Association between anxiety and depression in children and adolescents with anxiety disorders

The relationship between anxiety and depression was examined in a sample of 106 children and adolescents referred to an outpatient anxiety disorder clinic for children. Twenty-eight percent of patients with DSM-III diagnoses of anxiety disorders displayed a concurrent major depression. Children with anxiety disorders plus major depression were found (1) to be older, (2) to demonstrate more severe anxiety symptomatology, and (3) to be diagnosed with different rates of certain anxiety-disorder subtypes, when compared to anxious patients without major depression. Nondepressed anxious children and adolescents did not differ from a psychopathological control group in severity of either anxiety or depression symptoms.     

Overanxious disorder: An examination of developmental differences

Differences between a clinical sample of younger (ages 5 to 11) and older (ages 12 to 19) children meeting DSM-III criteria for overanxious disorder (OAD) were examined. Younger and older children were compared in terms of (1) the rates of OAD diagnoses occurring in the two age groups, (2) sociodemographic characteristics, (3) symptom expression, (4) association with other forms of maladjustment, and (5) self-reported anxiety and depression. The prevalence of OAD diagnoses and sociodemographic characteristics did not differ. Although younger and older OAD children showed similar rates of most specific DSM-III OAD symptoms, older children presented with a higher total number of overanxious symptoms than younger children. Older children more frequently exhibited a concurrent major depression or simple phobia, whereas younger OAD children more commonly had coexisting separation anxiety or attention deficit disorders. Older OAD children reported significantly higher levels of anxiety and depression on self-report measures. Findings indicated that the expression of OAD varies by developmental level.     

Distinguishing child diagnostic types with early memories

The present study attempts to correct design weaknesses in earlier studies which assessed the use of early memories (EMs) in identifying psychopathology in children. A new EM scoring system, the CEMSS, was developed to provide an objective, comprehensive analysis of the reported EMs. Subjects were 64 boys, SES IV and V, 8 through 12 years old from four diagnostic groups--Delinquent, Hyperactive, Somatic Complaints, and Schizoid. Overall, the CEMSS provided an effective means to distinguish the diagnostic groups, p less than or equal to .01. The results suggest that content variables best distinguished the type of presenting psychopathology, whereas an earlier study found that structural EM variables most reliably identified the degree of psychopathology.     

CULTURAL DIFFERENCES IN REACTION TO FAILURE1

Les Occidentaux admettent qu'on critique leur performance; ils réagissent en général à la critique en essayant de faire mieux. En Extrême-Orient, il n'est pas convenable de dire à quelqu'un qu'il a échoué en quelque chose; le faisant, on a toute chance de le voir renoncer ou faire plus mal encore. Cette différence de comportement dans les deux civilisations s'explique par des différences d'organisation cognitive. Les AA. ont comparé, dans trois groupes d'étudiants de culture différente (Américains; Extrême-orientaux suivant les cours d'universités américaines; Thais de Thaïlande), les individus qui ont réussi et ceux qui ont échoué dans leurs études. Les sujets américains réagissent à l'échec en réduisant les relations entre toutes les variables étudiées, ce qui constitue un mode de défense en profondeur par le biais d'une organisation plus souple. Les sujets des deux autres groupes réagissent à l'échec par une réduction des contacts personnels et une rigidité accrue de l'organisation personnelle interne. Ces résultats ont une grande importance pratique relativement aux effets sociaux du développement économique en Extrême-Orient.     

Book reviews

Sun at Midnight. The Rudolf Steiner Movement and the Western Esoteric Tradition by Geoffrey Ahern The Aquarian Press, Wellingborough 1984 ISBN 0–85030–338–9 (H/B) £7.95

Religion and Medicine World Religions and Medicine (4th Volume of Essays in the IRM Religious and Medicine Series) (ed) D. Goodacre. Institute of Religion and Medicine, St Giles Oxford. £1.95

Believing and Belonging: The Practice of Believing in The Church by Anthony E. Harvey SPCK £2.50 pp.136 p/b

E. Milingo: The World In Between: Christian healing and the Struggle for Spiritual Survival Edited, with introduction, Commentary and Epilogue by Mona Macmillan London: C Hurst & Co, 1984. pp vi+138. Price: hard covers ‐ £7.95; soft covers ‐ £3.95

Hinduism in England edited by David G. Bowen The faculty of Contemporary Studies, Bradford College, 1981     

Do childhood anxiety measures measure anxiety?

The Fear Survey Schedule for Children-Revised (FSSC-R), Revised-Children's Manifest Anxiety Scale (RCMAS), and the Modified State-Trait Anxiety Inventory for Children (STAIC-M) are three widely used self-report measures of childhood anxiety. While previous studies have established the reliability of these measures, their validity in discriminating anxious from non-anxious youngsters remains to be established. The present study examines the discriminant validity of the three measures by comparing clinic referred samples of boys with an anxiety disorder (n=105) or ADHD (n=59) with a community sample of never-psychiatrically-ill boys (n=49). Results indicated that the two patient groups differed significantly from the never-psychiatrically-ill group on the RCMAS and STAIC-M, but the anxious and ADHD groups did not differ from each other. None of the three groups differed on the FSSC-R. The implications of these findings for the assessment of childhood anxiety disorders are discussed.