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Exploring Parental Predictors of Child Anxiety: The Mediating Role of Child Interpretation Bias

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Abstract

Background

Separate lines of research have shown that higher levels of parental overcontrol and parental anxiety are related to higher levels of child anxiety. The mechanisms of transmission, however, are poorly understood.

Objective

It has been theorized, though not empirically tested, that parental overcontrol and anxiety increase children’s interpretation bias by signaling to the child that the environment is threatening (e.g. through modeling or restriction of autonomy), thus increasing the child’s anxiety level.

Methods

The present study investigated this theory using 75 parent–child dyads (parents aged 27–52, 82 % female; children aged 7–12, 52 % female, 80 % Caucasian). All parents were diagnosed with a primary anxiety disorder, while no child was diagnosed with an anxiety disorder.

Results

Children’s interpretation bias, measured using ambiguous stories, was shown to partially mediate the relation between parental overcontrol and child anxiety and completely mediate the relation between parental anxiety and child anxiety. There was no significant relation between parental overcontrol and parental anxiety.

Conclusions

Findings partially support theoretical models, which posit that higher levels of overcontrol and parental anxiety signal to children that their environment is threatening, perhaps increasing their threat appraisal of ambiguous situations and increasing their anxiety. Implications and directions for future research are discussed.

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References

  • Affrunti, N. W., & Ginsburg, G. S. (2012). Maternal overcontrol and child anxiety: The mediating role of perceived competence. Child Psychiatry and Human Development, 43(1), 102–112. doi:10.1007/s10578-011-0248-z.

    Article  PubMed  Google Scholar 

  • Barber, B. K. (1996). Parental psychological control: Revisiting a neglected construct. Child Development, 67(6), 3296–3319. doi:10.2307/1131780.

    Article  PubMed  Google Scholar 

  • Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182. doi:10.1037/0022-3514.51.6.1173.

    Article  PubMed  Google Scholar 

  • Barrett, P. M., Rapee, R. M., Dadds, M. M., & Ryan, S. M. (1996). Family enhancement of cognitive style in anxious and aggressive children. Journal of Abnormal Child Psychology, 24(2), 187–203. doi:10.1007/BF01441484.

    Article  PubMed  Google Scholar 

  • Becker, K., Ginsburg, G., Domingues, J., & Tein, J. (2010). Maternal control behavior and locus of control: Examining mechanisms in the relation between maternal anxiety disorders and anxiety symptomatology in children. Journal of Abnormal Child Psychology, 38(4), 533–543. doi:10.1007/s10802-010-9388-z.

    Article  PubMed  Google Scholar 

  • Birmaher, B., Khetarpal, S., Brent, D., & Cully, M. (1997). The screen for child anxiety related emotional disorders (SCARED): Scale construction and psychometric characteristics. Journal of the American Academy of Child and Adolescent Psychiatry, 36(4), 545–553. doi:10.1097/00004583-199704000-00018.

    Article  PubMed  Google Scholar 

  • Bögels, S. M., & Zigterman, D. (2000). Dysfunctional cognitions in children with social phobia, separation anxiety disorder, and generalized anxiety disorder. Journal of Abnormal Child Psychology, 28(2), 205–211. doi:10.1023/A:1005179032470.

    Article  PubMed  Google Scholar 

  • Bögels, S. M., van Dongen, L., & Muris, P. (2003). Family influences on dysfunctional thinking in anxious children. Infant and Child Development, 12(3), 243–252. doi:10.1002/icd.288.

    Article  Google Scholar 

  • Brown, T. A., DiNardo, P. A., & Barlow, D. H. (1994). Anxiety disorders interview schedule for DSM-IV. New York, NY: Graywind Publications.

    Google Scholar 

  • Chorpita, B. F., & Barlow, D. H. (1998). The development of anxiety: The role of control in the early environment. Psychological Bulletin, 124(1), 3–21. doi:10.1037/0033-2909.124.1.3.

    Article  PubMed  Google Scholar 

  • Chorpita, B. F., Albano, A. M., & Barlow, D. H. (1996). Cognitive processing in children: Relation to anxiety and family influences. Journal of Clinical Child Psychology, 25(2), 170–176. doi:10.1207/s15374424jccp2502_5.

    Article  Google Scholar 

  • Cohen, J., & Cohen, P. (1983). Applied multiple regression/correlation analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Costa, N. M., & Weems, C. F. (2005). Maternal and child anxiety: Do attachment beliefs or children’s perceptions of maternal control mediate their association? Social Development, 14(4), 574–590. doi:10.1111/j.1467-9507.2005.00318.x.

    Article  Google Scholar 

  • Creswell, C., & O’Connor, T. G. (2006). ‘Anxious cognitions’ in children: An exploration of associations and mediators. British Journal of Developmental Psychology, 24(4), 761–766. doi:10.1348/026151005X70418.

    Article  Google Scholar 

  • Creswell, C., & O’Connor, T. G. (2011). Interpretation bias and anxiety in childhood: Stability, specificity and longitudinal associations. Behavioural and Cognitive Psychotherapy, 39(2), 191–204. doi:10.1017/S1352465810000494.

    Article  PubMed  Google Scholar 

  • Creswell, C., Schniering, C. A., & Rapee, R. M. (2005). Threat interpretation in anxious children and their mothers: Comparison with nonclinical children and the effects of treatment. Behaviour Research and Therapy, 43(10), 1375–1381. doi:10.1016/j.brat.2004.10.009.

    Article  PubMed  Google Scholar 

  • Creswell, C., Shildrick, S., & Field, A. P. (2011). Interpretation of ambiguity in children: A prospective study of associations with anxiety and parental interpretations. Journal of Child and Family Studies, 20(2), 240–250. doi:10.1007/s10826-010-9390-7.

    Article  Google Scholar 

  • Dineen, K. A., & Hadwin, J. A. (2004). Anxious and depressive symptoms and children’s judgements of their own and others’ interpretation of ambiguous social scenarios. Journal of Anxiety Disorders, 18(4), 499–513. doi:10.1016/S0887-6185(03)00030-6.

    Article  PubMed  Google Scholar 

  • Eley, T. C., & Zavos, H. M. S. (2010). Genetics. In J. A. Hadwin, A. P. Field, J. A. Hadwin, & A. P. Field (Eds.), Information processing biases and anxiety: A developmental perspective (pp. 209–232). Malden, MA: Wiley-Blackwell.

    Google Scholar 

  • Field, A. P. (2006). The behavioral inhibition system and the verbal information pathway to children’s fears. Journal of Abnormal Psychology, 115(4), 742–752. doi:10.1037/0021-843X.115.4.742.

    Article  PubMed  Google Scholar 

  • Field, A. P., & Lester, K. J. (2010). Learning of information processing biases in anxious children and adolescents. In J. A. Hadwin, A. P. Field, J. A. Hadwin, & A. P. Field (Eds.), Information processing biases and anxiety: A developmental perspective (pp. 253–278). Walden, MA: Wiley-Blackwell.

    Chapter  Google Scholar 

  • Field, A. P., Ball, J. E., Kawycz, N. J., & Moore, H. (2007). Parent–child relationships and the verbal information pathway to fear in children: Two preliminary experiments. Behavioural and Cognitive Psychotherapy, 35(4), 473–486. doi:10.1017/S1352465807003736.

    Article  Google Scholar 

  • Ginsburg, G. S. (2009). The child anxiety prevention study: Intervention model and primary outcomes. Journal of Consulting and Clinical Psychology, 77(3), 580–587. doi:10.1037/a0014486.

    Article  PubMed  Google Scholar 

  • Ginsburg, G. S., Grover, R. L., & Ialongo, N. (2004). Parenting behaviors among anxious and non-anxious mothers: Relation with concurrent and long-term child outcomes. Child & Family Behavior Therapy, 26(4), 23–41. doi:10.1300/J019v26n04_02.

    Article  Google Scholar 

  • Hadwin, J. A., Garner, M., & Perez-Olivas, G. (2006). The development of information processing biases in childhood anxiety: A review and exploration of its origins in parenting. Clinical Psychology Review, 26(7), 876–894. doi:10.1016/j.cpr.2005.09.004.

    Article  PubMed  Google Scholar 

  • Hudson, J. L., & Rapee, R. M. (2004). From anxious temperament to disorder: An etiological model of generalized anxiety disorder. In R. G. Heimberg, C. L. Turk, & D. S. Mennin (Eds.), Generalized anxiety disorder: Advances in research and practice (pp. 51–76). New York, NY: Guilford.

    Google Scholar 

  • Hudson, J. L., Doyle, A. M., & Gar, N. (2009). Child and maternal influence on parenting behavior in clinically anxious children. Journal of Clinical Child & Adolescent Psychology, 38(2), 256–262. doi:10.1080/15374410802698438.

    Article  Google Scholar 

  • Lester, K. J., Field, A. P., Oliver, S., & Cartwright-Hatton, S. (2009). Do anxious parents interpretive biases towards threat extend into their child’s environment? Behaviour Research and Therapy, 47(2), 170–174. doi:10.1016/j.brat.2008.11.005.

    Article  PubMed  Google Scholar 

  • Lu, W., Daleiden, E., & Lu, S. (2007). Threat perception bias and anxiety among Chinese school children and adolescents. Journal of Clinical Child and Adolescent Psychology, 36(4), 568–580.

    Article  PubMed  Google Scholar 

  • Manassis, K., & Bradley, S. J. (1994). The development of childhood anxiety disorders: Toward an integrated model. Journal of Applied Developmental Psychology, 15(3), 345–366. doi:10.1016/0193-3973(94)90037-X.

    Article  Google Scholar 

  • Mathews, A., & MacLeod, C. (2002). Induced processing biases have causal effects on anxiety. Cognition and Emotion, 16(3), 331–354. doi:10.1080/02699930143000518.

    Article  Google Scholar 

  • Muris, P., & van Doorn, M. (2003). ‘Danger is lurking everywhere, even in parts of a jigsaw puzzle’: Anxiety-related threat perception abnormalities in children: Their assessment with projective material. Behaviour Change, 20(3), 151–159. doi:10.1375/bech.20.3.151.24835.

    Article  Google Scholar 

  • Muris, P., Merckelbach, H., & Damsma, E. (2000). Threat perception bias in nonreferred, socially anxious children. Journal of Clinical Child Psychology, 29(3), 348–359. doi:10.1207/S15374424JCCP2903_6.

    Article  PubMed  Google Scholar 

  • Muris, P., Meesters, C., & von Brakel, A. (2003a). Assessment of anxious rearing behaviors with a modified version of ‘egna minnen beträffande uppfostran’ questionnaire for children. Journal of Psychopathology and Behavioral Assessment, 25(4), 229–237. doi:10.1023/A:1025894928131.

    Article  Google Scholar 

  • Muris, P., Merckelbach, H., Schepers, S., & Meesters, C. (2003b). Anxiety, threat perception abnormalities, and emotional reasoning in nonclinical Dutch children. Journal of Clinical Child & Adolescent Psychology, 32(3), 453–459. doi:10.1207/S15374424JCCP3203_13.

    Article  Google Scholar 

  • Muris, P., Rapee, R., Meesters, C., Shouten, E., & Geers, M. (2003c). Threat perception abnormalities in children: The role of anxiety disorders symptoms, chronic anxiety, and state anxiety. Journal of Anxiety Disorders, 17(3), 271–287. doi:10.1016/S0887-6185(02)00199-8.

    Article  PubMed  Google Scholar 

  • Muris, P., Jacques, P., & Mayer, B. (2004). The stability of threat perception abnormalities and anxiety disorder symptoms in non-clinical children. Child Psychiatry and Human Development, 34(3), 251–265. doi:10.1023/B:CHUD.0000015000.13845.9d.

    Article  PubMed  Google Scholar 

  • Murray, L., Cooper, P., Creswell, C., Schofield, E., & Sack, C. (2007a). The effects of maternal social phobia on mother-infant interactions and infant social responsiveness. Journal of Child Psychology and Psychiatry, 48(1), 45–52. doi:10.1111/j.1469-7610.2006.01657.x.

    Article  PubMed  Google Scholar 

  • Murray, L., Cooper, P., Creswell, C., Schofield, E., & Sack, C. (2007b). The effects of maternal social phobia on mother–infant interactions and infant social responsiveness. Journal of Child Psychology and Psychiatry, 48(1), 45–52. doi:10.1111/j.1469-7610.2006.01657.x.

    Article  PubMed  Google Scholar 

  • Parker, G. (1983). Parental overprotection: A risk factor in psychosocial development. New York, NY: Grune & Stratton.

    Google Scholar 

  • Perez-Olivas, G., Stevenson, J., & Hadwin, J. A. (2008). Do anxiety-related attentional biases mediate the link between maternal over involvement and separation anxiety in children? Cognition and Emotion, 22(3), 509–521. doi:10.1080/02699930801886656.

    Article  Google Scholar 

  • Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equations models. In S. Leinhart (Ed.), Sociological methodology 1982 (pp. 290–312). San Francisco: Jossey-Bass.

    Google Scholar 

  • Spielberger, C. D., Gorsuch, R. L., Lushene, P. R., Vagg, P. R., & Jacobs, A. G. (1983). Manual for the state-trait anxiety inventory (form Y). Palo Alto, CA: Consulting Psychologists Press.

    Google Scholar 

  • Warren, S. L., Emde, R. N., & Sroufe, L. A. (2000). Internal representations: Predicting anxiety from children’s play narratives. Journal of the American Academy of Child and Adolescent Psychiatry, 39(1), 100–107. doi:10.1097/00004583-200001000-00022.

    Article  PubMed  Google Scholar 

  • Wood, J. J. (2006). Parental intrusiveness and children’s separation anxiety in a clinical sample. Child Psychiatry and Human Development, 37(1), 73–87. doi:10.1007/s10578-006-0021-x.

    Article  PubMed  Google Scholar 

  • Wood, J. J., McLeod, B. D., Sigman, M., Hwang, W., & Chu, B. C. (2003). Parenting and childhood anxiety: Theory, empirical findings, and future directions. Journal of Child Psychology and Psychiatry, 44(1), 134–151. doi:10.1111/1469-7610.00106.

    Article  PubMed  Google Scholar 

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Acknowledgments

This research was supported by a grant from the National Institute of Mental Health (grant number R01MH077312-01) awarded to Golda S. Ginsburg.

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Correspondence to Golda S. Ginsburg.

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Affrunti, N.W., Ginsburg, G.S. Exploring Parental Predictors of Child Anxiety: The Mediating Role of Child Interpretation Bias. Child Youth Care Forum 41, 517–527 (2012). https://doi.org/10.1007/s10566-012-9186-6

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