A Secure Base from which to Cooperate: Security,Child and Parent Willing Stance,and Adaptive and Maladaptive Outcomes in two Longitudinal Studies

Early secure attachment plays a key role in socialization by inaugurating a long-term mutual positive, collaborative interpersonal orientation within the parent-child dyad. We report findings from Family Study (community mothers, fathers, and children, from age 2 to 12, N = 102, 51 girls) and Play Study (exclusively low-income mothers and children, from age 3.5 to 7, N = 186, 90 girls). We examined links among observed secure attachment at toddler age, child and parent receptive, willing stance to each other, observed in parent-child contexts at early school age, and developmental outcomes. The developmental outcomes included parent-rated child antisocial behavior problems and observed positive mutuality with regard to conflict issues at age 12 in Family Study, and mother-rated child antisocial behavior problems and observed child regard for rules and moral self at age 7 in Play Study. In mother-child relationships, the child’s willing stance mediated indirect effects of child security on positive mutuality in Family Study and on all outcomes in Play Study. In father-child relationships, both the child’s and the parent’s willing stance mediated indirect effects of child security on both outcomes. Early security initiates an adaptive developmental cascade by enlisting the child and the parent as active, willingly receptive and cooperative agents in the socialization process. Implications for children’s parenting interventions are noted.     

Attachment,Behavioral Inhibition,and Anxiety in Preschool Children

This study examined the association between insecure attachment, behavioral inhibition, and anxiety in an at risk sample of preschool children. The relationship between maternal anxiety and child anxiety was also assessed. Participants were 104 children aged 3–4 years who were assessed for behavioral inhibition and mother–child attachment (using the Strange Situation procedure). DSM-IV criteria were used to assess childhood anxiety disorders. Insecure attachment and behavioral inhibition were both independently associated with child anxiety, even after controlling for the effect of maternal anxiety. Maternal anxiety was also associated with child anxiety. This study identified both constitutional and environmental factors associated with the expression of anxiety in young children. Furthermore, the highest levels of anxiety were shown by children who were behaviorally inhibited and insecurely attached and whose mothers were also anxious.     

Parent-Child Interactions in Anxious Families

A considerable amount of research has examined factors associated with the etiology and maintenance of anxiety disorders in children. The familial nature of anxiety has been well-established, with genetic studies showing that approximately 30% of the variance is accounted for by genetic factors. Research into the family environment documents behavioral differences in interactions between non-anxious parent-child and anxious parent-child dyads, including less granting of autonomy, and parental withdrawal and disengagement. Recent theoretical work in the field of anxiety suggests that attachment models and coercive operant patterns could create a bi-directional coercive interaction pattern, similar to that seen in interactions of parents and aggressive children. The current study investigated parent and child behaviors coded from interaction tasks across four groups based on anxiety status: anxious parent/anxious child, non-anxious parent/anxious child, anxious parent/non-anxious child, and non-anxious parent/non-anxious child to empirically examine hypothesized interactive patterns. The study sample consisted of 158 parent-child (ages 3–12 years) dyads. Results support an interaction between parent and child anxiety on behavior within dyads. The current study provides an important step in identifying processes linked to familial anxiety.     

Maternal Mind-Mindedness and Children’s Behavioral Difficulties: Mitigating the Impact of Low Socioeconomic Status

Relations between mothers’ tendency to comment appropriately on their 8-month-olds’ internal states (mind-mindedness) and children’s behavioral difficulties (Strengths and Difficulties Questionnaire) at ages 44 and 61 months were investigated in a socially diverse sample (N?=?171, 88 boys). Controlling for maternal depressive symptoms, perceived social support, sensitivity, child language ability, and child gender, maternal mind-mindedness was negatively related to children’s externalizing and internalizing behaviors specifically in low socioeconomic status (SES) families. Furthermore, behavioral difficulties at age 44 months mediated the relation between maternal mind-mindedness and behavioral difficulties at age 61 months, but only for low SES families. These findings are discussed with reference to possible ways in which mind-mindedness could inform interventions targeted at at-risk groups.     

Modification of Cognitive-Behavioral Techniques in the Treatment of a Five Year-Old Girl with Social Phobia

Social phobia is a debilitating anxiety disorder that often goes undetected in young children, but can be effectively treated with cognitive-behavioral interventions. For children and adolescents, treatment usually includes education, social skills training, cognitive restructuring, relaxation training, and exposure. However, for very young children who present with social phobia, it is necessary to adapt treatment to the developmental level of the child. A case illustration demonstrates the way in which cognitive behavioral treatment (CBT) was modified for the treatment of a five year-old girl with social phobia. Several modifications were made, including utilizing novel exposure techniques and emphasizing parent management training in order to promote generalization of treatment gains outside of session.     

Parental Stress and Children’s Social and Behavioral Outcomes: The Role of Abuse Potential over Time

Parental stress is a well-established risk factor for adverse child outcomes, including the development of aggression, externalizing behavior problems, and anxiety, as well as compromised emotional coping, impaired social cognition, and diminished treatment response. Abuse potential represents a mechanism by which parental stress may impact child social competence and behavior; evidence links parental stress to abuse potential, and abuse potential to a range of negative child social competence and behavioral outcomes. The current study assessed relationships between parental stress, abuse potential, and child social and behavioral outcomes over time. Parents of children ages 2–6 years (N?=?610, 44% girls) reported on perceived parental stress and attitudes towards abuse and neglect, as well as child social competence and behavior problems, before and after a caregiver-directed, community-based intervention. Changes in parental stress, abuse potential, and child social and behavioral outcomes were examined using panel analyses, while controlling for intervention effects and demographic variables. Parental stress predicted child social competence, anxiety/withdrawal, and anger/aggression over time; while the links between stress and anxiety/withdrawal, and stress and social competence, were mediated by child abuse potential, the link between stress and anger/aggression was not mediated by child abuse potential. Findings suggest that abuse potential represents a mechanism by which parental stress and child social and behavioral outcomes are linked. Further, screening for child social competence deficits may identify children at risk for abuse, as well as parents in need of services to reduce stress.     

Child–Mother Attachment Security and Child Characteristics as Joint Contributors to Young Children's Coping in a Challenging Situation

Moderate challenges provide opportunities for young children to develop coping skills, yet little is known about factors related to individual differences in early coping. This study investigated child–mother attachment security (9‐point rating) assessed via a modified Strange Situation procedure, child expressive language, and child social fearfulness as contributors to coping responses among 33‐month‐old children (N = 128, 66 girls) following receipt of an empty gift box. Associations between child–mother attachment security and child coping were moderated by child characteristics. As hypothesized, greater attachment security was associated with more action towards the stressor (i.e. vocalizing about the empty box and searching for the missing gift), but only for children high on social fearfulness. Further, greater attachment security was associated with seeking more physical proximity to mothers for children low on expressive language and less physical proximity for children high on expressive language. Lastly, greater attachment security was related to more self‐distraction for children with moderate to high expressive language. Results are discussed in terms of child–mother attachment security as a psychological resource constructed over time, which the child may draw upon when confronted with a moderate non‐attachment‐related stressor. Copyright © 2014 John Wiley & Sons, Ltd.     

Functional Gastrointestinal Symptoms in Children with Anxiety Disorders

This study examined the incidence and correlates of functional gastrointestinal symptoms in children with anxiety disorders. Participants were 6–13 year old children diagnosed with one or more anxiety disorders (n?=?54) and non-clinical control children (n?=?51). Telephone diagnostic interviews were performed with parents to determine the presence and absence of anxiety disorders in children. Parents completed a questionnaire that elicited information about their child’s gastrointestinal symptoms associated with functional gastrointestinal disorders in children, as specified by the paediatric Rome criteria (Caplan et al., Journal of Pediatric Gastroenterology & Nutrition, 41, 296–304, 2005a). Parents and children also completed a symptom severity measure of anxiety. As expected, children with anxiety disorders were significantly more likely to have symptoms of functional gastrointestinal disorders (FGID), compared to children without anxiety disorders. That is, 40.7 % of anxious children had symptoms of a FGID compared to 5.9 % of non-anxious control children. Children with anxiety disorders were significantly more likely to have symptoms of functional constipation, and showed a trend for a higher incidence of irritable bowel syndrome symptoms compared to non-anxious control children. Furthermore, higher anxiety symptom severity was characteristic of anxious children with symptoms of FGID, compared to anxious children without FGID symptoms and non-anxious control children. Also, children with anxiety disorders, regardless of FGID symptoms, were more likely to have a biological family member, particularly a parent or grandparent, with a gastrointestinal problem, compared to non-anxious control children. The high incidence of FGID symptoms in children with anxiety disorders warrants further research on whether gastrointestinal symptoms reduce following psychological treatments for childhood anxiety disorders, such as cognitive behavioural therapy.     

School-Aged Children’s Attachment Dismissal Prospectively Predicts Divergence of Their Behavioral and Self-Reported Anxiety

Recent studies on attachment in middle childhood suggest that dismissing children tend to underreport their psychological distress relative to physiological indices of distress. However, this has yet to be examined in the context of behavioral indicators of distress. In this longitudinal study, a community sample of children (N?=?34, M _age?=?9.59 years) completed the Child Attachment Interview at Time 1. Three years later, they returned and completed the Trier Social Stress Task for Children (TSST-C), providing ratings of their state anxiety before and after the stressor. Four raters coded children’s behavioral signs of anxiety (e.g., non-signaling gestures, eye movement, posture, facial expression) on a 7-point scale during the storytelling and arithmetic tasks in the TSST-C. Hierarchical linear regressions revealed that greater attachment dismissal was associated with greater behavioral anxiety in both the story and math tasks, but was not associated with greater increases in self-reported anxiety. Dismissal prospectively predicted increased divergence of behavioral and self-reported anxiety, such that higher dismissal was associated with higher divergence scores (i.e., underreporting of anxiety relative to behavioral indicators). We discuss these results in terms of their contribution to understanding attachment and emotion in an understudied developmental phase.     

Behavioural precursors of attachment representations in middle childhood and links with child social adaptation

Concordance between age‐6 attachment behaviour and age‐8 doll play attachment representations during the school‐age period, and associations between these measures and child social adaptation at school were examined. One hundred and twenty‐nine 6‐year‐olds and their mothers participated in a separation/reunion protocol. Two years later, 104 children completed a doll play narrative task. Teachers evaluated child behaviour problems and prosocial behaviour at both ages. Results showed a significant four‐way concordance between age‐6 attachment behaviour and age‐8 doll play classifications. Each of the four attachment classifications was concordant in the absence of major negative life‐events, but only the disorganized classifications remained concordant when at least one negative life‐event occurred between the two assessment times. Children with a disorganized attachment classification or representation had higher externalizing scores than secure and avoidant children at both timepoints. Finally, the avoidant and disorganized behavioural classifications predicted avoidant and disorganized representations, respectively, even when controlling for age‐6 teacher reports of social adaptation.     

Don’t be afraid of the General Factor of Personality (GFP): Its relationship with behavioral inhibition and anxiety symptoms in children

Two studies examined the relationship between the General Factor of Personality (GFP) and behavioral inhibition and anxiety symptoms in primary school children. The GFP is assumed to reflect effectiveness in interaction with others. In Study 1, using self-reports and parent ratings of 226 non-clinical children, we found GFP scores to be negatively related to behavioral inhibition and anxiety symptoms. In Study 2 we compared non-clinical children (N = 81) with children with anxiety disorders (N = 45). In both groups we obtained child and parent ratings. The clinically referred children scored significantly lower on the GFP than the non-clinical children. Moreover, as in Study 1, higher GFP scores were associated with lower levels of behavioral inhibition and anxiety symptoms. The two studies support the view that the GFP is a relevant construct in anxiety proneness and anxiety problems.     

Mothers’ Gender-Role Attitudes and Their Responses to Young Children’s Hypothetical Display of Shy and Aggressive Behaviors

The purpose of this study was to investigate the role of child gender and maternal gender-role attitudes in mothers’ reactions to hypothetical vignettes depicting their preschool-aged child displaying aggressive and shy behaviors. Participants were 78 mothers of preschool-aged children (43 girls, 35 boys; M _age?=?47.44?months, SD?=?11.00) living in a mid-sized city in Ontario, Canada. Mothers provided reports of their gender-role attitudes and rated their expectancies and emotional/behavioral reactions following hypothetical vignettes depicting their child displaying physically aggressive and shy-withdrawn behaviors. It was hypothesized that mothers would respond with more negative (and less positive) emotions and expectancies in response to children’s gender-incongruent problem behaviors (i.e., shyness among boys, aggression among girls). It was further hypothesized that these gender effects would be more pronounced among mothers espousing more traditional (i.e., less egalitarian) gender-role attitudes. Results of multiple regression analyses indicated that mothers anticipated more negative consequences to aggression among boys than among girls. Several significant interaction effects also emerged between child gender and maternal gender-role attitudes, particularly with regards to children’s shyness. Among mothers of boys, a more egalitarian gender-role attitude was associated with greater anticipated benefits of shyness, and both more positive and more negative emotional responses to shyness. For mothers of girls, however, the opposite pattern emerged. Results provide some support for the notion that mothers may enforce gender-typical social behaviors in their children, particularly if they themselves hold more traditional gender-role attitudes.     

Behavioral Problems in Taiwanese Children of Adolescent and Adult Mothers

The purpose of this study was to estimate child behavioral problems over time and determine gender differences in behavioral problems between children born to adolescent and adult mothers in Taiwan. The consistency between parent’s and teacher’s reports was also examined. Secondary analysis of a longitudinal dataset from Taiwan was conducted. A matched sample of 107 children born to adolescent mothers and 111 children born to adult mothers were recruited. Child behavioral problems were assessed by parents at Time 1 (1^st and 2^nd grades) and by teachers at both Time 1 and Time 2 (5^th and 6^th grades). Generalized estimating equations and paired t-test were used. At Time 1, compared to children of adult mothers, children of adolescent mothers had had more behavioral problems by both parental and teacher’s reports. Both parents and teachers reported that boys had more behavioral problems than girls. Moreover, according to teacher reports, children of adolescent mothers and boys had more behavioral problems and these differences persisted over time, even controlling for sociodemographic characteristics. In addition, parents reported higher scores of behavioral problems than teachers. In conclusion, child behavioral problems in Taiwan are associated with maternal age at child birth and child’s gender. Interventions may profitably focus on determining the mechanisms that lead to behavior problems in children of adolescent mothers, and/or reducing adolescent pregnancy as a way of decreasing child behavioral problems. Screening and preventive interventions for child behavior problems may need to be gender-specific.     

Interpretation and Expectation in Childhood Anxiety Disorders: Age Effects and Social Specificity

Theory and treatment for childhood anxiety disorders typically implicates children’s negative cognitions, yet little is known about the characteristics of thinking styles of clinically anxious children. In particular, it is unclear whether differences in thinking styles between children with anxiety disorders and non-anxious children vary as a function of child age, whether particular cognitive distortions are associated with childhood anxiety disorders at different child ages, and whether cognitive content is disorder-specific. The current study addressed these questions among 120 7–12 year old children (53% female) who met diagnostic criteria for social anxiety disorder, other anxiety disorder, or who were not currently anxious. Contrary to expectations, threat interpretation was not inflated amongst anxious compared to non-anxious children at any age, although older (10–12 year old) anxious children did differ from non-anxious children on measures of perceived coping. The notion of cognitive-content specificity was not supported across the age-range. The findings challenge current treatment models of childhood anxiety, and suggest that a focus on changing anxious children’s cognitions is not warranted in mid-childhood, and in late childhood cognitive approaches may be better focussed on promoting children’s perceptions of control rather than challenging threat interpretations.     

The effect of parental modeling of anxious behaviors and cognitions in school-aged children: An experimental pilot study

The current study tested: (1) the impact of parental modeling of anxious behaviors and cognitions on child anxiety level, anxious cognitions, desired avoidance, and objective performance using an experimental paradigm; and (2) whether the impact of parental modeling of anxious behaviors and cognitions differed by parent gender. Twenty-five parents (a random selection of 12 male and 13 female parents) participated with one of their children (ages 8-12 years; 56.0% male; 76.0% Caucasian). All children experienced two test conditions: an anxious condition in which their parent was trained to act anxiously before a planned spelling test and a non-anxious condition in which their parent was trained to act in a relaxed and confident manner before a planned spelling test. Results showed that, regardless of parent gender, children endorsed higher anxiety levels, anxious cognitions, and desired avoidance of the spelling test in the anxious relative to the non-anxious condition. Parental modeling of anxiety did not affect child spelling performance. Significant interaction effects indicated that fathers had a stronger impact on child anxiety level and cognitions than did mothers. Results highlight the importance of parental modeling and the potential role of both mothers and fathers in prevention and treatment for child anxiety.     

Threat interpretation bias as a vulnerability factor in childhood anxiety disorders

The present study examined threat interpretation biases in children 7-12 years of age with separation, social and generalised anxiety disorders (N=15), non-anxious offspring at risk due to parental anxiety (N=16) and non-anxious controls of non-anxious parents (N=14). Children provided interpretations of ambiguous situations to assess cognitive, emotional and behavioural responses. In comparison with non-anxious control children and at-risk children who did not differ from each other, anxious children reported stronger negative emotion and less ability to influence ambiguous situations. These results suggest that threat interpretation bias may be a cognitive factor associated with ongoing childhood anxiety but not a vulnerability factor associated with parental anxiety.     

Penn State Worry Questionnaire: Findings Form Normative and Clinical Samples in Denmark

Anxiety disorders are among the most prevalent psychiatric disturbances in childhood. None-the-less, they often go unrecognized and untreated, which puts the child at risk for developing additional difficulties, such as academic difficulties, depression, and substance abuse. Further knowledge and valid assessment tools are essential to identify at-risk children. The present study investigates (i) the factor structure of the Penn State Worry Questionnaire for Children (PSWQ-C) using a large Danish community sample (N?=?933), and (ii) its treatment sensitivity in clinically anxious children (N?=?30) treated with cognitive behavioral therapy. Results from the community sample replicated previous findings supporting the strong psychometric properties of the PSWQ-C, and yielded Danish norms and clinical cut-offs for the measure. Clinically anxious children with a generalized anxiety disorder (GAD; N?=?10) diagnosis reported significantly higher levels of worry than anxious children without GAD (N?=?20). At post treatment, worry levels in children with GAD but not in anxious children without GAD were normalized. Findings regarding worry in the community sample are discussed in light of normal child development. Implications for the use of the PSWQ-C as a useful and important tool in clinical assessment by psychiatrists and psychologists in their treatment of anxious children and adolescents are also discussed.     

Predictors of Psychological Well-Being of Adolescents’ Parents

Informed by theories about processes in families with adolescent children, this study examined the contribution of self-perceived decline in physical and cognitive functioning related to midlife, marital satisfaction, and parent–child conflict to psychological well-being of parents of young adolescents. Parental well-being was conceptualized within Ryff’s multidimensional model, which encompasses six dimensions: Autonomy, Self-Acceptance, Environmental Mastery, Positive Relationships with Others, Personal Growth, and Purpose in Life. In examining relationships between parental well-being and supposed predictors, sociodemographic variables (parental age and education), perceived general life stress, and perceived available social support were controlled for. Participants were Croatian mothers (N?=?356) and fathers (N?=?328) whose oldest child was transitioning to adolescence. Overall, the patterns of associations between the studied predictors and well-being dimensions were similar for mothers and fathers. The main finding of the study was that individual differences in the psychological well-being of adolescents’ parents may be more attributable to self-perceived midlife changes (particularly for mothers) and marital satisfaction (particularly for fathers) than to perceived level of parent–adolescent conflict.