Abstract
This study examined anxiety in preschool children within a South-African context. The parents and teachers of 101 South African children aged 2 to 6 years completed measures of children's anxiety-prone temperament (behavioral inhibition) and anxiety disorders symptoms. Parents and teachers of 59 children could be re-approached one year later, with the request to fill in both scales again, while parents at that time also completed a measure of parental overprotection. Results indicated that, compared with normative scores collected in Western countries, young South African children displayed relatively high levels of anxiety-proneness and anxiety disorders symptoms, although this cultural difference could only be demonstrated when using the parentreport data. Further, on both occasions there were substantial and positive correlations between children's behavioral inhibition and anxiety symptoms. Behavioral inhibition and anxiety symptoms, in particular when assessed by parent report, appeared to be fairly stable during the one-year period, and we found only tentative support for the idea that behavioral inhibition on time 1 increased the risk for anxiety symptoms on time 2. Finally, a cross-sectional analysis of the data collected on time 2 revealed a positive correlation between overprotection and children's anxiety symptoms as well as a marginally significant interaction of behavioral inhibition and overprotection on children's anxiety symptoms, indicating that in particular the combination of high behavioral inhibition and high overprotection tended to be associated with the highest anxiety levels.
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References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, fifth edition (DSM-5). Arlington, VA: American Psychiatric Association.
Barbarin, O. A., Richter, L., & De Wet, T. (2001). Exposure to violence, coping resources, and psychological adjustment of South African children. American Journal of Orthopsychiatry, 71, 16–25.
Biederman, J., Rosenbaum, J. F., Bolduc-Murphy, E. A., Faraone, S. V., Chaloff, J., & Hirshfeld, D. R. (1993). A 3-year follow-up of children with and without behavioral inhibition. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 814–821.
Bishop, G., Spence, S. H., & McDonald, C. (2003). Can parents and teachers provide a reliable and valid report of behavioral inhibition?. Child Development, 74, 1899–1917.
Biersteker, L., & Robinson, S. (2000). Socio-economic policies: Their impact on children in South-Africa. In D. Donald, A. Dawes, & J. Louw (Eds.), Addressing childhood adversity (pp. 26–59). Cape Town, South Africa: David Philip publishers.
Broeren, S., & Muris, P. (2010). A psychometric evaluation of the behavioral inhibition questionnaire in a non-clinical sample of Dutch children and adolescents. Child Psychiatry and Human Development, 41, 214–229.
Burkhardt, K., Loxton, H., & Muris, P. (2003). Fears and fearfulness in South African children. Behaviour Change, 20, 94–102.
Cartwright-Hatton, S., McNicol, K., & Doubleday, E. (2006). Anxiety in a neglected population: Prevalence of anxiety disorders in pre-adolescent children. Clinical Psychology Review, 26, 817–833.
Chen, X., Chen, H., Li, D., & Wang, L. (2009). Early childhood behavioral inhibition and social and school adjustments in Chinese children: A 5-year longitudinal study. Child Development, 80(6), 1692–1704.
Costello, E. J., Mustillo, S., Erkanli, A., Keller, G., & Angold, A. (2003). Prevalence and development of psychiatric disorders in childhood and adolescence. Archives of General Psychiatry, 60, 837–844.
Edwards, S. L. (2007). Temperament and environmental risk factors contributing to anxiety symptoms in preschool-aged children. Australia: Macquarie University. Unpublished doctoral thesis
Edwards, S. L., Rapee, R. M., Kennedy, S. J., & Spence, S. H. (2010). The assessment of anxiety symptoms in preschool-aged children: The Revised Preschool Anxiety Scale. Journal of Clinical Child and Adolescent Psychology, 39, 400–409.
Egger, H. L., & Angold, A. (2006). Common emotional and behavioral disorders in preschool children: Presentation, nosology, and epidemiology. Journal of Child Psychology and Psychiatry, 47, 313–337.
Fox, N. A., Henderson, H. A., Marshall, P. J., Nichols, K. E., & Ghera, M. M. (2005). Behavioural inhibition: Linking Biology and behavior within a developmental framework. Annual Review of Psychology, 56, 235–262.
Hirshfeld-Becker, D. R., Micco, J., Henin, A., Bloomfield, A., Biederman, J., & Rosenbaum, J. (2008). Behavioral inhibition. Depression and Anxiety, 25, 357–367.
Hudson, J. L., Dodd, H. F., & Bovopoulos, N. (2011a). Temperament, family environment and anxiety in preschool children. Journal of Abnormal Child Psychology, 39, 939–951.
Hudson, J. L., Dodd, H. F., Lyneham, H. J., & Bovopoulos, N. (2011b). The role of temperament and family environment in the development of anxiety disorder: Two-year follow up. Journal of the American Academy of Child and Adolescent Psychiatry, 50, 1255–1264.
Kagan, J. (1994). Galen’s Prophecy: Temperament in Human Nature. New York: Basic Books.
Kagan, J., Reznick, J. S., & Snidman, N. (1988). Biological basis of childhood shyness. Science, 240, 167–171.
Kim, J., Klein, D. N., Olino, T. M., Dyson, M. W., Dougherty, L. R., & Durbin, C. E. (2011). Psychometric properties of the behavioral inhibition questionnaire in preschool children. Journal of Personality Assessment, 93, 545–555.
Lewis-Morrarty, E., Degnan, K., Chronis-Tuscano, A., Rubin, K., Cheah, C., Pine, D., Henderson, H., & Fox, N. (2012). Maternal over-control moderates the association between early childhood behavioral inhibition and adolescent social anxiety symptoms. Journal of Abnormal Child Psychology, 40, 1363–1373.
Liang, H., Flisher, A. J., & Lombard, C. (2007). Bullying, violence, and risk behavior in South African school students. Child Abuse and Neglect, 31, 161–171.
McLeod, B. D., Wood, J. J., & Weisz, J. R. (2007). Examining the association between parenting and childhood anxiety: A meta-analysis. Clinical Psychology Review, 27, 155–172.
Muris, P., & Broeren, S. (2009). Twenty-five years of research on childhood anxiety disorders: Publication trends between 1982 and 2006 and a selective review of the literature. Journal of Child and Family Studies, 18, 388–395.
Muris, P., Loxton, H., Neumann, A., Du Plessis, M., King, N., & Ollendick, T. (2006). DSM-defined anxiety disorders symptoms in South African youths: Their assessment and relationship with perceived parental rearing behaviors. Behaviour Research and Therapy, 44, 883–896.
Muris, P., Schmidt, H., Engelbrecht, P., & Perold, M. (2002). DSM-IV- defined anxiety disorders symptoms in South African children. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 1360–1368.
Neves, D., & Toit, A. (2013). Rural livelihoods in South Africa: Complexity, vulnerability and differentiation. Journal of Agrarian Change, 13, 93–115.
Pereira, A. I., Barros, L., Mendonça, D. P., & Muris, P. (2014). The relationships among parental anxiety, parenting, and children’s anxiety: The mediating effects of children’s cognitive vulnerabilities. Journal of Child and Family Studies, 23, 399–409.
Polanczyk, G. V., Salum, G. A., Sugaya, L. S., Caye, A., & Rohde, L. A. (2015). Annual Research Review: A meta‐analysis of the worldwide prevalence of mental disorders in children and adolescents. Journal of Child Psychology and Psychiatry, 56, 345–365.
Rapee, R. (1997). Potential role of childrearing practices in the development of anxiety and depression. Clinical Psychology Review, 17, 47–67.
Rapee, R. M., Schniering, C. A., & Hudson, J. L. (2009). Anxiety disorders during childhood and adolescence: Origins and treatment. Annual Review of Clinical Psychology, 5, 311–341.
Simon, E., Van der Sluis, C., Muris, P., Thompson, E., & Cartwright-Hatton, S. (2014). Anxiety in preadolescent children: what happens if we don’t treat it, and what happens if we do? Psychopathology Review, 1, 28–50.
Spence, S. H., Rapee, R., McDonald, C., & Ingram, M. (2001). The structure of anxiety symptoms among preschoolers. Behaviour Research and Therapy, 39, 1293–1316.
Van der Bruggen, C. O., Stams, G. J., & Bögels, S. M. (2008). The relationship between children and parent anxiety and parent control: A meta-analytic review. Journal of Child Psychology and Psychiatry, 49, 1257–1269.
Vreeke, L. J., Muris, P., Mayer, B., Huijding, J., Bos, A. E. R., Van der Veen, M., Raat, H., & Verheij, F. (2012). The assessment of an inhibited, anxiety-prone temeperament in a Dutch multi-ethnic population of preschool children. European Child and Adolescent Psychiatry, 21, 623–633.
Vreeke, L., Muris, P., Mayer, B., Huijding, J., & Rapee, R. M. (2013). Skittish, shielded, and scared: Relations among behavioral inhibition, overprotective parenting, and anxiety in native and non-native Dutch preschool children. Journal of Anxiety Disorders, 27, 703–710.
Acknowledgments
Professor Ron Rapee is acknowledged for giving his permission to translate and use the PAS-R, and Professor Thomas H. Ollendick is thanked for the fruitful discussions about this research. We also kindly thank the principal and coordinator of the preprimary, preschool and day care facility, as well as the involved primary schools, the parents and teachers for their participation in the study.
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Howard, M., Muris, P., Loxton, H. et al. Anxiety-Proneness, Anxiety Symptoms, and The Role of Parental Overprotection in Young South African Children. J Child Fam Stud 26, 262–270 (2017). https://doi.org/10.1007/s10826-016-0545-z
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DOI: https://doi.org/10.1007/s10826-016-0545-z