Predicting Intense Levels of Child Anxiety During Anesthesia Induction at Hospital Arrival

In children, intense levels of anxiety during anesthetic induction are associated with a higher risk of pain, poor recovery, and emergence delirium. Therefore, it is important to identify these high-risk children at hospital arrival. The current study examined internalizing behavior (Child Behavior Checklist, CBCL) and state anxiety measures (modified Yale Preoperative Anxiety Scale, mYPAS, and State Trait Anxiety Inventory for Children, STAIC) at hospital arrival as predictors of anxiety during induction of anesthesia. One hundred children (aged 4 to 12 years) undergoing elective daycare surgery were included. The STAIC and mYPAS at hospital arrival were significant predictors of anxiety during induction, whereas CBCL was not. The STAIC state form at hospital arrival was the strongest predictor and could be used to identify children who will experience intense levels of anxiety during anesthetic induction, with sufficient to good diagnostic accuracy. Using the STAIC at hospital arrival allows targeted interventions to reduce anxiety in children.

     

Assessment of anxiety and achievement in kindergarten and first-and second-grade children

The psychometric properties of the State-Trait Anxiety Inventory for Children (STAIC) and relationships between STAIC T-Anxiety scores and standardized measures of achievement were determined for 948 kindergarten and first-and second-grade children. The T-anxiety scores of kindergarten children were lower than those of first-and second-graders. Internal consistency of the STAIC scales was higher in individual testing sessions than in small group administrations. Small but significant negative correlations were found between STAIC T-Anxiety scores and measures of school achievement. It was concluded that the STAIC is a potentially useful measure of state and trait anxiety in kindergarten through sixth-grade children, but it must be administered individually at the kindergarten and first-grade levels.The research was performed while the senior author was a senior research scientist at the Dallas Independent School District.     

Physical self-concept, anxiety, depression, and self-esteem in children with cancer and healthy children without cancer history

The main purpose of this study is to test if children with cancer receiving chemotherapy show a poorer physical self-concept, less self-esteem and more anxiety and depression than healthy children (with no cancer history) within the same age range (9-16 years old) and social condition. Furthermore, the capacity of self-concept and self-esteem to predict emotional distress is analyzed. The Spanish versions of PSDQ, CDI and STAIC were administered to 30 children with cancer and 90 healthy children. Except for the health and flexibility dimensions in the PSDQ, no significant differences between groups were found. Self-esteem was the best predictor of depression, whereas health and self-concept predicted anxiety.     

The factor structure of the state-trait anxiety inventory for children: Kindergarten through the fourth grades

The A-State and A-Trait scales of Spielberger's State-Trait Anxiety Inventory for Children (STAIC) were administered to a total of 1786 kindergarten, 1st-, 2nd-, 3rd- and 4th-grade disadvantaged black children. For the K-2 groups, the STAIC A-State scale was administered twice; it was administered only once in the 3rd–4th grades. The A-Trait scale was administered once to all 10 groups of children. A series of factor analyses, computed separately by sex and grade level, identified 3 factors: trait anxiety and 2 distinct state anxiety factors corresponding to the anxiety-present and anxiety-absent content of the A-State items. Similar 3-factor patterns were observed for both males and females for all five grade levels. Other factor solutions were examined but considered less satisfactory in terms of simple structure and psychological meaningfulness. The results were interpreted as providing strong evidence for the state-trait distinction in anxiety research with children.     

The effects of stress on state and trait anxiety in emotionally disturbed,normal, and delinquent children

The effects of stress on trait and state anxiety of emotionally disturbed, normal, and delinquent children were assessed using the State-Trait Anxiety Inventory for Children (STAIC). This scale measures both transitory feelings of apprehension and tension that vary over time as a function of situational stress (A-State) and individual differences in the disposition to experience such anxiety states (A-Trait). Results indicated that A-State increased as a function of stress, whereas A-Trait was relatively stable and impervious to the temporary effects of stress. Use of the STAIC with normal and deviant populations was supported.     

Psychometric characteristics and norms for disadvantaged third and fourth grade children on the State-Trait Anxiety Inventory for Children

The STAIC was administered to 1,522 third and fourth grade Black disadvantaged children from a large metropolitan school district. Although A-State scores were equivalent to the original normative sample, A-Trait levels for boys and girls were found to be higher. Similar alpha coefficients were observed for the A-State scale; the A-Trait scale yielded slightly lower alpha coefficients than the original sample. Norms for the STAIC scales were extended to the third grade level. The small differences between the present study and the original normative study were attributed to differences in population. The STAIC provides a valid and reliable means to measure trait and state anxiety in children of elementary school age.Portions of these data were presented at the meeting of the American Psychological Association, New Orleans, August 1974. The authors wish to express their appreciation to Charles D. Spielberger for substantial contributions to earlier versions of this paper.     

Predictors of Social Anxiety in Children and Adolescents with Sickle Cell Disease

The aim of this study was to examine the potential moderating effect of age on the child-reported pain–social anxiety relationship in children and adolescents with sickle cell disease (SCD). Participants were children and adolescents (ages 8–17; 33 girls, 25 boys) diagnosed with SCD who completed measures of social anxiety and severity of usual pain. Caregivers provided demographic information, and mean hemoglobin levels were computed as a measure of objective disease severity. Ratings of more severe pain were associated with greater social anxiety, including fear of negative evaluation, for older children and adolescents only, revealing a moderating effect of age. Increased relevancy of peer relationships in adolescence, limited social contacts due to SCD complications, and misreading of social cues (e.g., maladaptive coping response to pain) may explain why older children and adolescents reported greater social anxiety in the presence of a stressor such as pain.     

Three traditional and three new childhood anxiety questionnaires: their reliability and validity in a normal adolescent sample

The current study examined the psychometrics of three traditional [i.e., the trait anxiety version of the State-Trait Anxiety Inventory for Children (STAIC), the Revised Children's Manifest Anxiety Scale (RCMAS), and the Fear Survey Schedule for Children - Revised (FSSC-R)] and three new childhood anxiety scales [the Multidimensional Anxiety Scale for Children (MASC), the Screen for Child Anxiety Related Emotional Disorders (SCARED), and the Spence Children's Anxiety Scale (SCAS)] in a large sample of normal adolescents (N=521). Childhood anxiety scales were generally found to be reliable in terms of internal consistency. Furthermore, evidence was obtained for the convergent and divergent validity of the various anxiety questionnaires. That is, anxiety questionnaire scores were found to be substantially intercorrelated. Particularly strong associations were found between total scores of the STAIC and the RCMAS, total scores of the SCARED and the SCAS, and between subscales that intend to measure specific categories of anxiety symptoms. Childhood anxiety questionnaires were substantially connected to an index of depression, although correlations among anxiety questionnaires were generally higher than those between anxiety scales and a measure of depression.     

老年夫妻的老化刻板印象对死亡焦虑的行动者效应和对象效应

目的：考察老年人的老化刻板印象对自身及配偶的死亡焦虑的影响。方法：145对老年夫妻完成老化印象量表和死亡焦虑量表,并运用行动者-对象互依模型进行数据分析。结果：（1）老化刻板印象和死亡焦虑在夫妻内部分别具有一致性;（2）老化刻板印象对自身死亡焦虑的行动者效应显著;（3）丈夫的积极老化刻板印象对妻子死亡焦虑的对象效应显著,妻子的消极老化刻板印象对丈夫死亡焦虑的对象效应显著。结论：老年人的老化刻板印象不仅影响自身而且影响配偶的死亡焦虑,但夫妻之间的影响存在性别差异。     

Anxiety and locus of conflict in emotionally disturbed children

The State Trait Anxiety Inventory for Children (STAIC) and the Children's Manifest Anxiety Scale (CMAS) were administered to 50 emotionally disturbed children (40 males and 10 females). In addition, ratings on a Locus of Conflict Rating Scale were obtained from their special education teachers. Significant correlations were obtained between all anxiety measures. However, anxiety, as measured by the CMAS, A State and A Trait, was not significantly correlated with the ratings of internalization, externalization, or the total maladjustment index. Girls reported greater anxiety than boys on the CMAS and the STAIC A Trait scale, while boys were rated as significantly higher on the internalization and externalization scales, and in total maladjustment.     

Applicability of a cognitive model of worry to children and adolescents

BackgroundIntolerance of uncertainly (IU), cognitive avoidance (CA) and positive beliefs about worry (PB) independently predict worry frequency in older adolescents and adults, and when targeted together in treatment produce significant reductions in both worry and anxiety in this age range. The present study addresses a gap in the literature by testing whether a cognitive model of excessive worry and anxiety incorporating these process variables is applicable to children and adolescents.MethodPrimary and secondary school students (n = 515; aged 7–19 years) completed modified self-report measures of worry frequency, anxiety, IU, CA and PB and a path analysis undertaken to test whether IU was a higher order variable for CA and PB and whether the relationship between IU/CA/PB and anxiety was mediated by worry frequency.ResultsSignificant (bivariate) correlations were observed between the measures of IU, PB, CA, worry and anxiety across the age range. However separate path models had to be fitted for children (aged 7–12 years) and adolescents (aged 13–19) with PB being dropped from the child model. CA was related to anxiety only through worry in children while IU showed direct paths to worry and anxiety in both children and adolescents.ConclusionsCognitive models of persistent worry in adults and older adolescents may, with some modification, have applicability to children. Further testing and refinement of these cognitive models of worry may lead to improvements in existing treatments for anxious youth.     

The relationship of anxiety to childhood depression

In order to investigate the relationship between anxiety and depression in emotionally disturbed children, 30 hospitalized inpatient children were individually administered the Children's Depression Inventory (CDI), the Children's Manifest Anxiety Scale-Revised (CMAS-R), and the State-Trait Anxiety Inventory for Children (STAIC). Results indicated a significant relationship between CDI scores, the CMAS-R and its factors, and the STAIC. Correlations between the various factors of anxiety and depression suggest a complex relationship between the two constructs. Stepwise regression analyses indicated further the complexity of this relationship. Results were discussed in terms of the possible differential role which the different anxiety factors play in depression.     

Is Family Expressiveness as Reported by Mothers and Fathers Related to Children’s Social Anxiety Symptoms?

We examined family expressiveness as reported by mothers and fathers with respect to children’s report of social anxiety symptoms. Participants consisted of a clinical sample of 178 youth (8–16 years) and their parents. The sample was largely homogenous (163 Caucasians, 6 African American, 4 Hispanic, 5 Asian/Native American; 118 boys, 60 girls), and for analytic purposes, divided into two age groups: young children between 8 and 10 years and preadolescents and adolescents between 11 and 16 years. Youth completed the Social Anxiety subscale of the Multidimensional Anxiety Scale for Children and parents completed the Expressiveness subscale of the Family Environment Scale. The Expressiveness subscale measures the extent to which family members openly and directly express their emotions. We hypothesized that low levels of family expressiveness, as reported by mothers and fathers, would be associated with heightened symptoms of social anxiety for both age groups of the youth. Contrary to predictions, no significant associations were observed between young children’s social anxiety and expressiveness. For older children, however, maternal reports of family expressiveness were negatively related to social anxiety symptoms (as predicted) whereas paternal reports of family expressiveness were positively related to youth’s social anxiety symptoms (counter to predictions). This later finding suggests that the more expressive the father perceived the family to be, the higher the symptoms of social anxiety reported by the older youth. Findings are discussed in terms of differential perceptions of family expressiveness and socialization by mothers and fathers and gender role stereotypes.     

Measurement of test anxiety among selected black adolescents: Appropriateness of four anxiety scales

In an effort to determine the appropriateness of three already available anxiety measures and one newly developed measure for use with low-achieving minority- group adolescents, this study explored the reliability and validity for four self- report anxiety scales. The Test Anxiety Scale for Children (TASC), the Alpert-Haber Achievement Anxiety Scale for Children (AASC), the State-Trait Anxiety Inventory for Children (STAIC), and a newly developed Reading Anxiety Scale (RAS), in which was embedded the Lie Scale for Children (LSC), were administered to 60 seventh- grade black students. Internal consistency reliability estimates are moderate to moderately high. Significant intercorrelations (p<.05) were found among the scales except for the A-State (state anxiety) subscale of the STAIC, which correlated significantly only with the RAS. No scale was found to be redundant with any other scale. The scales differentiated anxiety levels but did not operate differentially on the basis of gender. Conclusions are drawn regarding the appropriateness of using these scales with some minority-group adolescents.     

Validity of two measures of anxiety in children

The State-Trait Anxiety Inventory for Children (STAICj and the Children's Manifest Anxiety Scale (CMAS) were administered to 60 emotionally disturbed children and 60 normal children matched on mental age. Emotionally disturbed children obtained significantly higher scores on the A-State and A-Trait portions of the STAIC and the anxiety portion of the CMAS, while normal children obtained significantly higher scores on the Lie scale of the CMAS. Cutoff scores which maximized the discrimination between normal and emotionally disturbed children were established. Results are interpreted as demonstrating the potential usefulness of these measures for screening.     

“Eat your Hamburger!”—“No, I don’t Want to!” Argumentation and Argumentative Development in the Context of Dinner Conversation in Twenty Swedish Families

The aim of the present study was to analyse family dinners as context of argumentation and argumentative development by using a context-sensitive model of basic argumentative structures in every day conversations. The data consisted of 40 argumentative sequences in dinner conversations in twenty Swedish families with children aged 7 to 17 years. The families were divided in two groups depending on the children's ages (10–11 years with younger siblings and 10–12 years with older siblings). The model revealed characteristic structures of argumentation appearing as co-text and suggested differences between family groups depending on contextual factors such as age of the children. The groups of older children produced longer argumentative sequences, more exchanges per sequence and higher rate of turns. The older children also engaged in non-instrumental deliberations and disputations significantly more often and they performed more elaborated expansions (through a higher quantity of backing arguments). The groups of younger children on the other hand were more often involved in negotiations on topics relevant in the immediate context. Less expected was, however, the lack of more complex and varied arguments, even in the groups of older children.     

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.     

Does anxiety affect children's reports of memory for a stressful event?

The study was conducted to explore the effects of anxiety on children's memory for a naturalistic, potentially stressful event. Eighty children of two age groups, 4-5 and 7-8 years, visited the dentist for either a teeth-cleaning check-up or an operative procedure. Anxiety was assessed by a behavioural rating scale, as well as through Likert-scale ratings by the hygienist, parent, and child. Memory for the event was elicited through free recall and specific central and peripheral questions. High anxiety had a debilitative effect on the reports of the older children, but not on young children's reports. However, experience with the dental event mediated the influence of age and anxiety on memory. Although all measures of anxiety were significantly associated with each other, only the behavioural rating scale yielded statistically reliable effects of anxiety on memory. The anxiety-memory relationship is believed to be more complex than previous research with children suggests.     

Depression and Anxiety in Older and Middle‐aged Adults With Diabetes

This study aims to compare rates of depressive and anxious symptoms among older adults with and without diabetes. The study also examines differences in depression, anxiety, and diabetes‐related emotional distress between middle‐aged and older adults with diabetes. A total of 224 participants completed a range of questionnaires measuring depression, anxiety, and diabetes‐related emotional distress (if applicable). One hundred and three adults with diabetes (55 middle‐aged, mean age = 47 years, range 40–59 years and 48 older, mean age = 69 years, range 60–81 years) were recruited from a tertiary diabetes clinic. One hundred and twenty‐one adults without diabetes (72 middle‐aged, mean age = 52 years, range 40–59 years and 49 older, mean age = 65 years, range 60–76 years) were recruited from either a university student pool or a registry of adults aged 50 and above. Older adults with diabetes had significantly higher levels of depression and comparable levels of anxiety with older adults without diabetes. Older adults with diabetes had significantly lower levels of depression, anxiety, and diabetes‐related distress than middle‐aged adults with diabetes. Diabetes is associated with high rates of depression and anxiety, with middle‐aged adults more adversely affected than older adults.