Skip to main content

Advertisement

Log in

Generalized Anxiety Symptoms and Identity Processes in Cross-Cultural Samples of Adolescents from the General Population

  • Original Paper
  • Published:
Child & Youth Care Forum Aims and scope Submit manuscript

Abstract

Background

Approximately 20 % of adolescents around the world experience mental health problems, most commonly depression or anxiety. High levels of anxiety disorder symptoms can hinder adolescent development, persist into adulthood, and predict negative mental outcomes, such as suicidal ideation and attempts.

Objectives

We analyzed generalized anxiety disorder (GAD) symptoms in cross-cultural samples from the general population. We sought to examine cultural and gender differences, and correlates of GAD symptoms in samples of adolescents from six countries located in three different continents (Europe: Bulgaria, Italy, the Netherlands; Africa: Kenya; Asia: China and Philippines).

Methods

Participants were 3,445 (51 % male) adolescents aged between 14 and 18 years old. They filled self-report measures of GAD symptoms and identity.

Results

First, it was found that the scores on GAD symptoms varied significantly across countries, with Dutch respondents reporting the lowest levels whereas Filipino participants exhibited the highest levels of GAD symptoms. Second, gender differences (i.e., girls reported more GAD symptoms than boys) were significant in each country (as well as in the total sample), with the only exception being that of Kenya. Third, GAD symptoms were significantly related to identity processes and similarities and differences across countries were examined.

Conclusions

This study highlighted that prevalence, gender differences, and correlates of GAD vary across countries. Therefore, it is important when researching GAD symptoms to examine one’s research findings within a global perspective.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

Abbreviations

GAD:

Generalized anxiety disorder

References

  • Achenbach, T. M., Dumenci, L., & Rescorla, L. A. (2002). Ten-year comparisons of problems and competencies for national samples of youth: Self, parent, and teacher reports. Journal of Emotional and Behavioral Disorders, 10, 194–203.

    Article  Google Scholar 

  • Alampay, L. P., & Jocson, M. R. M. (2011). Attributions and attitudes of mothers and fathers in the Philippines. Parenting, 11, 163–176.

    Article  PubMed Central  PubMed  Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, 4th ed., Text Revision (DSM-IV-TR). Washington, DC: American Psychiatric Association.

  • Anagnost, A., Arai, A., & Ren, H. (Eds.). (2013). Global futures in East Asia. Youth, nation, and the new economy in uncertain times. Stanford: Stanford University Press.

    Google Scholar 

  • Angst, J., Gamma, A., Bienvenu, O. J., Eaton, W. W., Ajdacic, V., Eich, D., et al. (2006). Varying temporal criteria for generalized anxiety disorder: Prevalence and clinical characteristics in a young age cohort. Psychological Medicine, 36, 1283–1292.

    Article  PubMed  Google Scholar 

  • Arnett, J. J. (2002). The psychology of globalization. American Psychologist, 57, 774–783.

    Article  PubMed  Google Scholar 

  • Arnett, J. J. (2008). The neglected 95%: Why American psychology needs to become less American. American Psychologist, 63, 602–614.

    Article  PubMed  Google Scholar 

  • Berman, S. L., Weems, C. F., & Stickle, T. R. (2006). Existential anxiety in adolescents: Prevalence, structure, association with psychological symptoms and identity development. Journal of Youth and Adolescence, 35, 285–292.

    Article  Google Scholar 

  • Berzonsky, M. D. (2003). Identity style and well-being: Does commitment matter? Identity, 3, 131–142.

    Article  Google Scholar 

  • Birmaher, B., Brent, D. A., Chiappetta, L., Bridge, J., Monga, S., & Baugher, M. (1999). Psychometric properties of the screen for child anxiety related emotional disorders (SCARED): A replication study. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1230–1236.

    Article  PubMed  Google Scholar 

  • Birmaher, B., Khetarpal, S., Brent, D., Cully, M., Balach, L., Kaufman, J., et al. (1997). The Screen for Child Anxiety Related Emotional Disorders (SCARED): Scale construction and psychometric characteristics. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 545–553.

    Article  PubMed  Google Scholar 

  • Boden, J. M., Fergusson, D. M., & Horwood, L. J. (2007). Anxiety disorders and suicidal behaviours in adolescence and young adulthood: Findings from a longitudinal study. Psychological Medicine, 37, 431–440.

    Article  PubMed  Google Scholar 

  • Chao, R., & Tseng, V. (2002) Parenting of Asians. In M. H. Bornstein (Ed.) Handbook of parenting: Vol. 4 Social conditions and applied parenting (2nd ed.) (pp. 59–93). Mahwah, NJ: Lawrence Erlbaum Associates.

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences. New York: Academic Press.

    Google Scholar 

  • Comer, J. S., & Kendall, P. C. (2004). A symptom-level examination of parent-child agreement in the diagnosis of anxious youths. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 878–886.

    Article  PubMed  Google Scholar 

  • Crocetti, E., Cieciuch, J., Gao, C. H., Klimstra, T., Lin, C. L., Matos, P. M., et al. (2014). National and gender measurement invariance of the Utrecht-Management of Identity Commitments Scale (U-MICS): A ten-nation cross-cultural study. Manuscript under review.

  • Crocetti, E., Hale, W. W., III, Fermani, A., Raaijmakers, Q., & Meeus, W. (2009a). Psychometric properties of the screen for child anxiety related emotional disorders (SCARED) in the general Italian adolescent population: A validation and a comparison between Italy and the Netherlands. Journal of Anxiety Disorders, 23, 824–829.

    Article  PubMed  Google Scholar 

  • Crocetti, E., Jahromi, P., & Meeus, W. (2012). Identity and civic engagement in adolescence. Journal of Adolescence, 35, 521–532.

    Article  PubMed  Google Scholar 

  • Crocetti, E., Klimstra, T., Keijsers, L., Hale, W. W., III, & Meeus, W. (2009b). Anxiety trajectories and identity development in adolescence: A five-wave longitudinal study. Journal of Youth and Adolescence, 38, 839–849.

    Article  PubMed  Google Scholar 

  • Crocetti, E., Rubini, M., & Meeus, W. (2008). Capturing the dynamics of identity formation in various ethnic groups: Development and validation of a three-dimensional model. Journal of Adolescence, 31, 207–222.

    Article  PubMed  Google Scholar 

  • Crocetti, E., Schwartz, S. J., Fermani, A., & Meeus, W. (2010). The Utrecht-Management of Identity Commitments Scale (U-MICS) Italian validation and cross-national comparisons. European Journal of Psychological Assessment, 26, 172–186.

    Article  Google Scholar 

  • Cumming, G. (2012). Understanding the new statistics: Effect sizes, confidence intervals, and meta-analysis. New York: Routledge.

    Google Scholar 

  • Currie, C., Zanotti, C., Morgan, A., Currie, D., de Looze, M., Roberts, C., et al. (Eds.). (2012). Social determinants of health and well-being among young people. Health Behaviour in School-aged Children (HBSC) study: International report from the 2009/2010 survey. Copenhagen: WHO Regional Office for Europe.

    Google Scholar 

  • Diener, E., & Diener, M. (1995). Cross-cultural correlates of life satisfaction and self-esteem. Journal of Personality and Social Psychology, 68, 653–663.

    Article  PubMed  Google Scholar 

  • Diener, E., Diener, M., & Diener, C. (1995). Factors predicting the subjective well-being of nations. Journal of Personality and Social Psychology, 69, 851–864.

    Article  PubMed  Google Scholar 

  • Dimitrova, R., Chasiotis, A., Bender, M., & van de Vijver, F. J. R. (2014a). Collective identity and well-being of Bulgarian adolescents. Cross Cultural Research, 48, 1–30.

    Article  Google Scholar 

  • Dimitrova, R., Crocetti, E., Buzea, C., Jordanov, V., Kosic, M., Tair, E., et al. (2014b). The Utrecht-Management of Identity Commitments Scale (U-MICS): Measurement Invariance and Cross-National Comparisons of Youth from Seven European Countries. European Journal of Psychological Assessment.

  • Dugas, M. J. (2000). Generalized anxiety disorder publications: So where do we stand? Journal of Anxiety Disorders, 14, 31–40.

    Article  PubMed  Google Scholar 

  • Erikson, E. H. (1968). Identity, youth and crisis. New York: Norton.

    Google Scholar 

  • Essau, C. A., Anastassiou-Hadjicharalambous, X., & Munoz, L. C. (2013). Psychometric properties of the screen for child anxiety related emotional disorders (SCARED) in Cypriot children and adolescents. European Journal of Psychological Assessment, 29, 19–27.

    Article  Google Scholar 

  • Ferrer-Wreder, L., Palchuk, A., Poyrazli, S., Small, M. L., & Domitrovich, C. E. (2008). Identity and adolescent adjustment. Identity, 8, 95–105.

    Article  Google Scholar 

  • Fischer, R., & Boer, D. (2011). What is more important for national well-being: Money or autonomy? A meta-analysis of well-being, burnout, and anxiety across 63 societies. Journal of Personality and Social Psychology, 101, 164–184.

    Article  PubMed  Google Scholar 

  • Fuligni, A. J., & Pedersen, S. (2002). Family obligation and the transition to young adulthood. Developmental Psychology, 38, 856–868.

    Article  PubMed  Google Scholar 

  • Hale, W. W, I. I. I., Crocetti, E., Raaijmakers, Q. A. W., & Meeus, W. H. J. (2011). A meta-analysis of the cross-cultural psychometric properties of the screen for child anxiety related emotional disorders (SCARED). Journal of Child Psychology and Psychiatry and Allied Disciplines, 52(1), 80–90.

    Article  Google Scholar 

  • Hale, W. W, I. I. I., Engels, R., & Meeus, W. (2006). Adolescent’s perceptions of parenting behaviours and its relationship to adolescent generalized anxiety disorder symptoms. Journal of Adolescence, 29, 407–417.

    Article  PubMed  Google Scholar 

  • Hale, W. W, I. I. I., Raaijmakers, Q., Muris, P., & Meeus, W. (2005). Psychometric properties of the screen for child anxiety related emotional disorders (SCARED) in the general adolescent population. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 283–290.

    Article  PubMed  Google Scholar 

  • Hale, W. W, I. I. I., Raaijmakers, Q., Muris, P., Van Hoof, A., & Meeus, W. (2008). Developmental trajectories of adolescent anxiety disorder symptoms: A 5-year prospective community study. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 556–564.

    Article  PubMed  Google Scholar 

  • Hofstede, G. (1993). Cultural constraints in management theories. Academy of Management Executive, 7, 81–94.

    Google Scholar 

  • Hofstede, G. (2001). Culture’s consequences: Comparing values, behaviors, institutions and organizations across nations (2nd ed.). Thousand Oaks CA: Sage Publications.

    Google Scholar 

  • Hofstede, G., Hofstede, G. J., & Minkov, M. (2010). Cultures and organizations: Software of the mind (3rd ed.). New York, NY: McGraw-Hill.

    Google Scholar 

  • Hunt, C., Issakidis, C., & Andrews, G. (2002). DSM-IV generalized anxiety disorder in the Australian national survey of mental health and well-being. Psychological Medicine, 32, 649–659.

    Article  PubMed  Google Scholar 

  • Kline, R. B. (2013). Beyond significance testing: Statistics reform in the behavioral sciences (2nd ed.). Washington DC: American Psychological Association.

    Book  Google Scholar 

  • Lanuza, G. (2004). The theoretical state of Philippine youth studies: Current trends and future directions. Young, 12, 357–376.

    Article  Google Scholar 

  • Lewinsohn, P. M., Lewinsohn, M., Gotlib, I. H., Seeley, J. R., & Allen, N. B. (1998). Gender differences in anxiety disorders and anxiety symptoms in adolescents. Journal of Abnormal Psychology, 107, 109–117.

    Article  PubMed  Google Scholar 

  • Linville, P. W. (1987). Self-complexity as a cognitive buffer against stress-related illness and depression. Journal of Personality and Social Psychology, 52, 663–676.

    Article  PubMed  Google Scholar 

  • Markus, H. R., & Kitayama, S. (1991). Culture and the self: Implications for cognition, emotion, and motivation. Psychological Review, 98, 224–253.

    Article  Google Scholar 

  • Meeus, W. (2011). The study of adolescent identity formation 2000-2010: A review of longitudinal research. Journal of Research on Adolescence, 21, 75–94.

    Article  Google Scholar 

  • Meeus, W., van de Schoot, R., Keijsers, L., Schwartz, S. J., & Branje, S. (2010). On the progression and stability of adolescent identity formation: A five-wave longitudinal study in early-to-middle and middle-to-late adolescence. Child Development, 81, 1565–1581.

    Article  PubMed  Google Scholar 

  • Mezulis, A. H., Abramson, L. Y., Hyde, J. S., & Hankin, B. L. (2004). Is there a universal positivity bias in attributions? A meta-analytic review of individual, developmental, and cultural differences in the self-serving attributional bias. Psychological Bulletin, 130, 711–747.

    Article  PubMed  Google Scholar 

  • Mitchell, S., & Abbott, S. (1987). Gender and symptoms of depression and anxiety among kikuyu secondary school students in Kenya. Social Science and Medicine, 24, 303–316.

    Article  PubMed  Google Scholar 

  • Muris, P., Merckelbach, H., Ollendick, T., King, N., & Bogie, N. (2002). Three traditional and three new childhood anxiety questionnaires: Their reliability and validity in a normal adolescent sample. Behaviour Research and Therapy, 40, 753–772.

    Article  PubMed  Google Scholar 

  • Ndetei, D. M., Khasakhala, L., Nyabola, L., Ongecha-Owuor, F., Seedat, S., Mutiso, V., et al. (2008). The prevalence of anxiety and depression symptoms and syndromes in kenyan children and adolescents. Journal of Child and Adolescent Mental Health, 20, 33–51.

    Article  Google Scholar 

  • Ollendick, T. H., & King, N. J. (1994). Fears and their level of inference in adolescents. Behaviour Research and Therapy, 32, 635–638.

    Article  PubMed  Google Scholar 

  • Pine, D. S., Cohen, P., Gurley, D., Brook, J., & Ma, Y. (1998). The risk for early-adulthood anxiety and depressive disorders in adolescents with anxiety and depressive disorders. Archives of General Psychiatry, 55, 56–64.

    Article  PubMed  Google Scholar 

  • Rapee, R. M. (2001). The development of generalized anxiety. In M. W. Vasey & M. R. Dadds (Eds.), The developmental psychopathology of anxiety (pp. 481–503). London: Oxford University Press.

    Google Scholar 

  • Rescorla, L., Achenbach, T. M., Ivanova, M. Y., Dumenci, L., Almqvist, F., Bilenberg, N., et al. (2007). Epidemiological comparisons of problems and positive qualities reported by adolescents in 24 countries. Journal of Consulting and Clinical Psychology, 75, 351–358.

    Article  PubMed  Google Scholar 

  • Roccas, S., & Brewer, M. B. (2002). Social identity complexity. Personality and Social Psychology Review, 6, 88–106.

    Article  Google Scholar 

  • Roza, S. J., Hofstra, M. B., Van Der Ende, J., & Verhulst, F. C. (2003). Stable prediction of mood and anxiety disorders based on behavioral and emotional problems in childhood: A 14-year follow-up during childhood, adolescence, and young adulthood. American Journal of Psychiatry, 160, 2116–2121.

    Article  PubMed  Google Scholar 

  • Schwartz, B. (2000). Self-determination: The tyranny of freedom. American Psychologist, 55, 79–88.

    Article  PubMed  Google Scholar 

  • Schwartz, S. J., Zamboanga, B. L., Weisskirch, R. S., & Rodriguez, L. (2009). The relationships of personal and ethnic identity exploration to indices of adaptive and maladaptive psychosocial functioning. International Journal of Behavioral Development, 33, 131–144.

    Article  Google Scholar 

  • Su, L., Wang, K., Fan, F., Su, Y., & Gao, X. (2008). Reliability and validity of the Screen for Child Anxiety Related Emotional Disorders (SCARED) in Chinese children. Journal of Anxiety Disorders, 22, 612–621.

    Article  PubMed  Google Scholar 

  • Van de Vijver, F. J. R., & Leung, K. (1997). Methods and data analysis for cross-cultural research. Thousand Oaks, CA: Sage.

    Google Scholar 

  • Van Hemert, D. A., van de Vijver, F. J. R., & Poortinga, Y. H. (2002). The Beck Depression Inventory as a measure of subjective well-being: A cross-national survey. Journal of Happiness Studies, 3, 257–286.

    Article  Google Scholar 

  • Van Oort, F. V. A., Greaves-Lord, K., Verhulst, F. C., Ormel, J., & Huizink, A. C. (2009). The developmental course of anxiety symptoms during adolescence: The TRAILS study. Journal of Child Psychology and Psychiatry and Allied Disciplines, 50, 1209–1217.

    Article  Google Scholar 

  • Veenhoven, R. (1995). The cross-national pattern of happiness: Test of predictions implied in three theories of happiness. Social Indicators Research, 34, 33–68.

    Article  Google Scholar 

  • Venier, J. L., Ross, M. W., & Akande, A. (1998). HIV/AIDS-related social anxieties in adolescents in three African countries. Social Science and Medicine, 46, 313–320.

    Article  PubMed  Google Scholar 

  • Verhulst, F. C., Koot, H. M., & Van der Ende, J. (1994). Differential predictive value of parents’ and teachers’ reports of children’s problem behaviors: A longitudinal study. Journal of Abnormal Child Psychology, 22, 531–546.

    Article  PubMed  Google Scholar 

  • Wittchen, H. (2002). Generalized anxiety disorder: Prevalence, burden, and cost to society. Depression and Anxiety, 16, 162–171.

    Article  PubMed  Google Scholar 

  • World Bank (2001). Filipino report card on pro-poor services. Washington DC: World Bank, Environment and Social Development Unit, East Asia and Pacific Region.

  • World Health Organization. (2012). Adolescent mental health. Geneva: WHO Press.

    Google Scholar 

  • Zhao, J., Xing, X., & Wang, M. (2012). Psychometric properties of the Spence Children’s Anxiety scale (SCAS) in mainland Chinese children and adolescents. Journal of Anxiety Disorders, 26, 728–736.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The first author has full access to the study data and takes responsibility for the integrity of the data and the accuracy of the data analysis.

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Elisabetta Crocetti.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Crocetti, E., Hale, W.W., Dimitrova, R. et al. Generalized Anxiety Symptoms and Identity Processes in Cross-Cultural Samples of Adolescents from the General Population. Child Youth Care Forum 44, 159–174 (2015). https://doi.org/10.1007/s10566-014-9275-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10566-014-9275-9

Keywords

Navigation