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Stability of anxious symptomatology in children

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Abstract

The stability of anxiety states and symptoms was assessed in a sample of 150 anxious and nonanxious children. A number of assessment methods including a semistructured interview, self-report instruments, psychophysiological measures, and parental reports were used initially and at intervals up to 6 months later. The majority of children with a diagnosed anxiety disorder at the initial assessment still manifested significant symptomatology at the 6 month follow-up. However, stability of specific anxiety symptoms when assessed by self- and parental reports was mixed. With respect to psychophysiological assessment, stability of responses was evident at 2 weeks but not after 6 months. Results are discussed in terms of the stability of diagnoses and symptomatology, and the need for thematically relevant self-reports and behavioral assessment tasks. Recommendations are made for the development of a reliable, multimethod strategy to assess the multiple domains of childhood anxiety.

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References

  • Achenbach, T. M. (1978). The Child Behavior Profile: I. Boys aged 6–11.Journal of Consulting and Clinical Psychology, 46, 478–488.

    PubMed  Google Scholar 

  • Achenbach, T. M., & Edelbrock, C. (1979). The Child Behavior Profile: II. Boys aged 12–16 and girls aged 6–11 and 12–16.Journal of Consulting and Clinical Psychology, 47, 223–233.

    PubMed  Google Scholar 

  • American Psychiatric Association. (1980).Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.

    Google Scholar 

  • American Psychiatric Association. (1987).Diagnostic and statistical manual of mental disorders (3rd ed., rev.) Washington, DC: Author.

    Google Scholar 

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

    Google Scholar 

  • Beidel, D. C. (1991). Determining the reliability of psychophysiological assessment in childhood anxiety.Journal of Anxiety Disorders, 5, 139–150.

    Google Scholar 

  • Beidel, D. C., Neal, A. M., & Lederer, A. S. (1991). The feasibility and validity of a daily diary for the assessment of anxiety in young children.Behavior Therapy, 22, 505–517.

    Google Scholar 

  • Beidel, D. C., & Turner, S. M. (1988). Comorbidity of test anxiety and other anxiety disorders in children.Journal of Abnormal Child Psychology, 16, 275–287.

    PubMed  Google Scholar 

  • Beidel, D. C., Turner, S. M., & Morris, T. L. (1995). A new instrument for the assessment of social anxiety in children: The Social Phobia and Anxiety Inventory for Children.Psychological Assessment, 7, 73–79.

    Google Scholar 

  • Berg, C. Z., Rapoport, J. L., Whitaker, A., Davies, M., Leonard, H., Swedo, S. E., Braiman, S., & Lenane, M. (1989). Childhood obsessive compulsive disorder: A two year prospective study of a community sample.Journal of the American Academy of Child and Adolescent Psychiatry, 28, 528–533.

    PubMed  Google Scholar 

  • Cantwell, D. P., & Baker, L. (1989). Stability and natural history of DSM-III childhood diagnoses.Journal of the American Academy of Child and Adolescent Psychiatry, 28, 691–700.

    PubMed  Google Scholar 

  • Eme, R., & Schmidt, D. (1978). The stability of children's fears.Child Development, 49, 1277–1279.

    PubMed  Google Scholar 

  • Giebenhain, J., & Barrios, B. A. (1986, November).Multi-channel assessment of children's fear of the dark. Paper presented at the Association for Advancement of Behavior Therapy Annual Convention, Chicago.

  • Giordani, B., Manuck, S. B., & Farmer, J. K. (1981). Stability of behaviorally induced heartrate changes in children after one week.Child Development, 52, 533–537.

    PubMed  Google Scholar 

  • Gittelman, R. (1986).Anxiety disorders of childhood. New York: Guilford Press.

    Google Scholar 

  • Hollingshead, A. (1975).Four-factor Index of Social Status. Unpublished manuscript. Yale University, Department of Sociology, New Haven, CT.

    Google Scholar 

  • Klein, R. G. (1991). Parent-child agreement in clinical assessment of anxiety and other psychopathology: A review.Journal of Anxiety Disorders, 5, 187–198.

    Google Scholar 

  • Last, C. G. (1989). Anxiety disorders of childhood or adolescence. In C. G. Last, & M. Hersen (Eds.),Handbook of child psychiatric diagnosis. New York: John Wiley & Sons.

    Google Scholar 

  • Leonard, H. L., Swedo, S. E., Lenane, M. C., Rettew, D. C., Hambruger, S. D., Bartko, J. J., & Rapoport, J. L. (1993). A two to seven year follow-up study of 54 obsessive compulsive children and adolescents.Archives of General Psychiatry, 50, 429–439.

    PubMed  Google Scholar 

  • Murphy, J. K., Alpert, B. S., Wiley, E. S., & Somes, G. W. (1988). Cardiovascular reactivity to psychological stress in healthy children.Psychophysiology, 25, 144–152.

    PubMed  Google Scholar 

  • Ollendick, T. H., & Francis, G. (1988). Behavioral assessment and treatment of childhood phobias.Behavior Modification, 12, 165–204.

    PubMed  Google Scholar 

  • Ollendick, T. H., Matson, J. L., & Helsel, N. J. (1985). Fears in children and adolescents: Normative data.Behaviour Research and Therapy, 23, 465–467.

    PubMed  Google Scholar 

  • Sarason, I. G. (1975). Test anxiety, attention and the general problem of anxiety. In C. D. Spielberger & I. G. Sarason (Eds.),Stress and anxiety (Vol. 1, pp. 165–188). Washington, DC: Hemisphere/Wiley.

    Google Scholar 

  • Silverman, W. K. (1991). Diagnostic reliability of anxiety disorders in children using structured interviews.Journal of Anxiety Disorders, 5, 105–124.

    Google Scholar 

  • Silverman, W. K., & Nelles, W. B. (1988). The Anxiety Disorder Interview Schedule for Children.Journal of the American Academy of Child and Adolescent Psychiatry, 27, 772–778.

    PubMed  Google Scholar 

  • Silverman, W. K., & Nelles, W. B. (1989). An examination of the stability of mothers' ratings of child fearfulness.Journal of Anxiety Disorders, 3, 1–5.

    Google Scholar 

  • Spielberger, C. D. (1973).State-Trait Anxiety Inventory for Children. Palo Alto, CA: Consulting Psychologists Press.

    Google Scholar 

  • Turner, S. M., & Beidel, D. C. (1988).Treating obsessive-compulsive disorder. New York: Pergamon Press.

    Google Scholar 

  • Wechsler, D. (1974).The Wechsler Intelligence Scale for Children-Revised. San Antonio, TX: The Psychological Corporation.

    Google Scholar 

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This study was supported in part by NIMH Grant MH43252.

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Beidel, D.C., Fink, C.M. & Turner, S.M. Stability of anxious symptomatology in children. J Abnorm Child Psychol 24, 257–269 (1996). https://doi.org/10.1007/BF01441631

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  • DOI: https://doi.org/10.1007/BF01441631

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