Is it Generalized Anxiety Disorder or Poverty? An Examination of Poor Mothers and Their Children
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This paper addresses generalized anxiety disorder in poor families and argues that DSM definitions have led to an expansion in the domains of what is considered disorder. Social factors, which are importantly involved in many samples used to study GAD, have been overlooked. This was a secondary analysis of data from the Fragile Families and Child Wellbeing Study (N = 4,898). The findings confirmed that the poorest mothers had greater odds of being classified as having generalized anxiety disorder. We also conducted a structural equation model. Our findings suggest that anxiety in poor mothers is not psychiatric, but a reaction to severe environmental deficits. Thus assessment and interventions should be targeted at the environmental level and diagnostic labels should be used judiciously.
- Achenbach, T. M., & Rescorla, L. A. (2000). Manual for the ASEBA Preschool Forms & Profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families.
- Blazer, D., Hughes, D., & George, L. K. (1991). Generalized anxiety disorder. In L. N. Robins & D. A. Regier (Eds.), Psychiatric disorders in America: The epidemiologic catchment area study (pp. 180–230). New York: Simon & Schuster.
- Brawman-Mintzer, O., & Lydiard, R. B. (1996). Generalized anxiety disorder: Issues in epidemiology. Journal of Clinical Psychiatry, 57(Suppl. 7), 3–8.
- Brown, T. A., O’Leary, T. A., & Barlow, D. H. (1993). Generalized anxiety disorder. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders: A step-by-step treatment manual (2nd ed., pp. 137–188). New York: Guilford Press.
- Caldwell, B. M., & Bradley, R. H. (2001). HOME inventory and administration manual (3rd ed.). Little Rock: University of Arkansas for Medical Sciences and University of Arkansas.
- Carlson, B. L., & Mathematica Policy Research (April, 2008). Fragile families & child. Wellbeing study: A brief guide to using mother, father, and couple replicate weights for core telephone surveys wave 1–4. From: http://www.fragilefamilies.princeton.edu/documentation/core/weights/const_ffwgts.pdf. Accessed September 10, 2011.
- Duggal, S., Carlson, E. A., Sroufe, A., & Egeland, B. (2001). Depressive symptomatology in childhood and adolescence. Development and Psychopathology, 13, 143–164. CrossRef
- Fanti, K. A., & Henrich, C. C. (2010). Trajectories of pure and co-occuring internalizing and externalizing problems from age 2 to age 12: Findings from the National Institute of Child Health and Human Development Study of Early Child Care. Developmental Psychology, 46, 1159–1175. CrossRef
- Hettema, J. M., Neale, M. C., & Kendler, K. S. (2001). A review and meta-analysis of the genetic epidemiology of anxiety disorders. American Journal of Psychiatry, 12(3), 1568–1578. CrossRef
- Hettema, J. M., Prescott, C. A., & Kendler, K. S. (2004). Genetic and environmental sources of covariation between generalized anxiety disorder and neuroticism. American Journal of Psychiatry, 16(1), 1581–1587. CrossRef
- Horwitz, A. V., & Wakefield, J. C. (2007). The loss of sadness: How psychiatry transformed normal sorrow into depressive disorder. New York: Oxford University Press.
- Kendler, K. S., Neale, M. C., Kessler, R. C., Heath, A. C., & Eaves, L. J. (1992). Major depression and generalized anxiety disorder: Same genes partly different environments. Archives of General Psychiatry, 49(9), 716–722. CrossRef
- Kessler, R. C., Andrews, G., Mroczek, D., Ustun, B., & Wittchen, H. C. (1998). The World Health Organization Composite International Diagnostic Interview Short-Form (CIDI-SF). International Journal of Medthod in Psychiatric Research, 7(4), 171–185. CrossRef
- Kessler, R. C., Walters, E. E., & Wittchen, H.-U. (2004). Epidemiology. In R. G. Heimberg, C. L. Turk, & D. S. Mennin (Eds.), Generalized anxiety disorders: Advances in research and practice (pp. 29–50). New York: Guilford Press.
- Kessler, R. C., & Wittchen, H. U. (2002). Patterns and correlates of generalized anxiety disorder in community samples. Journal of Clinical Psychiatry, 63(8), 4–10.
- Lyons, S. J., Henly, J. R., & Scherman, J. R. (2005). Informal support in maltreating families: Its effect on parenting practices. Children and Youth Service Review, 27, 21–38. CrossRef
- MacCallum, R. C., Browne, M. W., & Sugawara, H. M. (1996). Power analysis and determination of sample size for covariance structure modeling. Psychological Methods, 1, 130–149. CrossRef
- McLaughlin, K. A., Behar, E., & Borkovec, T. D. (2008). Family history of psychological problems in generalized anxiety disorder. Journal of Clinical Psychology, 64(7), 905–918. CrossRef
- Moffitt, T. E., Avshalom, C., Harrington, H., Milne, B. J., Melchior, M., Goldberg, D., et al. (2007). Generalized anxiety disorder and depression: Childhood risk factors in a birth cohort followed to age 32. Psychological Medicine, 37, 441–452. CrossRef
- Muthén, L. K., & Muthén, B. O. (2010). Mplus user’s guide (6th ed.). Los Angeles, CA: Muthén & Muthén.
- Őstberg, M., & Hagekull, B. (2000). A structural modeling approach to the understanding of parenting stress. Journal of Clinical Child Psychology, 29, 615–625. CrossRef
- Reichman, N. E., Teitler, J. O., Garfinkel, I., & MaLanahan, S. S. (2001). Fragile families: Sample and design. Children and Youth Service Review, 23, 303–326. CrossRef
- Sterba, S. K., Prinstein, M. J., & Cox, M. J. (2007). Trajectories of internalizing problems across childhood: Heterogeneity, external validity, and gender differences. Development and Psychopathology, 19, 345–366. CrossRef
- Torgensen, S. (1983). Genetic factors in anxiety disorders. Archives of General Psychiatry, 40(10), 1085–1089. CrossRef
- Turner, S. M., Beidel, D. C., & Costello, A. (1987). Psychopathology in the offspring of anxiety disorders patients. Psychopathology, 55(2), 229–235.
- Wakefield, J. C. (1992). Disorder as harmful dysfunction: A conceptual critique of DSM-III-R’s definition of mental disorder. Psychological Review, 99(2), 232–247. CrossRef
- Wakefield, J. C. (1994). Is the concept of mental disorder culturally relative? In S. Kirk & S. Einbinder (Eds.), Controversial issues in mental health (pp. 11–17). Boston: Allyn and Bacon.
- Wittchen, H.-U., Zhao, S., Kessler, R. C., & Eaton, W. W. (1994). DSM-III-R. Generalized anxiety disorder in the National Comorbidity Survey. Archives of General Psychiatry, 51(5), 355–364. CrossRef
- Is it Generalized Anxiety Disorder or Poverty? An Examination of Poor Mothers and Their Children
Child and Adolescent Social Work Journal
Volume 29, Issue 4 , pp 345-355
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- Generalized anxiety disorder
- Poor mothers and their children
- Structural equation modeling