Skip to main content
Log in

What Do Youth Referred for Anxiety Problems Worry About? Worry and Its Relation to Anxiety and Anxiety Disorders in Children and Adolescents

  • Published:
Journal of Abnormal Child Psychology Aims and scope Submit manuscript

Abstract

This study examined worry and the parameters of worry that may be associated with clinical anxiety in a sample of 119 children and adolescents referred to a childhood anxiety disorders specialty clinic. Using an interviewing procedure, results indicated that the types of worries reported by the children were similar to those reported in previous studies of nonreferred community children. Also similar to previous community studies were findings showing moderate but significant correlations between different indices of worry (i.e., number, intensity, and frequency of the worries) and children's scores on self-rating scales of anxiety. Results further indicated that worry contributed additional variance beyond that of anxiety in predicting fear. In addition, intensity differentiated clinic children's worries from nonreferred children's. Intensity, and number of worries differentiated subsamples of children within the clinic-referred sample (i.e., children with overanxious disorder or generalized anxiety disorder and children with simple phobia). The importance of examining children's worries to further understand anxiety and its disorders in youth is discussed.

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.

Similar content being viewed by others

REFERENCES

  • Albano, A. M., & Silverman, W. K. (1996). Anxiety Disorders Interview Schedule for DSM-IV Child Version: Clinician manual. San Antonio, TX: Psychological Corporation.

    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 

  • Barlow, D. H. (1988). Anxiety and its disorders: The nature and treatment of anxiety and panic. New York: Guilford Press.

    Google Scholar 

  • Borkovec, T. D., Shadick, R., & Hopkins, M. (1991). The nature of normal worry and pathological worry. In R. M. Rapee & D. H. Barlow (Eds.), Chronic anxiety: Generalized anxiety disorder and mixed anxiety-depression (pp. 29-51). New York: Guilford Press.

    Google Scholar 

  • Chorpita, B. F., Tracey, S. A., Brown, T. A., Colluca, T. J., & Barlow, D. H. (1997). Assessment of worry in children and adolescents: An adaptation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 35, 569-581.

    PubMed  Google Scholar 

  • Ginsburg, G. S., La Greca, A. M., & Silverman, W. K. (1998). Social anxiety in children with anxiety disorders: Relation with social and emotional functioning. Journal of Abnormal Child Psychology, 26. 175-185.

    PubMed  Google Scholar 

  • Henker, B., Whalen, C. K., & O'Neil, R. (1995). Worldly and workaday worries: Contemporary concerns of children and young adolescents. Journal of Abnormal Child Psychology, 23, 685-702.

    PubMed  Google Scholar 

  • La Greca, A. M., & Lopez, N. (1998). Social anxiety among adolescents: Linkages with peer relations and friendships. Journal of Abnormal Child Psychology, 26, 83-94.

    PubMed  Google Scholar 

  • La Greca, A. M., & Stone, W. L. (1993). The Social Anxiety Scale for Children-Revised: Factor structure and concurrent validity. Journal of Clinical Child Psychology, 22, 17-27.

    Google Scholar 

  • Muris, P., Meesters, C., Merckelbach, H., Sermon, A., & Zwakhalen, S. (1998). Worry in normal children. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 703-710.

    PubMed  Google Scholar 

  • Ollendick, T. H. (1983). Reliability and validity of the revised Fear Survey Schedule for Children (FSSC-R). Behaviour Research and Therapy, 21, 685-692.

    Article  PubMed  Google Scholar 

  • Ott, R. L. (1993). An introduction to statistical methods and data analysis. Bellmont, CA: Wadsworth.

    Google Scholar 

  • Perrin, S., & Last, C. G. (1997). Worrisome thoughts in children referred for anxiety disorder. Journal of Clinical Child Psychology, 26, 181-189.

    PubMed  Google Scholar 

  • Peterson, R. A., & Reiss, S. (1987). Anxiety Sensitivity Index manual. Orland Park, IL: International Diagnostic Systems Inc.

    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.

    PubMed  Google Scholar 

  • Silverman, W. K., & Eisen, A. R. (1992). Age differences in the reliability of parent and child reports of child anxious symptomatology using a structured interview. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 117-124.

    PubMed  Google Scholar 

  • Silverman, W. K., Fleisig, W., Rabian, B., & Peterson, R. (1991). Childhood Anxiety Sensitivity Index. Journal of Clinical Child Psychology, 20, 162-168.

    Google Scholar 

  • Silverman, W. K., La Greca, A. M., & Wasserstein, S. (1995). What do children worry about? Worry and its relation to anxiety. Child Development, 66, 671-686.

    PubMed  Google Scholar 

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

    PubMed  Google Scholar 

  • Silverman, W. K., & Rabian, B. (1995). Test-retest reliability of DSMIII-R anxiety disorders symptoms using the Anxiety Disorders Interview Schedule for Children. Journal of Anxiety Disorders, 9, 139-150.

    Article  Google Scholar 

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

    Google Scholar 

  • Stewart, G. W. (1987). Collinearity and least squares regression. Statistical Science, 2, 68-100.

    Google Scholar 

  • Weems, C. F., Hammond-Laurence, K., Silverman, W. K., & Ginsburg, G. S. (1998). Testing the utility of the anxiety sensitivity construct in children and adolescents referred for anxiety disorders. Journal of Clinical Child Psychology, 27, 69-77.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Weems, C.F., Silverman, W.K. & La Greca, A.M. What Do Youth Referred for Anxiety Problems Worry About? Worry and Its Relation to Anxiety and Anxiety Disorders in Children and Adolescents. J Abnorm Child Psychol 28, 63–72 (2000). https://doi.org/10.1023/A:1005122101885

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1005122101885

Navigation