Abstract
Given the relationship between internalizing disorders and deficits in emotion regulation in youth, the emotion science literature has suggested several avenues for increasing the efficacy of interventions for youth presenting with anxiety and depression. These possibilities include the identification and addition of emotion-regulation skills to existing treatment packages and broadening the scope of those emotions addressed in cognitive-behavioral treatments. Current emotion-focused interventions designed to meet one or both of these goals are discussed, and the developmental influences relevant to the selection of emotion-focused treatment goals are explored using the framework of a modal model of emotion regulation. These various lines of evidence are woven together to support the utility of a novel emotion-focused, cognitive-behavioral intervention, the Unified Protocol for the Treatment of Emotional Disorders in Youth, a transdiagnostic treatment protocol that aims to treat the range of emotional disorders (i.e., anxiety and depression) simultaneously. Avenues for future directions in treatment outcome and assessment of emotion regulation are also discussed.
Similar content being viewed by others
References
Albano, A. M., Chorpita, B. F., & Barlow, D. H. (2003). Anxiety disorders. In E. J. Mash & R. A. Barkley (Eds.), Child psychopathology (2nd ed., pp. 279–329). New York: The Guilford Press.
Albano, A. M., & Silverman, W. K. (1996). Clinician manual for the Anxiety Disorders Interview Schedule for DSM-IV-Child Version. San Antonio, TX: The Psychological Corporation.
Anderson, E. R., & Hope, D. A. (2007). A review of the tripartite model for understanding the link between anxiety and depression in youth. Clinical Psychology Review, 28(2), 275–287. doi:10.1016/j.cpr.2007.05.004.
Angold, A., Costello, E. J., & Erkanli, A. (1999). Comorbidity. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 40, 57–87. doi:10.1111/1469-7610.00424.
Barlow, D. H., Allen, L. B., & Choate, M. (2004). Toward a unified treatment for emotional disorders. Behavior Therapy, 35, 205–230. doi:10.1016/S0005-7894(04)80036-4.
Barlow, D. H., Chorpita, B. F., & Turovsky, J. (1996). Fear, panic, anxiety, and disorders of emotion. In D. A. Hope (Ed.), Perspectives on anxiety, panic, and fear (pp. 251–328). Lincoln: University of Nebraska Press.
Barmish, A. J., & Kendall, P. C. (2005). Should parents be co-clients in cognitive-behavioral therapy for anxious youth? Journal of Clinical Child and Adolescent Psychology, 34(3), 569–581. doi:10.1207/s15374424jccp3403_12.
Barrett, P. M., Dadds, M. R., & Rapee, R. M. (1996). Family treatment of childhood anxiety: A controlled trial. Journal of Consulting and Clinical Psychology, 64, 333–342. doi:10.1037/0022-006X.64.2.333.
Beck, J. S. (1995). Cognitive therapy: Basics and beyond. New York: The Guilford Press.
Beck, A. T., Rush, A. J., Shaw, B. P., & Emery, G. (1979). Cognitive therapy of depression. New York: The Guilford Press.
Bell-Dolan, D. J., Reaven, N. M., & Peterson, L. (1993). Depression and social functioning: A multidimensional study of the linkages. Journal of Clinical Child Psychology, 22, 306–315. doi:10.1207/s15374424jccp2203_1.
Biederman, J., Faraone, S., Mick, E., & Lelon, E. (1995). Psychiatric comorbidity among referred juveniles with major depression: Fact or artifact? Journal of the American Academy of Child and Adolescent Psychiatry, 34, 579–590.
Biederman, J., Rosenbaum, J. F., Hirshfeld, D. R., Faraone, V., Bolduc, E., Gersten, M., et al. (1990). Psychiatric correlates of behavioral inhibition in young children of parents with and without psychiatric disorders. Archives of General Psychiatry, 47, 21–26.
Bishop, S. J., Dalgleish, T., & Yule, W. (2004). Memory for emotional stories in high and low depressed children. Memory, 12, 214–230. doi:10.1080/09658210244000667. Hove, England.
Blankstein, K. R., Flett, G. L., & Johnston, M. E. (1992). Depression, problem-solving ability, and problem-solving appraisals. Journal of Clinical Psychology, 48, 749–759. doi:10.1002/1097-4679(199211)48:6<749::AID-JCLP2270480609>3.0.CO;2-V.
Bögels, S. M., van Dongen, L., & Muris, P. (2003). Family influences on dysfunctional thinking in anxious children. Infant and Child Development, 12, 243–252. doi:10.1002/icd.288.
Bögels, S. M., & Zigterman, D. (2000). Dysfunctional cognitions in children with social phobia, separation anxiety disorder, and generalised anxiety disorder. Journal of Abnormal Child Psychology, 28, 205–211. doi:10.1023/A:1005179032470.
Borkovec, T. D., Abel, J. L., & Newman, H. (1995). Effects of psychotherapy on comorbid conditions in generalized anxiety disorder. Journal of Consulting and Clinical Psychology, 63, 479–483. doi:10.1037/0022-006X.63.3.479.
Borkovec, T. D., & Roemer, L. (1995). Perceived functions of worry among generalized anxiety disorder subjects: Distraction from more emotionally distressing topics? Journal of Behavior Therapy and Experimental Psychiatry, 26, 25–30. doi:10.1016/0005-7916(94)00064-S.
Bradley, S. J. (2000). Affect regulation and the development of psychopathology. New York: The Guilford Press.
Brady, E. U., & Kendall, P. C. (1992). Comorbidity of anxiety and depression in children and adolescents. Psychological Bulletin, 111, 244–255. doi:10.1037/0033-2909.111.2.244.
Brown, T. A., Antony, M. M., & Barlow, D. H. (1995). Diagnostic comorbidity in panic disorder: Effect on treatment outcome and course of comorbid diagnoses following treatment. Journal of Consulting and Clinical Psychology, 63, 408–418. doi:10.1037/0022-006X.63.3.408.
Brown, T. A., Chorpita, B. F., & Barlow, D. H. (1998). Structural relationships among dimensions of the DSM-IV anxiety and mood disorders and dimensions of negative affect, positive affect, and autonomic arousal. Journal of Abnormal Psychology, 107, 179–192. doi:10.1037/0021-843X.107.2.179.
Burwell, R. A., & Shirk, S. R. (2007). Subtypes of rumination in adolescence: Association between brooding, reflection, depressive symptoms, and coping. Journal of Clinical Child and Adolescent Psychology, 36, 56–65. doi:10.1207/s15374424jccp3601_6.
Campbell-Sills, L., & Barlow, D. H. (2007). Incorporating emotion regulation conceptualizations and treatments of anxiety and mood disorders. In J. J. Gross (Ed.), Handbook of ER. New York: The Guilford Press.
Caspi, A., Moffitt, T. E., Newman, D. L., & Silva, P. A. (1996). Behavioral observations at 3 years predict adult psychiatric disorders. Archives of General Psychiatry, 53, 1033–1039.
Chambers, D. (2008). Introduction: Advancing implementation research in mental health. Administration and Policy in Mental Health and Mental Health Services Research; Special issue: Improving mental health services, 35, 1–2.
Chaplin, T. M. (2006). Anger, happiness, and sadness: Associations with depressive symptoms in late adolescence. Journal of Youth and Adolescence, 35(6), 1573–6601. doi:10.1007/s10964-006-9033-x.
Chorpita, B. F., & Daleiden, E. L. (2002). Tripartite dimensions of emotion in a child clinical sample: Measurement strategies and implications for clinical utility. Journal of Consulting and Clinical Psychology, 70, 1150–1160. doi:10.1037/0022-006X.70.5.1150.
Chorpita, B. F., Plummer, C. M., & Moffitt, C. E. (2000a). Relations of tripartite dimensions of emotion to childhood anxiety and mood disorders. Journal of Abnormal Child Psychology, 28, 299–310. doi:10.1023/A:1005152505888.
Chorpita, B. F., Yim, L., Moffitt, C. E., Umemoto, L. A., & Francis, S. E. (2000b). Assessment of symptoms of DSM-IV anxiety and depression in children: A revised child anxiety and depression scale. Behaviour Research and Therapy, 38, 835–855. doi:10.1016/S0005-7967(99)00130-8.
Cicchetti, D., Ackerman, B. P., & Izard, C. E. (1995). Emotions and emotion regulation in developmental psychopathology. Development and Psychopathology, 7, 1–10. Special issue.
Clark, D. A., Steer, R. A., & Beck, A. T. (1994). Common and specific dimensions of self-reported anxiety and depression: Implications for the cognitive and tripartite models. Journal of Abnormal Psychology, 103, 645–654. doi:10.1037/0021-843X.103.4.645.
Clark, L. A., & Watson, D. (1991). Tripartite model of anxiety and depression: Evidence and taxonomic implications. Journal of Abnormal Psychology, 100, 316–336. doi:10.1037/0021-843X.100.3.316.
Clarke, G. N., DeBar, L. L., & Lewinsohn, P. M. (2003). Cognitive behavioral group treatment for adolescent depression. In A. E. Kazdin & J. R. Weisz (Eds.), Evidence-based psychotherapies for children and adolescents (pp. 120–134). New York: The Guilford Press.
Compas, B. E., Boyer, M. C., Stanger, C., Colletti, R. B., Thomsen, A. H., Dufton, L. M., et al. (2006). Latent variable analysis of coping, anxiety/depression, and somatic symptoms in adolescents with chronic pain. Journal of Consulting and Clinical Psychology, 74(6), 1132–1142. doi:10.1037/0022-006X.74.6.1132.
Compas, B. E., Connor-Smith, J. K., Saltzman, H., Thomsen, A. H., & Wadsworth, M. E. (2001). Coping with stress during childhood and adolescence: Progress, problems, and potential in theory and research. Psychological Bulletin, 127, 87–127. doi:10.1037/0033-2909.127.1.87.
Coyne, J. C. (1976). Depression and the response of others. Journal of Abnormal Psychology, 85, 186–193. doi:10.1037/0021-843X.85.2.186.
Creswell, C., Schniering, C. A., & Rapee, R. M. (2005). Threat interpretation in anxious children and their mothers: Comparison with non-clinical children and the effects of treatment. Behaviour Research and Therapy, 43, 1375–1381. doi:10.1016/j.brat.2004.10.009.
Cummings, E. M., & Davies, P. T. (1999). Depressed parents and family functioning: Interpersonal effects and children’s functioning and development. In T. E. Joiner & J. C. Coyne (Eds.), The interactional nature of depression: Advances in interpersonal approaches (pp. 299–327). Washington, DC: American Psychological Association.
Denham, S. A. (1998). Emotional development in young children. New York: The Guilford Press.
Denham, S. A., & Burton, R. (1996). A socio-emotional intervention program for at risk four year-olds. Journal of School Psychology, 34, 225–245. doi:10.1016/0022-4405(96)00013-1.
Ehrenreich, J. T., Buzzella, B. A., Trosper, S. E., Bennett, S. M., Wright, L. R., & Barlow, D. H. (2008). The Unified Protocol for treatment of emotional disorders in adolescents. Unpublished manuscript, Boston University.
Ehrenreich, J. T., Buzzella, B. A., Wright, L. R., & Barlow, D. H. (2009). An open-trial evaluation of a unified treatment for adolescents with emotional disorders. Manuscript in preparation.
Eisenberg, N., Cumberland, A., & Spinrad, T. L. (1998). Parental socialization of emotion. Psychological Inquiry, 9, 241–273. doi:10.1207/s15327965pli0904_1.
Eisenberg, N., Fabes, R. A., & Murphy, B. C. (1996). Parents’ reactions to children’s negative emotions: Relations to children’s social competence and comforting behavior. Child Development, 67, 2227–2247. doi:10.2307/1131620.
Eley, T. C. (2001). Contributions of behavioral genetics research: Quantifying genetic, shared environmental and nonshared environmental influences. In M. W. Vasey & M. R. Dadds (Eds.), Developmental psychopathology of anxiety (pp. 45–59). London: Oxford University Press.
Eley, T. C., & Stevenson, J. (1999). Using genetic analyses to clarify the distinction between depressive and anxious symptoms in children and adolescents. Journal of Abnormal Child Psychology, 27, 105–114. doi:10.1023/A:1021947113860.
Field, T., Healy, B., Goldstein, S., & Gutherz, M. (1990). Behavior-state matching and synchrony in mother–infant interactions of nondepressed versus depressed dyads. Developmental Psychology, 26, 7–14. doi:10.1037/0012-1649.26.1.7.
Francis, G., Last, C. G., & Strauss, C. C. (1992). Avoidant disorder and social phobia in children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 1086–1089.
Fuchs, D., & Thelen, M. H. (1988). Children’s expected interpersonal consequences of communicating their affective state and reported likelihood of expression. Child Development, 59, 1314–1322. doi:10.2307/1130494.
Gar, N. S., & Hudson, J. L. (2008). An examination of the interactions between mothers and child with anxiety disorders. Behaviour Research and Therapy, 46, 1266–1274. doi:10.1016/j.brat.2008.08.006.
Garber, J., Braafladt, N., & Weiss, B. (1995). Affect regulation in depressed and nondepressed children and young adolescents. Development and Psychopathology, 7, 93–115.
Gelfand, D. M., & Teti, D. M. (1990). The effects of maternal depression on children. Clinical Psychology Review, 10, 320–354. doi:10.1016/0272-7358(90)90065-I.
Ginsburg, G. S., Silverman, W. K., & Kurtines, W. M. (1995). Family involvement in treating children with phobic and anxiety disorders. International Review of Psychiatry (Abingdon, England), 14, 143–154. doi:10.1080/09540260220132662.
Goodman, S. H., & Gotlib, I. H. (1999). Risk for psychopathology in the children of depressed mothers: A developmental model for understanding mechanisms of transmission. Psychological Review, 106, 458–490. doi:10.1037/0033-295X.106.3.458.
Goodyer, I. M., & Cooper, P. (1993). A community study of depression in adolescent girls: II. The clinical features of identified disorder. The British Journal of Psychiatry, 163, 374–380. doi:10.1192/bjp.163.3.374.
Gordon, D., Burge, D., Hammen, C., Adrian, C., Jaenicke, C., & Hiroto, D. (1989). Observations of interactions of depressed women with their children. The American Journal of Psychiatry, 146, 50–55.
Gosselin, P., Langlois, F., Freeston, M. H., Ladouceur, R., Laberge, M., & Lemay, D. (2007). Cognitive variables related to worry among adolescents: Avoidance strategies and faulty beliefs about worry. Behaviour Research and Therapy, 45, 225–233. doi:10.1016/j.brat.2006.03.001.
Gosselin, M. J., Trois-Riviéres, P. Q., & Marcotte, D. (1997). The role of self-perceived problem-solving skills in relation with depression during adolescence. Science et Comportement, 25, 299–314.
Gotlib, I. H., & Krasnoperova, E. (1998). Biased information processing as a vulnerability factor for depression. Behavior Therapy, 29, 603–617. doi:10.1016/S0005-7894(98)80020-8.
Gottman, J. M., Katz, L. F., & Hooven, C. (1997). Meta-emotion: How families communicate emotionally. Mahwah, NJ: Erlbaum.
Gowers, S. G., & Smyth, B. (2004). The impact of a motivational assessment interview on initial response to treatment in adolescent anorexia nervosa. European Eating Disorders Review, 12, 87–93. doi:10.1002/erv.555.
Gross, J. J. (1998). Antecedent- and response-focused ER: Divergent consequences for experience, expression, and physiology. Journal of Personality and Social Psychology, 74, 224–237. doi:10.1037/0022-3514.74.1.224.
Gross, J. J. (2003). ER: Affective, cognitive, and social consequences. Psychophysiology, 39, 281–291. doi:10.1017/S0048577201393198.
Gross, J. J., & Thompson, R. A. (2007). ER: Conceptual foundations. In J. J. Gross (Ed.), Handbook of emotion regulation. New York: The Guilford Press.
Hadwin, J., Frost, S., French, C. C., & Richards, A. (1997). Cognitive processing and anxiety in mainstream children: Trait anxiety and interpretation bias. Journal of Abnormal Psychology, 106, 486–490.
Hammen, C. (1991). Depression runs in families: The social context of risk and resilience in children of depressed mothers. New York: Springer.
Hammen, C., & Rudolph, K. D. (2003). Childhood depression. In E. J. Mash & R. A. Barkley (Eds.), Child psychopathology (2nd ed., pp. 233–278). New York: The Guilford Press.
Hannesdottir, K. H., & Ollendick, T. H. (2007). The role of emotion regulation in the treatment of child anxiety disorders. Clinical Child and Family Psychology Review, 10(3), 1096–4037. doi:10.1007/s10567-007-0024-6.
Hollon, S. D., Thase, M. E., & Markowitz, J. C. (2002). Treatment and prevention of depression. Psychological Science in the Public Interest, 3, 39–77. doi:10.1111/1529-1006.00008.
Hops, H., Biglan, A., Sherman, L., Aurther, J., Friedman, L., & Osteen, V. (1987). Home observations of family interactions of depressed women. Journal of Consulting and Clinical Psychology, 55, 341–346. doi:10.1037/0022-006X.55.3.341.
Invarsson, T., Gillberg, C., & Arvidsson, T. (2002). The Youth Self-Report (YSR) and the Depression Self-Rating Scale (DSRS) as measures of depression and suicidality among adolescents. European Child & Adolescent Psychiatry, 11, 31–37. doi:10.1007/s007870200005.
Izard, C. E., & Bear, G. (2001). Head Start/ECAP emotions curriculum. Newark, DE: University of Delaware Instructional Resources Center.
Jacques, H. A. K., & Mash, E. J. (2004). A test of the tripartite model of anxiety and depression in elementary and high school boys and girls. Journal of Abnormal Child Psychology, 32, 13–25. doi:10.1023/B:JACP.0000007577.38802.18.
Jenson-Doss, A., & Weisz, J. R. (2006). Syndrome co-occurrence and treatment outcomes in youth mental health clinics. Journal of Consulting and Clinical Psychology, 74, 416–425. doi:10.1037/0022-006X.74.3.416.
Joiner, T. E., Jr., Alfano, M. S., & Metalsky, G. I. (1992). When depression breeds contempt: Reassurance-seeking, self-esteem, and rejection of depressed college students by their roommates. Journal of Abnormal Psychology, 101, 165–173. doi:10.1037/0021-843X.101.1.165.
Joiner, T. E., Metalsky, G. I., Katz, J., & Beach, S. R. H. (1999). Depression and excessive reassurance-seeking. Psychological Inquiry, 10, 269–278. doi:10.1207/S15327965PLI1004_1.
Kashani, J. H., & Orvaschel, H. (1990). A community study of anxiety in children and adolescents. The American Journal of Psychiatry, 147, 313–318.
Katz, J., Beach, S. R. H., & Joiner, T. E., Jr. (1998). When does partner devaluation predict depression? Prospective moderating effects of reassurance-seeking and self-esteem. Personal Relationships, 5, 409–421. doi:10.1111/j.1475-6811.1998.tb00179.x.
Kazdin, A. E., Esveldt-Dawson, K., Sherick, R. B., & Colbus, D. (1985). Assessment of overt behavior and childhood depression among psychiatrically disturbed children. Journal of Consulting and Clinical Psychology, 53, 201–210. doi:10.1037/0022-006X.53.2.201.
Keenan, K. (2000). Emotion dysregulation as a risk factor for child psychopathology. Clinical Psychology: Science and Practice, 7, 418–434. doi:10.1093/clipsy/7.4.418.
Kendall, P. C. (2000). Cognitive-behavioral therapy for anxious children: Treatment manual. Ardmore, PA: Workbook Publishing Inc.
Kendall, P. C., Aschenbrand, S., & Hudson, J. (2003). Child-focused treatment of anxiety. In A. E. Kazdin & J. R. Weisz (Eds.), Empirically-based psychotherapies for children and adolescents (pp. 81–100). New York: The Guilford Press.
Kendall, P. C., & Brady, E. U. (1995). Comorbidity in the anxiety disorders of childhood: Implications for validity and clinical significance. In K. D. Craig & K. S. Dobson (Eds.), Anxiety and depression in adults and children (pp. 3–36). Thousand Oaks, CA: Sage Publications.
Kendall, P. C., Brady, E. U., & Verduin, T. L. (2001). Comorbidity in childhood anxiety disorders and treatment outcome. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 787–794. doi:10.1097/00004583-200107000-00013.
Kendall, P. C., & Hedtke, K. A. (2006). Cognitive-behavioral therapy for anxious children: Therapist manual (3rd ed.). Ardmore, PA: Workbook Publishing Inc.
Kendall, P. C., Hudson, J., Choudhury, M., Webb, A., & Pimentel, S. (2005). Cognitive-behavioral treatment for childhood anxiety disorders. In E. D. Hibbs & P. S. Jensen (Eds.), Psychosocial treatments for child and adolescent disorders: Empirically based strategies for private practice. Washington, DC: American Psychological Association.
Kendall, P. C., & Ingram, R. E. (1987). The future for cognitive assessment of anxiety: Let’s get specific. In L. Michelson & L. M. Ascher (Eds.), Anxiety and stress disorders: Cognitive-behavioral assessment and treatment (pp. 89–104). The Guilford Press: New York.
Kendler, K. S., Prescott, C. A., Myers, J., & Neale, M. C. (2003). The structure of genetic and environmental risk factors for common psychiatric and substance use disorders in men and women. Archives of General Psychiatry, 60, 929–937. doi:10.1001/archpsyc.60.9.929.
Kim, E. J. (2005). The effect of decreased safety behaviors on anxiety and negative thoughts in social phobics. Journal of Anxiety Disorders, 19, 69–86. doi:10.1016/j.janxdis.2003.11.002.
King, N. J., Heyne, D., & Ollendick, T. H. (2005). Cognitive-behavioral treatments for anxiety and phobic disorders in children and adolescents: A review. Behavioral Disorders, 30, 241–257.
King, N. J., Ollendick, T. H., & Gullone, E. (1991). Negative affectivity in children and adolescents: Relations between anxiety and depression. Clinical Psychology Review, 11, 441–459. doi:10.1016/0272-7358(91)90117-D.
Kocovski, N. L., Endler, N. S., Rector, N. A., & Flett, G. L. (2005). Ruminative coping and post-event processing in social anxiety. Behaviour Research and Therapy, 43(8), 971–984. doi:10.1016/j.brat.2004.06.015.
Kovacs, M., & Devlin, B. (1998). Internalizing disorders in childhood. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 39, 47–63. doi:10.1017/S0021963097001765.
Kovacs, M., Sherrill, J., George, C. J., Pollock, M., Tumuluru, R. V., & Ho, V. (2006). Contextual emotion-regulation therapy for childhood depression: Description and pilot testing of a new intervention. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 892–903. doi:10.1097/01.chi.0000222878.74162.5a.
Ladouceur, C. D., Dahl, R. E., & Williamson, D. E. (2005). Altered emotional processing in pediatric anxiety, depression, and comorbid anxiety-depression. Journal of Abnormal Child Psychology, 33, 165–177. doi:10.1007/s10802-005-1825-z.
Laird, E. A., Buzzella, B. A., & Ehrenreich, J. T. (2009, March). Changes in adolescents’ emotion regulation following use of the Unified Protocol for the Treatment of Emotional Disorders in Youth. Poster to be Presented at the Annual Conference of the Anxiety Disorders Association of America, Santa Ana Pueblo, New Mexico.
Lewinsohn, P. M., & Clarke, G. N. (1999). Psychosocial treatments for adolescent depression. Clinical Psychology Review, 19, 329–342. doi:10.1016/S0272-7358(98)00055-5.
Lonigan, C. J., & Phillips, B. M. (2001). Temperamental basis of anxiety disorders in children. In M. W. Vasey & M. R. Dadds (Eds.), The developmental psychopathology of anxiety (pp. 60–91). New York: Oxford University Press.
Mash, E. J., & Wolfe, D. A. (2002). Abnormal child psychology (2nd ed.). Belmont, CA: Wadsworth.
McKeown, R. E., Garrison, C. Z., Jackson, K. L., Cuffe, S. P., Addy, C. L., & Waller, J. L. (1997). Family structure and cohesion, and depressive symptoms in adolescents. Journal of Research on Adolescence, 7, 267–281. doi:10.1207/s15327795jra0703_2.
McLeod, B. D., Weisz, J. R., & Wood, J. J. (2007a). Examining the association between parenting and childhood depression: A meta-analysis. Clinical Psychology Review, 27, 986–1003. doi:10.1016/j.cpr.2007.03.001.
McLeod, B. D., Wood, J. J., & Weisz, J. R. (2007b). Examining the association between parenting and childhood anxiety: A meta-analysis. Clinical Psychology Review, 27, 155–172. doi:10.1016/j.cpr.2006.09.002.
Mennin, D. S., Holaway, R., Fresco, D. M., Moore, M. T., & Heimberg, R. G. (2007). Delineating components of emotion and its dysregulation in anxiety and mood psychopathology. Behavior Therapy, 38, 284–302. doi:10.1016/j.beth.2006.09.001.
Micco, J. A., & Ehrenreich, J. T. (2008). Children’s interpretation and avoidant response biases in response to non-salient and salient situations: Relationships with mothers’ threat perception and coping expectations. Journal of Anxiety Disorders, 22, 371–385. doi:10.1016/j.janxdis.2007.03.009.
Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: Preparing people for change (2nd ed.). New York: The Guilford Press.
Milosevic, I., & Radomsky, A. S. (2008). Safety behavior does not necessarily interfere with exposure therapy. Behaviour Research and Therapy, 46, 1111–1118. doi:10.1016/j.brat.2008.05.011.
Muris, P., Rapee, R., Meesters, C., Schouten, E., & Geers, M. (2003). Threat perception abnormalities in children: The role of anxiety disorders symptoms, chronic anxiety, and state anxiety. Journal of Anxiety Disorders, 17, 271–287. doi:10.1016/S0887-6185(02)00199-8.
Muris, P., Steerneman, P., Merckelback, H., & Meesters, C. (1996). The role of parental fearfulness and modeling in children’s fear. Behaviour Research and Therapy, 34, 265–268. doi:10.1016/0005-7967(95)00067-4.
Nolen-Hoeksema, S., Morrow, J., & Fredrickson, B. L. (1993). Response styles and the duration of episodes of depressed moods. Journal of Abnormal Psychology, 102, 20–28. doi:10.1037/0021-843X.102.1.20.
Oliver, J. M., Handal, P. J., Finn, T., & Herdy, S. (1987). Depressed and nondepressed students and their siblings in frequent contact with their families: Depression and perceptions of the family. Cognitive Therapy and Research, 11, 501–515. doi:10.1007/BF01175359.
Oliver, N. S., & Page, A. C. (2003). Fear reduction during in vivo exposure to blood injection stimuli: Distraction vs attentional focusing. The British Journal of Clinical Psychology, 42, 13–25. doi:10.1348/014466503762841986.
Ollendick, T. H., King, N. J., & Chorpita, B. F. (2006). Empirically supported treatments for children and adolescents. In P. C. Kendall (Ed.), Child and adolescent therapy: Cognitive-behavioral procedures (pp. 492–520). New York: The Guilford Press.
Penza-Clyve, S., & Zeman, J. (2002). Initial validation of the Emotion Expression Scale for Children (EESC). Journal of Clinical Child and Adolescent Psychology, 31(4), 540–547.
Potthoff, J. G., Holahan, C. J., & Joiner, T. E., Jr. (1995). Reassurance-seeking, stress generation, and depressive symptoms: An integrative model. Journal of Personality and Social Psychology, 68, 664–670. doi:10.1037/0022-3514.68.4.664.
Powers, M. B., Smits, J. A. J., & Telch, M. J. (2004). Disentangling the effects of safety-behavior utilization and safety-behavior availability during exposure-based treatment: A placebo-controlled trial. Journal of Consulting and Clinical Psychology, 72, 448–454. doi:10.1037/0022-006X.72.3.448.
Prins, P., & Ollendick, T. H. (2003). Cognitive change and enhanced coping: Missing mediational links in cognitive behavior therapy with anxiety-disordered children. Clinical Child and Family Psychology, 6, 87–105. doi:10.1023/A:1023730526716.
Quiggle, N. L., Garber, J., Panak, W. F., & Dodge, K. A. (1992). Social information processing in aggressive and depressed children. Child Development, 63, 1305–1320. doi:10.2307/1131557.
Radke-Yarrow, M. (1998). Children of depressed mothers: From early childhood to maturity. Cambridge: Cambridge University Press.
Rapee, R. M. (2002). The development and modification of temperamental risk for anxiety disorders: Prevention of a lifetime of anxiety? Biological Psychiatry, 52, 947–957. doi:10.1016/S0006-3223(02)01572-X.
Reid, S. C., Salmon, K., & Lovibond, P. F. (2006). Cognitive biases in childhood anxiety, depression, and aggression: Are they pervasive or specific? Cognitive Therapy and Research, 30, 531–549. doi:10.1007/s10608-006-9077-y.
Reijntjes, A. H. A., Stegge, H., & Terwogt, M. M. (2006). Children’s coping with peer rejection: The role of depressive symptoms, social competence, and gender. Infant and Child Development, 15, 989–1107. doi:10.1002/icd.435.
Rottenberg, J., & Vaughan, C. (2008). Emotion expression in depression: Emerging evidence for emotion context-sensitivity. In A. Vingerhoets & I. Nyklicek (Eds.), Emotion regulation: Conceptual and clinical Issues (pp. 125–139). New York: Springer Science and Business Media.
Saarni, C. (1999). The development of emotional competence. New York: The Guilford Press.
Salkovskis, P. M. (1991). The importance of behaviour in the maintenance of anxiety and panic: A cognitive account. Behavioural Psychotherapy, 19, 6–19.
Salkovskis, P. M., Clark, D. M., & Gelder, M. G. (1996). Cognition-behaviour links in the persistence of panic. Behaviour Research and Therapy, 34, 453–458. doi:10.1016/0005-7967(95)00083-6.
Samoilov, A., & Goldfried, M. R. (2000). Role of emotion in cognitive-behavior therapy. Clinical Psychology: Science and Practice, 7, 373–385. doi:10.1093/clipsy/7.4.373.
Schniering, C. A., & Rapee, R. M. (2002). Development and validation of a measure of children’s automatic thoughts: The Children’s Automatic Thoughts Scale. Behaviour Research and Therapy, 40, 1091–1109. doi:10.1016/S0005-7967(02)00022-0.
Sheeber, L., Allen, N., Davis, B., & Sorensen, E. (2000). Regulation of negative affect during mother–child problem-solving interactions: Adolescent depressive status and family processes. Journal of Abnormal Child Psychology, 28, 467–479. doi:10.1023/A:1005135706799.
Sica, C., Steketee, G., Ghisi, M., Chiri, L. R., & Franceschini, S. (2007). Metacognitive beliefs and strategies predict worry, obsessive-compulsive symptoms and coping styles: A preliminary prospective study on an Italian non-clinical sample. Clinical Psychology & Psychotherapy, 14(4), 258–268. doi:10.1002/cpp.520.
Sloan, T., & Telch, M. J. (2002). The effects of safety behavior and guided threat reappraisal on fear reduction during exposure: An experimental investigation. Behaviour Research and Therapy, 40, 235–251. doi:10.1016/S0005-7967(01)00007-9.
Southam-Gerow, M. A., & Kendall, P. C. (2000). A preliminary study of the emotion understanding of youth referred for treatment of anxiety disorders. Journal of Clinical Child Psychology, 29, 319–327. doi:10.1207/S15374424JCCP2903_3.
Southam-Gerow, M. A., & Kendall, P. C. (2002). Emotion regulation and understanding: Implications for child psychopathology and therapy. Clinical Psychology Review, 22, 189–222. doi:10.1016/S0272-7358(01)00087-3.
Stark, K. D., Hoke, J., Ballatore, M., Valdez, C., Scammaca, N., & Griffin, J. (2005). Treatment of child and adolescent depressive disorders. In E. D. Hibbs & P. S. Jensen (Eds.), Psychosocial treatments for child and adolescent disorders: Empirically based strategies for clinical practice (2nd ed., pp. 239–265). Washington, DC: American Psychological Association.
Stark, K. D., Humphrey, L. L., Laurent, J., Livingston, R., & Christopher, J. (1993). Cognitive, behavioral, and family factors in the differentiation of depressive and anxiety disorders during childhood. Journal of Consulting and Clinical Psychology, 61, 878–886. doi:10.1037/0022-006X.61.5.878.
Stegge, H., & Terwogt, M. M. (2007). Awareness and regulation of emotion in typical and atypical development. In J. J. Gross (Ed.), Handbook of emotion regulation (pp. 269–286). New York: The Guilford Press.
Suarez, L., & Bell-Dolan, D. (2001). The relationship of child worry to cognitive biases: Threat interpretation and likelihood of event occurrence. Behavior Therapy, 32, 425–442. doi:10.1016/S0005-7894(01)80029-0.
Suveg, C., Kendall, P. C., Comer, J. S., & Robin, J. (2006). Emotion-focused cognitive-behavioral therapy for anxious youth: A multiple baseline evaluation. Journal of Contemporary Psychotherapy, 36, 77–85. doi:10.1007/s10879-006-9010-4.
Suveg, C., Sood, E., Comer, J., & Kendall, P. C. (in press). Changes in emotion regulation following cognitive-behavioral therapy for anxious youth. Journal of Clinical Child and Adolescent Psychology.
Suveg, C., & Zeman, J. (2004). Emotion regulation in anxiety-disordered children. Journal of Clinical Child and Adolescent Psychology, 33, 750–759. doi:10.1207/s15374424jccp3304_10.
Thapar, A., & McGuffin, P. (1997). Anxiety and depressive symptoms in childhood: A genetic study of comorbidity. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 38, 651–656. doi:10.1111/j.1469-7610.1997.tb01692.x.
Thompson, R. A. (1994). ER: A theme in search of a definition. The development of emotion regulation: Biological and behavioral considerations. Monographs of the Society for Research in Child Development, 59, 25–52. doi:10.2307/1166137.
Thompson, R. A. (2001). Childhood anxiety disorders from the perspective of emotion regulation and attachment. In M. W. Vasey & M. R. Dadds (Eds.), The developmental psychopathology of anxiety (pp. 160–182). Oxford: Oxford University Press.
Thompson, R. A. (2006). The development of the person: Social understanding, relationships, self, conscience. In W. Damon, R. M. Lerner, & N. Eisenberg (Eds.), Handbook of child psychology (Vol. 3). Social, emotional, and personality development (6th ed., pp. 24–98). New York: Wiley.
Thompson, R. A., & Calkins, S. D. (1996). The double-edged sword: Emotion regulation for children at risk. Development and Psychopathology, 8(1), 163–182.
Thompson, R. A., & Meyer, S. (2007). Socialization of emotion regulation in the family. In J. J. Gross (Ed.), Handbook of emotion regulation (pp. 249–268). New York: The Guilford Press.
Trinder, H., & Salkovskis, P. M. (1994). Personally relevant intrusions outside the laboratory: Long-term suppression increases intrusion. Behaviour Research and Therapy, 32, 833–842. doi:10.1016/0005-7967(94)90163-5.
Tsao, J. C., Mystkowski, J. L., Zucker, B. G., & Craske, M. G. (2002). Effects of cognitive behavioral therapy for panic disorder on comorbid conditions: Replication and extension. Behavior Therapy, 33, 493–509. doi:10.1016/S0005-7894(02)80013-2.
Tsao, J. C., Mystkowski, J. L., Zucker, B. G., & Craske, M. G. (2005). Impact of cognitive-behavioral therapy for panic disorder on comorbidity: A controlled investigation. Behaviour Research and Therapy, 43, 959–970. doi:10.1016/j.brat.2004.11.013.
Turk, C. L., Heimberg, R. G., & Hope, D. A. (2001). Social anxiety disorder. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders: A step-by-step treatment manual (3rd ed., pp. 114–153). New York: The Guilford Press.
van Lang, N. D. J., Ferdinand, R. F., Ormel, J., & Verhulst, F. C. (2006). Latent class analysis of anxiety and depressive symptoms of the Youth Self-Report in a general population sample of young adolescents. Behaviour Research and Therapy, 44(6), 849–860. doi:10.1016/j.brat.2005.06.004.
Vasey, M. W., & Dadds, M. R. (2001). An introduction to the developmental psychopathology of anxiety. In M. W. Vasey & M. R. Dadds (Eds.), The developmental psychopathology of anxiety (pp. 3–26). New York: Oxford University Press.
Vasey, M. W., & MacLeod, C. (2001). Information-processing factors in childhood anxiety: A review and developmental perspective. In M. W. Vasey & M. R. Dadds (Eds.), The developmental psychopathology of anxiety (pp. 253–277). New York: Oxford University Press.
Watson, D., & Clark, L. A. (1984). Negative affectivity: The disposition to experience aversive emotional states. Psychological Bulletin, 96, 465–490. doi:10.1037/0033-2909.96.3.465.
Watson, D., Clark, L. A., & Harkness, A. R. (1994). Structures of personality and their relevance to psychopathology. Journal of Abnormal Psychology, 103, 18–31. doi:10.1037/0021-843X.103.1.18.
Watson, D., Gamez, W., & Simms, L. J. (2005). Basic dimensions of temperament and their relation to anxiety and depression: A symptom-based perspective. Journal of Research in Personality, 39, 46–66. doi:10.1016/j.jrp.2004.09.006.
Weisz, J. R., McCabe, M., & Dennig, M. D. (1994). Primary and secondary control among children undergoing medical procedures: Adjustment as a function of coping style. Journal of Consulting and Clinical Psychology, 62, 324–332. doi:10.1037/0022-006X.62.2.324.
Weisz, J. R., Moore, P. S., Southam-Gerow, M. A., Weersing, V. R., Valeri, S. M., & McCarty, C. A. (1999). Therapist’s manual: Primary and secondary control enhancement training program. Los Angeles: University of California.
Weisz, J. R., Southam-Gerow, M., Gordis, E. B., & Connor-Smith, J. (2003). Primary and secondary control enhancement training for youth depression: Applying the deployment-focused model of treatment development and testing. In A. E. Kazdin & J. R. Weisz (Eds.), Evidence-based psychotherapies for children and adolescents (pp. 165–183). New York: The Guilford Press.
Weisz, J. R., Thurber, C., Sweeney, L., Proffitt, V. D., & LeGagnoux, G. L. (1997). Brief treatment of mild-to-moderate child depression using primary and secondary control enhancement training. Journal of Consulting and Clinical Psychology, 65, 703–707. doi:10.1037/0022-006X.65.4.703.
Wells, A., & Carter, K. (2001). Further tests of a cognitive model of generalized anxiety disorder: Metacognitions and worry in GAD, panic disorder, social phobia, depression, and non-patients. Behavior Therapy, 32, 85–102. doi:10.1016/S0005-7894(01)80045-9.
Whitehouse, W. G., Turanski, W. L., & Murray, L. A. (2000). Cognitive processing anomalies in depressive mood disorders. In F. Columbus (Ed.), Advances in psychology research (Vol. 1, pp. 111–125). Huntington, NY: Nova Science Publishers.
Woodward, L. J., & Fergusson, D. M. (2001). Life course outcomes of young people with anxiety disorders in adolescence. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 1086–1093. doi:10.1097/00004583-200109000-00018.
Yap, M. B. H., Allen, N. B., & Ladouceur, C. D. (2008). Maternal socialization of positive affect: The impact of invalidation on adolescent emotion regulation and depressive symptomatology. Child Development, 79, 1415–1431. doi:10.1111/j.1467-8624.2008.01196.x.
Young, J. E., Weinberger, A. D., & Beck, A. T. (2001). Cognitive therapy for depression. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders (3rd ed., pp. 264–308). New York: The Guilford Press.
Zeman, J., & Garber, J. (1996). Display rules for anger, sadness, and pain: It depends on who’s watching. Child Development, 67, 957–973. doi:10.2307/1131873.
Zeman, J., & Shipman, K. (1997). Social-contextual influences on expectancies for managing anger and sadness: The transition from middle childhood to adolescence. Developmental Psychology, 33, 917–924. doi:10.1037/0012-1649.33.6.917.
Zeman, J., & Shipman, K. (1998). Influence of social context on children’s affect regulation: A functional perspective. Journal of Nonverbal Behavior, 22, 141–1166. doi:10.1023/A:1022900704563.
Zeman, J., Shipman, K., & Penza-Clyve, S. (2001). Development and initial validation of the children’s sadness management scale. Journal of Nonverbal Behavior, 25, 540–547. doi:10.1023/A:1010623226626.
Zeman, J., Shipman, K., & Suveg, C. (2002). Anger and Sadness Regulation: Predictions to Internalizing and Externalizing Symptoms in Children. Journal of Clinical Child and Adolescent Psychology, 31, 393–398.
Acknowledgement
The authors wish to thank Emily Laird for editorial assistance and for help in preparing this manuscript.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Trosper, S.E., Buzzella, B.A., Bennett, S.M. et al. Emotion Regulation in Youth with Emotional Disorders: Implications for a Unified Treatment Approach. Clin Child Fam Psychol Rev 12, 234–254 (2009). https://doi.org/10.1007/s10567-009-0043-6
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10567-009-0043-6