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Mixed Anxiety/Depression in Childhood and Adolescence

  • Chapter
Handbook of Developmental Psychopathology

Abstract

Depression and anxiety are recognized as significant mental health problems during childhood and adolescence. The prevalence of symptoms of anxiety and depression increases during development, these problems are associated with impaired social and school functioning, and anxiety and depression symptoms or disorders early in development are predictive of similar problems in adulthood (Hammen & Rudolph, 1996). In spite of the overall significance of these problems for the well-being and development of children and adolescents, several issues about the conceptualization and basic nature of anxiety and depression in young people remain unresolved (Compas, Connor, & Hinden, 1998). Most importantly, the conceptualization of the nature and developmental course of depression and anxiety in young people remains open to debate. On the one hand, these problems have been conceptualized as discrete disorders that adhere to criteria that were originally developed for adults and have been extended down, with minor modifications, to children and adolescents (American Psychiatric Association, 1994). On the other hand, quantitative approaches to child and adolescent psychopathology have not identified distinct syndromes that reflect anxiety and depression, but have consistently revealed a syndrome that includes a mixture of anxious and depressed symptoms (Achenbach, 1991; Achenbach, Verhulst, Baron & Akkerhuis, 1987; Verhulst & van der Ende, 1992).

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References

  • Achenbach, T. M. (1985). Assessment and taxonomy of child and adolescent psychopathology. Newbury Park, CA: Sage.

    Google Scholar 

  • Achenbach, T. M. (1991). Integrative guide for the 1991 CBCU4–18, YSR,and TRF profiles. Burlington: University of Vermont, Department of Psychiatry.

    Google Scholar 

  • Achenbach, T. M. (1993). Empirically based taxonomy. Burlington: University of Vermont, Department of Psychiatry.

    Google Scholar 

  • Achenbach, T. M., McConaughy, S. H., & Howell, C. T. (1987). Child/adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity. Psychological Bulletin, 101, 213–232.

    Article  PubMed  Google Scholar 

  • Achenbach, T. M., Verhulst, F. C., Baron, D. C., & Akkerhuis, G. W. (1987). Epidemiological comparisons of American and Dutch children: I. Behavioral/emotional problems and competencies reported by parents for ages 4 to 16. Journal of the American Academy of Child and Adolescent Psychiatry, 26, 317–325.

    Article  PubMed  Google Scholar 

  • Alloy, L. B., Kelly, K. A., Mineka, S., & Clements, C. M. (1990). Comorbidity of anxiety and depressive disorders: A helplessness-hopelessness perspective. In J. D. Maser & R. C. Cloninger (Eds.), Comorbidity of mood and anxiety disorders (pp. 499–543). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

    Google Scholar 

  • Angold, A. (1988). Childhood and adolescent depression: I. Epidemiological and aetiological aspects. British Journal of Psychiatry, 152, 601–617.

    Article  PubMed  Google Scholar 

  • Angold, A., & Costello, E. J. (1993). Depressive comorbidity in children and adolescent: Empirical, theoretical, and methodological issues. American Journal of Psychiatry, 150, 1779–1791.

    PubMed  Google Scholar 

  • Angold, A., & Rutter, M. (1992). Effects of age and pubertal status on depression in a large clinical sample. Development and Psychopathology, 4, 5–28.

    Article  Google Scholar 

  • Barlow, D. H., Chorpita, B. E, & Turovsky, J. (1996). Fear, panic, anxiety, and the disorders of emotion. In D. A. Hope (Ed.), Nebraska Symposium on Motivation: Perspectives on anxiety, panic,and fear (Vol. 43, pp. 251–328). Lincoln: University of Nebraska Press.

    Google Scholar 

  • Barrios, B. A., & Hartmann, D. P. (1997). Fears and anxieties. In E. J. Mash & L. G. Terdal, (Eds.) Assessment of childhood disorders (3rd ed., pp. 230–327). New York: Guilford Press.

    Google Scholar 

  • Brady, E. U., & Kendall, P. C. (1992). Comorbidity of anxiety and depression in children and adolescents. Psychological Bulletin, 111, 244–255.

    Article  PubMed  Google Scholar 

  • Cantwell, D. P., & Baker, L. (1991). Manifestations of depressive affect in adolescence. Journal of Youth and Adolescence, 20, 121–133.

    Article  Google Scholar 

  • Carlson, G. A. (1994). Adolescent bipolar disorder: Phenomenology and treatment implications. In W. M. Reynolds & H. E. Johnston (Eds.), Handbook of depression in children and adolescents (pp. 41–60). New York: Plenum Press.

    Google Scholar 

  • Chen, W. J., Faraone, S. V, Biederman, J., & Tsuang, M. T. (1994). Diagnostic accuracy of the Child Behavior Checklist scales for attention-deficit hyperactivity disorder: A receiver-operating characteristic analysis. Journal of Consulting and Clinical Psychology, 62, 1017–1025.

    Article  PubMed  Google Scholar 

  • Chorpita, B. F., Albano, A. M., & Barlow, D. H. (1998). The structure of negative emotions in a clinical sample of children and adolescents. Journal of Abnormal Psychology, 197, 74–85.

    Article  Google Scholar 

  • Chorpita, B. E, & Barlow, D. H. (1998). The development of anxiety: The role of control in the early environment. Psychological Bulletin, 124, 3–21.

    Article  PubMed  Google Scholar 

  • Cole, D., Martin, J., Powers, B., & Truglio, R. (1996). Modeling causal relations between academic and social competence and depression: A multitrait-multimethod longitudinal study of children. Journal of Abnormal Psychology, 105, 258–270.

    Article  PubMed  Google Scholar 

  • Cole, D. A., Peeke, L. G., Lachlan, G., Martin, J. M., Truglio, R., & Seroczynski, A. D. (1998). A longitudinal look at the relation between depression and anxiety in children and adolescents. Journal of Consulting and Clinical Psychology, 66, 451–460.

    Article  PubMed  Google Scholar 

  • Cole, D. A., Truglio, R., & Peeke, L. (1997). Relation between symptoms of anxiety and depression in children: A multitrait-multimethod-multigroup investigation. Journal of Consulting and Clinical Psychology, 65,110–119.

    Article  PubMed  Google Scholar 

  • Compas, B. E. (1997). Depression in children and adolescents. In E. J. Mash & L. G. Terdal (Eds.), Assessment of childhood disorders (3rd ed., pp. 190–229). New York: Guilford Press.

    Google Scholar 

  • Compas, B. E., Connor, J. K., & Hinden, B. R (1998). New perspectives on depression during adolescence. In R. Jessor (Ed.), New perspectives on problem behavior in adolescence (pp. 319–362). New York: Cambridge University Press.

    Google Scholar 

  • Compas, B. E., Ey, S., & Grant, K. E. (1993). Taxonomy and assessment of depression during adolescence. Psychological Bulletin, 114, 323–344.

    Article  PubMed  Google Scholar 

  • Compas, B. E., & Hammen, C. L. (1994). Child and adolescent depression: Covariation and comorbidity in development. In R. J. Haggerty, L. R. Sherrod, N. Garmezy, & M. Rutter (Eds.), Stress,risk, and resilience in children and adolescents: Processes, mechanisms, and interventions (pp. 225–267). New York: Cambridge University Press.

    Google Scholar 

  • Compas, B. E., Oppedisano, G., Connor, J. K., Gerhardt, C. A., Hinden, B., Achenbach, T. M., & Hammen, C. (1997). Gender differences in depressive symptoms in adolescence: Comparison of national samples of clinically-referred and non-referred youth. Journal of Consulting and Clinical Psychology, 65, 617–626.

    Article  PubMed  Google Scholar 

  • Coyne, J. C., & Downey, G. (1991). Social factors and psychopathology: Stress, social support, and coping processes. Annual Review of Psychology, 42, 401–425.

    Article  PubMed  Google Scholar 

  • de Groot, A., Koot, H. M., & Verhulst, E. C. (1994). Cross-cultural generalizability of the Child Behavior Checklist cross-informant syndromes. Psychological Assessment, 6, 225–230.

    Article  Google Scholar 

  • Edelbrock, C., & Costello, A. J. (1988). Convergence between statistically derived behavior problem syndromes and child psychiatric diagnoses. Journal of Abnormal Child Psychology, 16, 219–231.

    Article  PubMed  Google Scholar 

  • Eley, T. C. (1997a). Depressive symptoms in children and adolescents: Etiological links between normality and abnormality. Journal of Child Psychology and Psychiatry and Allied Disciplines, 38, 861–866.

    Article  Google Scholar 

  • Eley, T. C. (1997b). General genes: A new theory in developmental psychopathology. Current Directions in Psychological Science, 6, 90–95.

    Article  Google Scholar 

  • Fechner-Bates, S., Coyne, J. C., & Schwenk, T. L. (1994). The relationship of self-reported distress to depressive disorders and other psychopathology. Journal of Consulting and Clinical Psychology, 62, 550–559.

    Article  PubMed  Google Scholar 

  • Finch, A. J., Lipovsky, J. A., & Casat, C. D. (1989). Anxiety and depression in children and adolescents: Negative affectivity or separate constructs? In P. C. Kendall & D. Watson (Eds.), Anxiety and depression: Distinctive and overlapping features (pp. 171–202). New York: Academic Press.

    Google Scholar 

  • Garrison, C. Z., Addy, C. L., Jackson, K. L., McKeown, R. E., & Waller, R. (1991). The CES-D as a screen for depression and other psychiatric disorders in adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 636–641.

    Article  PubMed  Google Scholar 

  • Garrison, C. Z., Jackson, K. L., Marstellar, F., McKeown, R. E., & Addy, C. (1990). A longitudinal study of depressive symptomatology in young adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 581–585.

    Article  PubMed  Google Scholar 

  • Gerhardt, C., Compas, B. E., Connor, J., & Achenbach, T. M. (1999). Association of a mixed anxiety-depression syndrome and symptoms of major depressive disorder during adolescence. Journal of Youth and Adolescence, 28, 305–323.

    Article  Google Scholar 

  • Gotlib, I. H., Lewinsohn, P. M., & Seeley, J. R. (1995). Symptoms versus a diagnosis of depression: Differences in psychosocial functioning. Journal of Consulting and Clinical Psychology, 65, 90–100.

    Article  Google Scholar 

  • Hammen, C. & Compas, B. E. (1994). Unmasking unmasked depression in children and adolescents: The problem of comorbidity. Clinical Psychology Review, 14, 585–603.

    Google Scholar 

  • Hammen, C. L., & Rudolph, K. (1996). Childhood depression. In E. J. Mash & R. A. Barkley (Eds.), Child psychopathology. New York: Guilford Press.

    Google Scholar 

  • Hinden, B., Compas, B. E., Achenbach, T. M., Hammen, C., Oppedisano, G., Connor, J. K., & Gerhardt, C. A. (1998). Charting the course of depressive symptoms during adolescence: Do we have the right map? Manuscript submitted for publication.

    Google Scholar 

  • Hinden, B., Compas, B. E., Howell, D. C., & Achenbach, T. M. (1997). Comorbidity of depression during adolescence: Separating fact from artifact. Journal of Consulting and Clinical Psychology, 65, 6–14.

    Article  PubMed  Google Scholar 

  • Jensen, P. S., Watanabe, H. K., Richters, J. E., Roper, M., Hibbs, E. D., Salzberg, A. D., & Liu, S. (1996). Scales, diagnoses, and child psychopathology: II. Comparing the CBCL and DISC against external validators. Journal of Abnormal Child Psychology, 24, 151–168.

    Article  PubMed  Google Scholar 

  • Joiner, T. E., Catanzaro, S. J., & Laurent, J. (1996). Tripartite structure of positive and negative affect, depression, and anxiety in child and adolescent psychiatric inpatients. Journal of Abnormal Psychology, 105, 401–409.

    Article  PubMed  Google Scholar 

  • Kandel, D. B., & Davies, M. (1982). Epidemiology of depressive mood in adolescents. Archives of General Psychiatry, 39, 1205–1212.

    Article  PubMed  Google Scholar 

  • Kandel, D. B., & Davies, M. (1986). Adult sequelae of adolescent depressive symptoms. Archives of General Psychiatry, 43, 255–262.

    Article  PubMed  Google Scholar 

  • Kashani, J. H., Carlson, G. A., Beck, N. C., Hoeper, E. W., Corcoran, C. M., McAllister, J. A., Fallahi, C., Rosenberg, T. K., & Reid, J. C. (1987). Depression, depressive symptoms, and depressed mood among a community sample of adolescents. American Journal of Psychiatry, 144, 931–934.

    PubMed  Google Scholar 

  • Kazdin, A. E. (1994). Informant variability in the assessment of childhood depression. In W. M. Reynolds & H. F. Johnston (Eds.), Handbook of depression in children and adolescents (pp. 249–271). New York: Plenum Press.

    Google Scholar 

  • Kazdin, A. E., Esveldt-Dawson, K., Unis, A. S., & Rancurello, M. D. (1983). Child and parent evaluations of depression and aggression in psychiatric inpatient children. Journal of Abnormal Child Psychology, 11, 401–413.

    Article  PubMed  Google Scholar 

  • King, N. J., Ollendick, T. H., & Gallon, E. (1991). Negative affectivity in children and adolescents: Relations between anxiety and depression. Clinical Psychology Review, 11, 441–460.

    Article  Google Scholar 

  • Kovacs, M. (1980). Rating scales to assess depression in school-aged children. Acta Paedopsychiatrica, 46, 305–315.

    Google Scholar 

  • Kovacs, M. (1989). Affective disorders in children and adolescents. American Psychologist, 44, 209–215.

    Article  PubMed  Google Scholar 

  • Kovacs, M., Akiskal, H. S., Gatsonis, C., & Parrone, P. L. (1994). Childhood-onset dysthymic disorder: Clinical features and prospective naturalistic outcome. Archives of General Psychiatry, 51, 365–374.

    Article  PubMed  Google Scholar 

  • Kovacs, M., Feinberg, T. L., Crouse-Novak, M. A., Paulauskas, S. L., & Finkelstein, R. (1984). Depressive disorders in childhood: I. A longitudinal prospective study of Characteristics and recovery. Archives of General Psychia-try, 41, 229–237.

    Article  Google Scholar 

  • Kovacs, M., Gatsonis, C., Paulauskas, S. L., & Richards, C. (1989). Depressive disorders in childhood: IV. A longitudinal study of comorbidity with and risk for anxiety disorders. Archives of General Psychiatry, 46, 776–782.

    Article  PubMed  Google Scholar 

  • Lewinsohn, P. M., Hops, H., Roberts, R. E., Seeley, J. R., & Andrews, J. A. (1993). Adolescent Psychopathology: I. Prevalence and incidence of depression and other DSM-III-R disorders in high school students. Journal of Abnormal Psychology, 102, 133–144.

    Article  PubMed  Google Scholar 

  • Lewinsohn, P. M., Rohde, P., Seeley, J. R., & Hops, H. (1991). Comorbidity of unipolar depression: I. Major depression with dysthymia. Journal of Abnormal Psychology, 100, 205–213.

    Article  PubMed  Google Scholar 

  • McConaughy, S. H., & Achenbach, T. M. (1994). Comorbidity of empirically based syndromes in matched general population and clinical samples. Journal of Clinical Child Psychology and Psychiatry and Allied Disciplines, 35, 1141–1157.

    Article  Google Scholar 

  • McGee, R., Feehan, M., Williams, S., Partridge, E, Silva, P., & Kelly, J. (1990). DSM-lII disorders in a large sample of adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 611–619.

    Article  PubMed  Google Scholar 

  • Nurcombe, B., Seifer, R., Scioli, A., Tramontana, M. G., Grapentine, W. L., & Beauchesne, H. C. (1989). Is major depressive disorder in adolescence a distinct entity? Journal of the American Academy of Child and Adolescent Psychiatry, 28, 333–342.

    Article  PubMed  Google Scholar 

  • Oppedisano, G., Compas, B. E., & Achenbach, T. M. (1998). Further analysis of the structure of the anxious/depressed syndrome of the Child Behavior Checklist and Youth Self-Report. Unpublished manuscript.

    Google Scholar 

  • Petersen, A. C., Compas, B. E., Brooks-Gunn, J., Stemmler, M., Ey, S., & Grant, K. E. (1993). Depression in adolescence. American Psychologist, 48, 155–168.

    Article  PubMed  Google Scholar 

  • Petersen, A. C., Sarigiani, P. A., & Kennedy, R. E. (1991). Adolescent depression: Why more girls? Journal of Youth and Adolescence, 20, 247–271.

    Article  Google Scholar 

  • Rey, J. M., & Morris-Yates, A. (1991). Adolescent depression and the Child Behavior Checklist. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 423–427.

    Article  PubMed  Google Scholar 

  • Rey, J. M., & Morris-Yates, A. (1992). Diagnostic accuracy in adolescents of several depression rating scales extracted from a general purpose behavior checklist. Journal of Affective Disorders, 27, 281–287.

    Google Scholar 

  • Reynolds, C. R., & Richmond, B. O. (1978). What I think and feel: A revised measure of children’s manifest anxiety. Journal of Abnormal Child Psychology, 6, 271–280.

    Article  PubMed  Google Scholar 

  • Roberts, R. E., Lewinsohn, P. M., & Seeley, J. R. (1991). Screening for adolescent depression: A comparison of depression scales. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 58–66.

    Article  PubMed  Google Scholar 

  • Rohde, P., Lewinsohn, P. M., & Seeley, J. R. (1991). Comorbidity of unipolar depression: II. Comorbidity with other mental disorders in adolescents and adults. Journal of Abnormal Psychology, 100, 214–222.

    Article  PubMed  Google Scholar 

  • Rudolph, K. D. (1998). An integrative,developmental conceptualization of the relationship between anxiety and depression. Manuscript submitted for publication.

    Google Scholar 

  • Rudolph, K. D., Osborne, L., Lambert, S., & Gathright, T. (1998). A developmental analysis of symptom structure of anxiety and depression. Manuscript submitted for publication.

    Google Scholar 

  • Saylor, C. E, Finch, A. J., Spirito, A., & Bennett, B. (1984). The Children’s Depression Inventory: A systematic evaluation of psychometric properties. Journal of Consulting and Clinical Psychology, 52, 955–967.

    Article  PubMed  Google Scholar 

  • Verhulst, F. C., & van der Ende, J. (1992). Six-year developmental course of internalizing and externalizing problem behaviors. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 924–931.

    Article  PubMed  Google Scholar 

  • Watson, D., & Clark, L. (1984). Negative affectivity: The disposition to experience aversive emotional states. Psychological Bulletin, 96, 465–490.

    Article  PubMed  Google Scholar 

  • Watson, D., & Clark, L. A. (1992). Affects separable and inseparable: On the hierarchical arrangement of the negative affects. Journal of Personality and Social Psychology, 62, 489–505.

    Article  Google Scholar 

  • Watson, D., Clark, L. A., & Carey, G. (1988). Positive and negative affectivity and their relation to anxiety and depressive disorders. Journal of Abnormal Psychology, 97, 346–353.

    Article  PubMed  Google Scholar 

  • Watson, D. & Kendall, P. C. (1989). Common and differentiating features of anxiety and depression: Current findings and future directions. In P. C. Kendall & D. Watson (Eds.), Anxiety and depression: Distinctive and overlapping features (pp. 493–508). New York: Academic Press.

    Google Scholar 

  • Watson, D. & Tellegen, A. (1985). Toward a consensual structure of mood. Psychological Bulletin, 98, 219–235. Watson, D., Weber, K., Assenheimer, J. S., Clark, L. A., Strauss, M. E., & McCormick, R. A. (1995). Testing a tripartite model: I. Evaluating the convergent and discriminant validity of mood and anxiety scales. Journal of Abnormal Psychology, 104, 3–14.

    Google Scholar 

  • Weinstein, S. R., Noam, G. G., Grimes, K., Stone, K., & Schwab-Stone, M. (1990). Convergence of DSM-III diagnoses and self-reported symptoms in child and adolescent inpatients. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 627–634.

    Article  PubMed  Google Scholar 

  • Weiss, B., Susser, K., & Catron, T. (1998). Common and specific features of childhood psychopathology. Journal of Abnormal Psychology, 107, 118–127.

    Article  PubMed  Google Scholar 

  • Wolfe, V. V., Finch, A. J., Saylor, C. E, Blount, R. L., Pallmeyer, T. P., & Carek, D. J. (1987). Negative affectivity in children: A multitrait-multimethod investigation. Journal of Consulting and Clinical Psychology, 55, 245–250.

    Article  PubMed  Google Scholar 

  • World Health Organization. (1990). International classification of diseases and health related problems (ICD-10) Geneva: Author.

    Google Scholar 

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Authors and Affiliations

  1. Department of Psychology, University of Vermont, Burlington, Vermont, 05405, USA

    Bruce E. Compas & Gerri Oppedisano

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  1. Bruce E. Compas
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  2. Gerri Oppedisano
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Editors and Affiliations

  1. University of Michigan, Ann Arbor, Michigan, USA

    Arnold J. Sameroff

  2. Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA

    Michael Lewis

  3. Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA

    Suzanne M. Miller

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Compas, B.E., Oppedisano, G. (2000). Mixed Anxiety/Depression in Childhood and Adolescence. In: Sameroff, A.J., Lewis, M., Miller, S.M. (eds) Handbook of Developmental Psychopathology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-4163-9_28

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