Perceived impact of socially anxious behaviors on individuals' lives in Western and East Asian countries

The current study compared the predicted social and career impact of socially withdrawn and reticent behaviors among participants from Western and East Asian countries. Three hundred sixty-one college students from 5 Western countries and 455 students from 3 East Asian countries read hypothetical vignettes describing socially withdrawn and shy behaviors versus socially outgoing and confident behaviors. Participants then answered questions following each vignette indicating the extent to which they would expect the subject of the vignette to be socially liked and to succeed in their career. Participants also completed measures of their own social anxiety and quality of life. The results indicated significant vignette-by-country interactions in that the difference in perceived social and career impact between shy and outgoing vignettes was smaller among participants from East Asian countries than from Western countries. In addition, significant negative correlations were shown between personal level of shyness and experienced quality of life for participants from both groups of countries, but the size of this relationship was greater for participants from Western than East Asian countries. The results point to the more negative impact of withdrawn and socially reticent behaviors for people from Western countries relative to those from East Asia.     

Positive,Negative, and Neutral Peer Interactions as Indicators of Children's Social Competency: The Issue of Concurrent Validity

Many studies examining the effects of treatments for socially isolated/withdrawn children have used behavioral measures to assess children's peer relations. In an attempt to examine the concurrent validity of these measures, we observed 258 preschool children during free play and coded their interactions into the categories of positive, negative, and neutral behaviors. We also interviewed these children individually, using a sociometric nomination procedure, and asked them to indicate liked and disliked peers. Our examination of the results revealed that, consistent with other research, the correlation between the sociometric measures and the children's total rate of interaction with peers was low. In addition, measures of positive, negative, and neutral behaviors were also only weakly correlated with the children's sociometric scores. We agree with others in concluding that multiple methods of assessment are needed to properly assess the adequacy of children's peer relations.     

Positive, negative, and neutral peer interactions as indicators of children's social competency: the issue of concurrent validity

Many studies examining the effects of treatments for socially isolated/withdrawn children have used behavioral measures to assess children's peer relations. In an attempt to examine the concurrent validity of these measures, we observed 258 preschool children during free play and coded their interactions into the categories of positive, negative, and neutral behaviors. We also interviewed these children individually, using a sociometric nomination procedure, and asked them to indicate liked and disliked peers. Our examination of the results revealed that, consistent with other research, the correlation between the sociometric measures and the children's total rate of interaction with peers was low. In addition, measures of positive, negative, and neutral behaviors were also only weakly correlated with the children's sociometric scores. We agree with others in concluding that multiple methods of assessment are needed to properly assess the adequacy of children's peer relations.     

Social support and adjustment in chronically ill and handicapped children

The relationship between social support and adjustment was investigated in children with a chronic physical illness or handicap. Mothers of 153 children with juvenile diabetes, juvenile rheumatoid arthritis, chronic obesity, spina bifida, or cerebral palsy reported on these children's family support, peer support, externalizing behavior problems, and internalizing behavior problems. Children reported as having high social support from both family and peers showed a significantly better adjustment than those with high social support from only one of these sources. Chronically ill or physically handicapped children without high support from both family and peers were reported to have significantly more behavior problems than children in general. Both family and peer support contributed negatively and independently to the variance in externalizing behavior problems, whereas only peer support did so for internalizing behavior problems. There were no interactions between type of support and either sex or age in predicting adjustment.     

Measures of infant behavioral and physiological state regulation predict 54‐month behavior problems

This study investigated whether measures of infant temperament, regulatory disorders, and physiological reactivity and concurrent measures of family environment were predictors of child behavior problems at 54 months of age. The sample consisted of 23 children–mother dyads. The sample recruitment strategy emphasized testing both typical and fussy/difficult infants at 9 months of age. Children were categorized into low and high behavioral problem groups at 54 months of age. The children in the high behavioral problem group were more likely at 9 months to have been temperamentally difficult, to have been classified as regulatory disordered, and to have displayed respiratory sinus arrhythmia (RSA) regulation difficulties. These children also were more likely to come from families described as less cohesive and providing less focus on active/recreational activities when the children were 54 months old. A logistic regression analysis, including only the 9‐month infant measures (i.e., difficultness, regulatory disorders classification, and RSA regulation), resulted in a significant model with 100.0% accurate classification into high or low behavioral problem groups. Data suggest that infant measures of behavioral and physiological state regulation may be early indicators of child behavior problems, especially internalizing problems.     

Stability of Early Identified Aggressive Victim Status in Elementary School and Associations with Later Mental Health Problems and Functional Impairments

Aggressive victims—children who are both perpetrators and victims of peer aggression—experience greater concurrent mental health problems and impairments than children who are only aggressive or only victimized. The stability of early identified aggressive victim status has not been evaluated due to the fact that most studies of aggressor/victim subgroups have focused on preadolescents and/or adolescents. Further, whether children who exhibit early and persistent patterns of aggression and victimization continue to experience greater mental health problems and functional impairments through the transition to adolescence is not known. This study followed 344 children (180 girls) previously identified as socially adjusted, victims, aggressors, or aggressive victims at Grade 1 (Burk et al. 2008) to investigate their involvement in peer bullying through Grade 5. The children, their mothers, and teachers reported on children’s involvement in peer aggression and victimization at Grades 1, 3, and 5; and reported on internalizing symptoms, externalizing symptoms, inattention and impulsivity, as well as academic functioning, physical health, and service use at Grades 5, 7, and 9. Most children categorized as aggressive victims in Grade 1 continued to be significantly involved in peer bullying across elementary school. Children with recurrent aggressive victim status exhibited higher levels of some mental health problems and greater school impairments across the adolescent transition when compared to other longitudinal peer status groups. This study suggests screening for aggressive victim status at Grade 1 is potentially beneficial. Further early interventions may need to be carefully tailored to prevent and/or attenuate later psychological, academic, and physical health problems.     

Loneliness and stable friendship in rejected and nonrejected preschoolers

The purpose of this study was to examine the relationship of stable mutual friendship to self-reports of loneliness in preschoolers who had been nominated as rejected or nonrejected by their peers. Ninety-four 4- and 5-year-olds were classified into five peer status groups: controversial, neglected, average, popular, and rejected. In addition, the children were classified as having a stable mutual friendship, an unstable mutual friendship, or without mutual friends. Children in the rejected group rated themselves as lonelier than their neglected, popular, and average peers. However, rejected children who had a stable mutual friendship reported levels of loneliness that were similar to those of their nonrejected peers and less loneliness than those rejected children who lacked stable friendship. Loneliness in preschoolers is discussed in terms of the quality of their friendships and peer experience as well as their desire to be sociable.     

The Role of Maternal Acceptance in the Relation Between Community Violence Exposure and Child Functioning

Children in the United States are exposed to considerable community violence that has been linked to child functioning. However, not all those exposed, experience negative outcomes. Recent research has focused on factors that “buffer” or protect children from negative consequences of violence exposure. The purpose of this investigation was to examine the potential buffering or moderating role of maternal acceptance in the relationship between community violence exposure and internalizing and externalizing problems. Subjects were 268 urban African American first graders. Community violence exposure was significantly related to symptoms of post-traumatic stress, but did not correlate with either internalizing or externalizing problems for all children, after control for demographics, maternal mental health, and general life stress. However, children's perceptions of maternal acceptance moderated the relationship between violence exposure and internalizing and externalizing problems which included being withdrawn, anxious-depressed, and demonstrating delinquent behavior. Children with the lowest levels of self-reported maternal acceptance were most impacted by community violence. In this sample of urban first graders, low levels of maternal acceptance placed children at greater risk for adverse outcomes associated with community violence exposure compared to moderate and high levels of maternal acceptance.     

The Best Friendships of Shy/Withdrawn Children: Prevalence, Stability, and Relationship Quality

The mutual best friendships of shy/withdrawn and control children were examined for prevalence, stability, best friend's characteristics, and friendship quality. Using peer nominations of shy/socially withdrawn and aggressive behaviors, two groups of children were identified from a normative sample of fifth-grade children: shy/withdrawn (n = 169) and control (nonaggressive/nonwithdrawn; n = 163). Friendship nominations, teacher reports, and friendship quality data were gathered. Results revealed that shy/withdrawn children were as likely as control children to have mutual stable best friendships. Withdrawn children's friends were more withdrawn and victimized than were the control children's best friends; further, similarities in social withdrawal and peer victimization were revealed for withdrawn children and their friends. Withdrawn children and their friends reported lower friendship quality than did control children. Results highlight the importance of both quantitative and qualitative measures of friendship when considering relationships as risk and/or protective factors.     

Correlates of loneliness in nonreferred and psychiatrically hospitalized children

We investigated psychosocial correlates of loneliness using self- and caretaker-reports in 6–12 year old nonreferred and psychiatrically hospitalized children. In Phase 1, 109 nonreferred children completed self-report measures of internalizing problems, mothers completed the Child Behavior Checklist (CBCL), and teachers completed the CBCL-Teacher's Report Form. In Phase 2, a similar assessment battery was completed for 109 psychiatrically hospitalized children. Results indicated a moderate to strong relationship between loneliness and self-reported depression, hopelessness, low self-esteem, and anxiety. Children reporting high and low levels of loneliness were not differentiated by parent or teacher reports. Lonely children had lower IQs than their non-lonely peers.     

A Multimethod Exploration of the Friendships of Children Considered Socially Withdrawn by Their School Peers

Friendships of children considered socially withdrawn by their school peers were investigated within a population of elementary school children. Reciprocal friends were identified by a friendship nomination procedure; social withdrawal was assessed by peer nominations. Trained graduate students rated videotapes of dyads of friends (n = 58 dyads, of which 29 contained at least one withdrawn child) for selected features of friendship quality. In addition, each friend within a dyad provided ratings of the quality of the relationship. The videotaped data showed the withdrawn children to be somewhat restricted in their verbal communication with their friends, and less competitive with their friends, than were friends in a comparison group. In dyads consisting of one withdrawn and one nonwithdrawn child, the withdrawn child perceived the relationship as characterized by greater closeness and helpfulness than did the nonwithdrawn friend. Despite some signs of inhibited behavior within the friendship context, withdrawn children seem to have access to close friendships of high quality.     

The Peer Informant: Characteristics Related to the Perceptions of Peer Behavior Problems

Victimization and rejection by peers leads to and exacerbates behavior problems in children and adolescents. Given the implications of problematic peer relations for adolescents who experience behavior problems, the present study examined factors that may be related to how adolescents perceive peers who exhibit such problems. Specifically, the present study examined the relationship of adolescent informants’ socioeconomic status, their prior exposure to psychological symptoms, their perceived social acceptance, and their own behavior problems to their perceptions of peers’ internalizing and externalizing behavior problems, their liking and disliking of peers who exhibit such problems, and their attributions for the etiology of such problems when portrayed by fictitious peers of the same age. In particular, adolescents were asked to rate a set of vignettes portraying internalizing and externalizing behavior problems that are seen commonly in peers and to complete a set of brief questionnaires. Results revealed that adolescents were able to perceive the presence of both internalizing and externalizing behavior problems in vignette characters. Additionally, vignette characters who did not exhibit behavior problems were most likely to be approached and liked, whereas those vignette characters who displayed externalizing behavior problems were more likely to be disliked and ignored. Finally, although adolescents endorsed both internal and external etiological factors, ratings were related to the sex of the depicted vignette character and the nature of the portrayed behavior problems. Overall, this study provided additional evidence that, although adolescents can serve as valuable informants, they also tended to be rejecting of peers who display behavior problems.     

The understanding and self-reported use of emotional display rules in children with autism spectrum disorders

Two studies examined the understanding and self-reported use of rules for the expressive display of emotions in children with high functioning autism spectrum disorders (HFASD) and in typically developing children. In Study 1, children from the two groups reported display rules equally often when presented with hypothetical situations that provided clear motives for using display rules, although emotion-masking displays were more commonly identified for vignettes with prosocial rather than self-protective motives. In Study 2, children were interviewed about display rule use in real life. Children with HFASD reported display rules less often, included more prototypical examples, and referred less often to prosocial motives than typically developing children. Children with HFASD appear to be aware of display rules, but are less adept at identifying the interpersonal functions of such rules than their typically developing peers.     

Peer Victimization in Childhood and Internalizing Problems in Adolescence: A Prospective Longitudinal Study

Traumatic childhood experiences have been found to predict later internalizing problems. This prospective longitudinal study investigated whether repeated and intentional harm doing by peers (peer victimization) in childhood predicts internalizing symptoms in early adolescence. 3,692 children from the Avon Longitudinal Study of Parents and Children (ALSPAC), as well as their mothers and teachers, reported on bullying in childhood (7–10 years) and internalizing problems in early adolescence (11–14 years). Controlling for prior psychopathology, family adversity, gender and IQ, being a victim of bullying was associated with higher overall scores, as well as increased odds of scoring in the severe range (>90^th percentile) for emotional and depression symptoms. Victims were also more likely to show persistent depression symptoms over a 2-year period. These associations were found independent of whether mothers, teachers or the children reported on bullying. It is concluded that peer victimization in childhood is a precursor of both short-lived and persistent internalizing symptoms, underlining the importance of environmental factors such as peer relationships in the etiology of internalizing problems.     

Persistent versus Periodic Experiences of Social Victimization: Predictors of Adjustment

This study examined self-reports of social victimization and parent reports of adjustment for a sample followed from fourth through seventh grades. Different patterns of social victimization experiences were identified; of the 153 students (79 girls) with complete data, 24% reported chronic social victimization, 23% reported transient experiences of social victimization, and 53% reported being socially victimized at no more than one time point. We examined whether students who experienced persistent and periodic social victimization were at greater risk for internalizing problems than nonvictims. Persistently victimized children demonstrated continuously elevated levels of internalizing problems. Children who were not originally victimized by social aggression but became victimized with time did not demonstrate higher levels of internalizing problems than did nonvictims. Findings were mixed for those who escaped social victimization during this period. This research was supported by NIMH grants R01 MH63076 and K02 MH073616. We are deeply grateful for the participation of children and families in this study and for the cooperation of a local school system that wishes to go unnamed. We thank Mikal Galperin for her help with recruiting and retaining the sample.     

The understanding and self-reported use of emotional display rules in children with autism spectrum disorders

Two studies examined the understanding and self-reported use of rules for the expressive display of emotions in children with high functioning autism spectrum disorders (HFASD) and in typically developing children. In Study 1, children from the two groups reported display rules equally often when presented with hypothetical situations that provided clear motives for using display rules, although emotion-masking displays were more commonly identified for vignettes with prosocial rather than self-protective motives. In Study 2, children were interviewed about display rule use in real life. Children with HFASD reported display rules less often, included more prototypical examples, and referred less often to prosocial motives than typically developing children. Children with HFASD appear to be aware of display rules, but are less adept at identifying the interpersonal functions of such rules than their typically developing peers.     

A 3-Year follow-up of aggressive and withdrawn behavior in childhood: Preliminary findings

The school placement of 122 aggressive, 150 withdrawn, 182 aggressive-withdrawn, and 299 control children was determined 3 years following their original selection. Children identified by peers as aggressive-withdrawn or aggressive were more likely to have failed a grade or to be in a special class than were withdrawn children or controls. Older aggressive-withdrawn subjects and controls, but not aggressive subjects or withdrawn subjects, had higher rates of school failure and special class placement. Fewer boys than girls were in a regular class at the expected grade level. The results underline the importance of childhood aggression as a predictor of later academic adjustment. Implications of these findings for the interpretation of measures of behavioral stability are discussed.The research reported here was supported by Quebec Ministry of Social Affairs Grant RS 281 to Jane Ledingham and Alex Schwartzman. The authors would like to thank the Commission des Ecoles Catholiques de Montréal for their continuing cooperation in this project, and Debbie Moskowitz and Alastair Younger for their constructive comments on an earlier draft.     

School-Based Cognitive Mindfulness Intervention for Internalizing Problems: Pilot Study with Hong Kong Elementary Students

Childhood internalizing problems such as anxiety and depression can have serious personal, familial and societal repercussions, including drug and alcohol abuse, delinquency, unplanned pregnancy, and even suicide. There is little research on mindfulness interventions for children with clinical levels of internalizing problems, and school-based mindfulness research with children has focused on non-clinical groups. We employed a two-stage screening and intervention procedure to evaluate an in-school mindfulness-based cognitive intervention for Hong Kong children with subclinical internalizing difficulties. Ninety-three fourth to sixth graders were screened, and twenty students (age 9–13, median age 10) highest among their peers on internalizing problems, but lowest on externalizing problems, participated in a 9-week group mindfulness-based intervention. We employed a two-phase open trial design, with random assignment to an immediate intervention group or wait-list control group. In single-trial analysis, one-tailed dependent sample t-tests showed significant decreases in both worry and in symptoms of panic disorder, obsessive compulsive disorder, generalized anxiety and overall internalizing problems. In a randomized controlled trial analysis, the immediate intervention group evidenced larger but nonsignificant reductions on almost all measures. Eighty-five percent of the participants rated the program as helpful, and 65–80 % reported improvement in handling emotions and interpersonal relationships at post-treatment, with some treatment gains maintained at 3-month follow-up. These preliminary findings have encouraging implications for implementing time-limited school-based mindfulness interventions targeting elevated childhood internalizing difficulties.     

Low social inclusion in childhood: adjustment and early predictors

The principal aim of the present study was to obtain a deeper understanding than hitherto of the concurrent correlates and prospective predictors of loneliness and poor peer acceptance, both falling under the umbrella term low social inclusion. Problematic and socially competent behaviours were investigated as possible predictors of low social inclusion in grade 6, as defined by self‐rated loneliness and degree of peer non‐acceptance, respectively. In grade 6 808 children participated whereof 323 were followed longitudinally from first grade. Loneliness in grade 6 was distinctively associated with high levels of internalizing problems, concurrently as well as prospectively. Peer acceptance, on the other hand, emerged as a complex, multifaceted aspect, with concurrent, independent predictions from both externalizing and internalizing problem behaviours as well as social competence, although prospective analyses found early externalizing problems to be the strongest predictor of peer acceptance. Moderating effects of social competence were sparse, although peer nominated social competence buffered peer acceptance for children with high levels of aggression in the concurrent analyses and social competence boosted peer acceptance for children with low problem levels in the predictive analyses. Social competence did not appear to buffer the negative impact of early problem behaviours on peer relations. Copyright © 2008 John Wiley & Sons, Ltd.     

Paternal Child-Rearing Style and Child Social Anxiety: Investigation of Child Perceptions and Actual Father Behavior

This study examined associations among perceived and actual father behavior and child social anxiety. Forty-eight children (22 high socially anxious, 26 low socially anxious) completed self-report measures of social anxiety, general anxiety, and depression. Children also completed a measure of perceived parental style and subsequently collaborated with their fathers on a challenging task (origami). After controlling for general anxiety and depression, fathers of high socially anxious children exhibited more controlling behavior during the origami task; high and low socially anxious children, however, did not differ behaviorally from one another. Perceptions of father child-rearing style did not differ as a function of child social anxiety, nor were significant relations found between perceived parenting and specific father behaviors. Findings underscore the importance of assessing various types of internalizing symptoms (i.e., controlling for shared construct variance), obtaining children's perceptions of parental style in conjunction with conducting behavioral observations, and including fathers in psychopathology research.