicts shared variance in anxiety disorder symptoms: further support for a cognitive model of vulnerability to anxiety. J Anxiety Disord 19:157–175
Becker KD, Ginsburg GS, Domingues J, Tien JY (2010) Maternal control behavior and locus of control: examining mechanisms in the relation between maternal anxiety disorders and anxiety symptomatology in children. J Abnorm Child Pyschol 38:533–543
Gale CR, Batty DG, Deary IJ (2008) Locus of control at age 10 years and health outcomes and behaviors at age 30 years: the 1970 British Cohort Study. Psychosom Med 70:397–403
Li HCW, Chung OKJ (2009) The relationship between children’s locus of control and their anticipatory anxiety. Public Health Nurs 26:153–160
Edwards SL, Rapee RM, Kennedy S (2010) Prediction of anxiety symptoms in preschool-aged children: examination of maternal and paternal perspectives. J Child Psychol Psychiatry 51:313–321
Lieb R, Wittchen HU, Höfler M, Fuetsch M, Stein MB, Merikangas KR (2000) Parental psychopathology, parenting styles, and the risk of social phobia in offspring: a prospective-longitudinal community study. Arch Gen Psychiatry 57:859–866
de Wilde A, Rapee RM (2008) Do controlling maternal behaviors increase state anxiety in children’s responses to a social threat? A pilot study. J Behav Ther Exp Psychiatry 39:526–537
Waters AM, Zimmer-Gembeck MJ, Farrell LJ (2012) The relationships of child and parent factors with children’s anxiety symptoms: parental anxious rearing as a mediator. J Anxiety Disord 26(7):737–745
Hudson JL, Rapee RM (2001) Parent–child interactions and anxiety disorders: an observational study. Behav Res Ther 39:1411–1427
Bögels SM, Brechman-Toussaint ML (2006) Family issues in child anxiety: attachment, family functioning, parental rearing, and beliefs. Clin Psychol Rev 26:834–856
Affrunti NW, Geronimi EM, Woodruff-Borden J (2014) Temperament, peer victimization, and nurturing parenting in child anxiety: a moderated mediation. Child Psychiatry Hum Dev 45:483–492
Taboas WR, McKay D, Whiteside SP, Storch EA (2015) Parental involvement in youth anxiety treatment: conceptual bases, controversies, and recommendations for intervention. J Anxiety Disord 30:16–18
Vasey MW, Dadds MR (2001) An introduction to the developmental psychopathology of anxiety. In: Vasey MW, Dadds MR (eds) The developmental psychopathology of anxiety. Oxford University Press, New York, pp 3–26
Coddington RD (1972) The significance of life events as etiologic factors in the diseases of children: II—a study of a normal population. J Psychosom Res 16:205–213
Silverman WK, Albano AM (1996) The anxiety disorders interview schedule for DSM-IV—child and parent versions. Physiological Corporation, San Antonio
Silverman WK, Nelles WB (1988) The anxiety disorders interview schedule for children. J Am Acad Child Adolesc Psychiatry 27:772–778
Silverman WK, Eisen AR (1992) Age differences in the reliability of parent and child reports of child anxious symptomatology using a structured interview. J Am Acad Child Adolesc Psychiatry 31:117–124
Silverman WK, Saavedra LM, Pina AA (2001) Test–retest reliability of anxiety symptoms and diagnoses with the anxiety disorders interview schedule for DSM-IV: child and parent versions. J Am Acad Child Adolesc Psychiatry 40:937–944
Derogatis LR, Melisaratos N (1983) The brief symptoms inventory: an introductory report. Psychol Med 13:595–605
Boulet J, Boss M (1991) Reliability and validity of the brief symptom inventory. J Consult Clin Psychol 3:433–437
Hemmings M, Reimann JO, Madrigal D, Velasquez RJ (1998) Predictors of scores on the brief symptom inventory for ethnically diverse female clients. Psychol Rep 83:800–802
Abidin RR (1995) Parenting stress index manual, 3rd edn. Psychological Assessment Resources Inc, Lutz
Reitman D, Currier RO, Stickle TR (2002) A critical evaluation of the parenting stress index-short form (PSI-SF) in a head start population. J Clin Child Adolesc Psychol 31:384–392
Weisz JR, Southam-Gerow MA, Sweeney L (1998) The perceived control scale for children. University of California, Los Angeles
Margaro MM, Weisz JR (2006) Perceived control mediates the relation between parental rejection and youth depression. J Abnorm Child Psychol 34:867–876
Weisz JR, Francis SE, Bearman SK (2010) Assessing secondary control and its association with youth depression symptoms. J Abnorm Child Psychol 38:883–893
Perris C, Jacobsson L, Lindström H, Von Knorring L, Perris H (1980) Development of a new inventory for assessing memories of parental rearing behaviour. Acta Psychiatr Scand 61:265–274
Castro J, Toro J, van der Ende J, Arrindell WA (1993) Exploring the feasibility of assessing perceived rearing styles in Spanish children with the EMBU. Int J Soc Psychiatry 39:47–57
Penelo E, Viladrich C, Domènech JM (2012) Adolescents’ perceptions of parental behavior: psychometric properties of the short Egna Minnen Beträffande Uppfostran-Adolescent version (S-EMBU-A) in a clinical sample. Compr Psychiatry 53:87–94
IBM Corp (2011) IBM SPSS statistics for windows, version 20.0. IBM Corp, Armonk
Hayes AF (2013) Introduction to mediation, moderation, and conditional process analysis. The Guilford Press, New York
Baron RM, Kenny DA (1986) The moderator–mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 51:1173–1182
Bufferd SJ, Doughterty LR, Olino TM, Dyson MW, Laptook RS, Carlson GA et al (2014) Predictors of the onset of depression in young children: a multi-method, multi-informant longitudinal study from ages 3 to 6. J Child Psychol Psychiatry 55:1279–1287
Ginsburg GS, Lambert S, Drake K (2004) Attributions of control, anxiety sensitivity, and panic symptoms among adolescents. Cogn Ther Res 28:745–763
Broeren S, Muris P (2009) The relationship between cognitive development and anxiety phenomena in children. J Child Fam Stud 18:702–709
Gerull FC, Rapee RM (2002) Mother knows best: effects of maternal modeling on the acquisition of fear and avoidance behaviors in toddlers. Behav Res Ther 40:279–287
Brown AM, Whiteside SP (2008) Relations among perceived parental rearing behaviors, attachment style, and worry in anxious children. J Anxiety Disord 22:263–272
Muris P (2002) Parental rearing behaviors and worry of normal adolescents. Psychol Rep 91(2):428–430
Drake KL, Ginsburg GS (2011) Parenting practices of anxious and non-anxious mothers: a multi-method, multi-informant approach. Child Fam Behav Ther 33:299–321
Watson KH, Dubmar JP, Thigpen J, Reising MM, Hudson K, McKee L, Forehand R, Compas BE (2014) Observed parental responsiveness/warmth and children’s co**: cross-sectional and prospective relations in a family depression preventive intervention. J Fam Psychol 28(3):278–286
Businelle MS, Mills BA, Chartier KG, Kendzor DE, Reingle JM, Shuval K (2013) Do stressful events account for the link between socioeconomic status and mental health? J Public Health 36:205–212
Peleg-Popko O, Dar R (2001) Marital quality, family patterns, and children’s fears and social anxiety. Contemp Fam Ther 23:465–487
Boersm GJ, Bale TL, Casanello P, Lara HE, Lucion AB, Suchecki D, Tamashiro KL (2014) Long-term impact of early life events on physiology and behavior. J Neuroendocrinol 26(9):587–602
van der Knaap LJ, Riese H, Hudziak JJ, Verbiest MM, Verhulst FC, Oldehinkel AJ, van Oort FV (2014). Glucocorticoid receptor gene (NR3C1) methylation following stressful events between birth and adolescence. The TRAILS study. Transl Psychiatry. doi:10.1038/tp.2014.22
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Platt, R., Williams, S.R. & Ginsburg, G.S. Stressful Life Events and Child Anxiety: Examining Parent and Child Mediators. Child Psychiatry Hum Dev 47, 23–34 (2016). https://doi.org/10.1007/s10578-015-0540-4
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DOI: https://doi.org/10.1007/s10578-015-0540-4