Abstract
Background
Offspring of anxious parents are at increased risk for developing anxiety disorders. There is a need to identify which youth are at greatest risk for disorder onset in this population.
Objective
This study prospectively examined several theory-based family and parent characteristics (e.g., family conflict, parental over-control, parental psychopathology) as predictors of anxiety disorder onset in children whose parents were clinically anxious.
Methods
Families were enrolled in a randomized controlled trial evaluating a family-based preventative intervention, relative to an information monitoring control condition, for offspring of anxious parents (N = 136; child mean age 8.69 years; 55% female; 85% Caucasian). Family and parent measures were collected using multiple informants and an observational task at baseline, post-intervention, and at a 6 and 12 month follow-up. Child anxiety disorder diagnosis was determined by independent evaluators using the Anxiety Disorders Interview Schedule for Children.
Results
Results indicated that none of the baseline family or parent variables examined predicted the onset of an anxiety disorder in children over the 1 year follow-up period.
Conclusions
Findings raise questions about the short-term risk associated with family and parent factors in anxiety disorder development in this high risk population.
Similar content being viewed by others
References
Affrunti, N., & Ginsburg, G. S. (2012). Maternal overcontrol and child anxiety: The mediating role of perceived competence. Child Psychiatry and Human Development, 43, 102–112.
Becker, K. D., Ginsburg, G. S., Domingues, J., & Tein, J.-Y. (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, 533–543.
Bittner, A., Egger, H. L., Erkanli, A., Jane Costello, E., Foley, D. L., & Angold, A. (2007). What do childhood anxiety disorders predict? Journal of Child Psychology and Psychiatry, 48, 1174–1183.
Bloom, B. L. (1985). A factor analysis of self-report measures of family functioning. Family Process, 24, 225–239.
Bloom, B. L., & Naar, S. (1994). Self-report measures of family functioning: Extensions of a factorial analysis. Family Process, 33, 203–216.
Bögels, S. M., & Brechman-Toussaint, M. L. (2006). Family issues in child anxiety: Attachment, family functioning, parental rearing and beliefs. Clinical Psychology Review, 26, 834–856.
Brown, T. A., DiNardo, P. A., & Barlow, D. H. (1994). Anxiety Disorders Interview Schedule for DSM-IV. New York: Graywind Publications.
Burstein, M., & Ginsburg, G. S. (2010). The effect of parental modeling of anxious behaviors and cognitions in school-aged children: An experimental pilot study. Behavior Research Therapy, 48, 506–515.
Costello, E. J., Mustillo, S., Erkanli, A., Keeler, G., & Angold, A. (2003). Prevalence and development of psychiatric disorders in childhood and adolescence. Archives of General Psychiatry, 60, 837–844.
de Rosnay, M., Cooper, P. J., Tsigaras, N., & Murray, L. (2006). Transmission of social anxiety from mother to infant: An experimental study using a social referencing paradigm. Behaviour Research and Therapy, 44, 1165–1175.
Derogatis, L. R., & Melisaratos, N. (1983). The brief symptom inventory: An introductory report. Psychological Medicine, 13, 595–605.
Drake, K. L., & Ginsburg, G. S. (2011). Parenting practices of anxious and non-anxious mothers: A multi-method multi-informant approach. Child & Family Behavior Therapy, 33, 299–321.
Drake, K. L., & Ginsburg, G. S. (2012). Family factors in the development, treatment, and prevention of childhood anxiety disorders. Clinical Child and Family Psychology Review, 15, 144–162.
Ehlers, A. (1993). Somatic symptoms and panic attacks: A retrospective study of learning experiences. Behavior Research and Therapy, 31, 269–278.
Eley, T. C., McAdams, T. A., Rijsdijk, F. V., Lichtenstein, P., Narusyte, J., Reiss, D., et al. (2015). The intergenerational transmission of anxiety: A children-of-twins study. American Journal of Psychiatry, 172, 630–637.
Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G. (2013). G*Power Version 3.1.7 [computer software]. Uiversität Kiel. Retrieved from http://www.softpedia.com/get/Science-CAD/G-Power.shtml.
Gerull, F. C., & Rapee, R. M. (2002). Mother knows best: Effects of maternal modelling on the acquisition of fear and avoidance behaviour in toddlers. Behaviour Research and Therapy, 40, 279–287.
Ginsburg, G. S. (2009). The child anxiety prevention study: Intervention model and primary outcomes. Journal of Consulting and Clinical Psychology, 77(3), 580–587.
Ginsburg, G. S., Drake, K. L., Tein, J. Y., Teetsel, R., & Riddle, M. A. (2015). Preventing onset of anxiety disorders in offspring of anxious parents: A randomized controlled trial of a family-based intervention. American Journal of Psychiatry, 172(12), 1207–1214.
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, 23–41.
Grych, J. H., Seid, M., & Fincham, F. D. (1992). Assessing marital conflict from the child’s perspective: The Children’s Perception of Inter-parental Conflict Scale. Child Development, 63, 558–572.
Lebowitz, E. R., Woolston, J., Bar-Haim, Y., Calvocoressi, L., Dauser, C., Warnick, E., et al. (2013). Family accommodation in pediatric anxiety disorders. Depression and Anxiety, 30, 47–54.
Lipsey, M. W. (1990). Design sensitivity: Statistical Power for Experimental Research. Newbury Park, CA: Sage.
McLeod, B. D., Wood, J. J., & Weisz, J. R. (2007). Examining the association between parenting and childhood anxiety: A meta-analysis. Clinical Psychology Review, 27, 155–172.
Micco, J. A., Henin, A., Mick, E., Kim, S., Hopkins, C. A., Biederman, J., et al. (2009). Anxiety and depressive disorders in offspring at high risk for anxiety: A meta-analysis. Journal of Anxiety Disorders, 23, 1158–1164.
Muris, P., Meesters, C., & van Brakel, A. (2003). Assessment of anxious rearing behaviors with a modified version of ‘Egna Minnen Beträffande Uppfostran’ questionnaire for children. Journal of Psychopathology and Behavioral Assessment, 25, 229–237.
Schleider, J. L., Ginsburg, G. S., & Drake, K. L. (2017). Perceived peer victimization predicts anxiety outcomes in a prevention program for offspring of anxious parents. Journal of Clinical Child and Adolescent Psychology. https://doi.org/10.1080/15374416.2016.1270831.
Schleider, J. L., Vélez, C. E., Krause, E. D., & Gillham, J. E. (2014). Perceived psychological control and anxiety in early adolescents: The mediating role of attributional style. Cognitive Therapy and Research, 38, 71–81.
Schleider, J. L., & Weisz, J. R. (2017). Family process and youth internalizing problems: A triadic model of etiology and intervention. Development and Psychopathology, 29, 273–301.
Silverman, W. K., & Albano, A. M. (1996). The anxiety disorders interview schedule for DSM-IV: Child and parent versions. San Antonio, TX: Psychological Corporation.
Watt, M. C., Stewart, S. H., & Cox, B. J. (1998). A retrospective study of learning history origins of anxiety sensitivity. Behavior Research and Therapy, 36, 505–525.
Wood, J., McLeod, B. D., Sigman, M., Hwang, W. C., & Chu, B. C. (2003). Parenting and childhood anxiety: Theory, empirical findings, and future directions. Journal of Child Psychology and Psychiatry, 44, 134–151.
Zabin, M., & Melamed, B. G. (1980). The relationship between parental discipline and children’s ability to cope with stress. Journal of Behavioral Assessment, 2, 17–38.
Acknowledgements
This study was supported by a grant from the National Institute of Mental Health (R01 MH077312) awarded to Golda S. Ginsburg.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
None of the authors have potential conflicts of interest to report.
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.
Informed Consent
Informed consent was obtained from all individual participants included in the study.
Rights and permissions
About this article
Cite this article
Ginsburg, G.S., Schleider, J.L., Tein, J.Y. et al. Family and Parent Predictors of Anxiety Disorder Onset in Offspring of Anxious Parents. Child Youth Care Forum 47, 363–376 (2018). https://doi.org/10.1007/s10566-017-9432-z
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10566-017-9432-z