Skip to main content

Part of the book series: Springer Series on Child and Family Studies ((SSCFS))

  • 831 Accesses

Abstract

Anxiety is a common problem in childhood. Anxiety occurs when children experience repetitive worry and fears about different issues. Anxiety can be focused, such as in a specific phobia or fear, or general in nature, such that the child is described as, “constantly worrying.” Anxiety tends to run in families, and if a child is anxious there also may be a parent or another close family member who is experiencing anxiety. Teaching a child to reset his or her system, through relaxation (breathing, muscle relaxation) or positive thoughts are behavioral and cognitive strategies to help the child reset his or her system. Another important strategy is to teach the child to experience those things that are causing him or her fear. Avoiding a feared stimulus can actually cause the child’s anxiety to strengthen in intensity, resulting in more avoidance behavior, worry, and fear in the future. Several interventions to provide education about anxiety and intervene to help children reduce anxiety are presented in this chapter, and many of these have resulted in very successful outcomes in terms of reducing children’s experiences of anxiety.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 54.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Abramowitz, J. S., Taylor, S., & McKay, D. (2009). Obsessive-compulsive disorder. Lancet, 374(9688), 491–499.

    Article  PubMed  Google Scholar 

  • Albano, A. M., & Kendall, P. C. (2002). Cognitive behavioural therapy for children and adolescents with anxiety disorders: Clinical research advances. International Review of Psychiatry, 14(2), 129–134. doi:10.1080/09540260220132644.

    Article  Google Scholar 

  • Allen, J. L., Rapee, R. M., & Sanberg, S. (2008). Severe life events and chronic adversities as antecedents to anxiety in children: A matched control study. Journal of Abnormal Child Psychology, 36, 1047–1056.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

    Google Scholar 

  • Barlow, D. H. (2002). Anxiety and its disorders: The nature and treatment of anxiety and panic (2nd ed.). New York, NY: Guilford.

    Google Scholar 

  • Barrett, P. M., Farrell, L. J., Ollendick, T. H., & Dadds, M. (2006). Long-term outcomes of an Australian universal prevention trial of anxiety and depression symptoms in children and youth: An evaluation of the friends program. Journal of Clinical Child and Adolescent Psychology, 35(3), 403–411.

    Article  PubMed  Google Scholar 

  • Biederman, J., Hirshfeld-Becker, D. R., Rosenbaum, J. F., Hérot, C., Friedman, D., Snidman, N., … Faraone, S. V. (2001). Further evidence of association between behavioral inhibition and social anxiety in children. American Journal of Psychiatry, 158(10), 1673–1679. Retrieved June 13, 2015, from http://dx.doi.org/10.1176/appi.ajp.158.10.1673.

    Google Scholar 

  • Clark, L. A., & Watson, D. (1991). Tripartite model of anxiety and depression: Psychometric evidence and taxonomic implications. Journal of Abnormal Psychology, 107, 74–85.

    Google Scholar 

  • Cobham, V. E. (2012). Do anxiety-disordered children need to come into clinic for efficacious treatment? Journal of Consulting and Clinical Psychology, 80(3), 465–476.

    Article  PubMed  Google Scholar 

  • Copeland, W. E., Angold, A., Shanahan, L., & Costello, E. (2014). Longitudinal patterns of anxiety from childhood to adulthood: The Great Smokey Mountains Study. Journal of the American Academy of Child and Adolescent Psychiatry, 53(1), 21–33.

    Article  PubMed  Google Scholar 

  • Costello, E. J., Egger, H. L., & Angold, A. (2005). The developmental epidemiology of anxiety disorders: Phenomenology, prevalence, and comorbidity. Child and Adolescent Psychiatric Clinics of North America, 14(4), 631–648.

    Article  PubMed  Google Scholar 

  • Creswell, C., Waite, P., & Cooper, P. J. (2014). Assessment and management of anxiety disorders in children and adolescents. Archives of Disease in Childhood, 99, 674–678. doi:10.1136/archdischild-2013-303768.

    Article  PubMed  PubMed Central  Google Scholar 

  • Degnan, K. A., Almas, A. N., & Fox, N. A. (2010). Temperament and the environment in the etiology of childhood anxiety. Journal of Child Psychology and Psychiatry, 51(4), 497–517.

    Article  PubMed  PubMed Central  Google Scholar 

  • Drake, K. L., & Ginsburg, G. S. (2012). Family factors and the development, treatment, and prevention of childhood anxiety disorders. Clinical Child and Family Psychology Review, 15, 144–162. doi:10.1007/s10567-011-0109-0.

    Article  PubMed  Google Scholar 

  • Essau, C. A., Conradt, J., Sasagawa, S., & Ollendick, T. H. (2012). Prevention of anxiety symptoms in children: Results from a universal school-based trial. Behavior Therapy, 43, 450–464.

    Article  PubMed  Google Scholar 

  • Fonseca, A. C., & Perrin, S. (2011). The clinical phenomenology and classification of child and adolescent anxiety. In W. K. Silverman & A. P. Field (Eds.), Anxiety disorders in children and adolescents (2nd ed., pp. 25–55). Cambridge, UK: Cambridge University Press.

    Chapter  Google Scholar 

  • Grover, R. L., Ginsburg, G. S., & Ialongo, N. (2007). Childhood predictors of anxiety: A longitudinal study. Child Psychiatry and Human Development, 36(2), 133–153.

    Article  Google Scholar 

  • Herbert, M. (2013). Etiological considerations. In T. H. Ollendick, N. J. King, & W. Yule (Eds.), International handbook of phobic and anxiety disorders in children and adolescents (pp. 3–20). New York, NY: Springer.

    Google Scholar 

  • Holly, L. E., Little, M., Pina, A. A., & Caterino, L. C. (2015). Assessment of anxiety symptoms in school children: A cross sex and ethnic examination. Journal of Abnormal Child Psychology, 43(2), 297–309.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hudson, J. L., Newall, C., Rapee, R. M., Lyneham, H. J., Schniering, C. C., Wuthrich, V. M., … Gar, N. S. (2014). The impact of brief parental anxiety management on child anxiety treatment outcomes: A controlled trial. Journal of Clinical Child and Adolescent Psychology, 43(3), 370–380. doi: 10.1080/15374416.2013.807734.

    Google Scholar 

  • Kahn, J., Nursten, J. P., & Carroll, H. C. M. (1981). Unwillingly to school: School phobia or school refusal: A psychosocial problem (3rd ed.). Elmsford, NY: Pergamon Press.

    Google Scholar 

  • Kendall, P. C. (1994). Treating anxiety disorders in children: Results of a randomized clinical trial. Journal of Consulting and Clinical Psychology, 62, 100–110.

    Article  PubMed  Google Scholar 

  • Kendall, P. C. (2012). Anxiety disorders in youth. In P. Kendall (Ed.), Child and adolescent therapy: Cognitive-behavioral procedures (4th ed., pp. 143–189). New York, NY: The Guilford Press.

    Google Scholar 

  • Kendall, P. C., Flannery-Schroeder, E., Panichelli-Mindel, S., Southam-Gerow, M., Henin, A., & Warman, M. (1997). Therapy for youths with anxiety disorders: A second randomized clinical trial. Journal of Consulting and Clinical Psychology, 65(3), 366–380.

    Article  PubMed  Google Scholar 

  • Kendall, P. C., & Hedtke, K. A. (2006a). Cognitive-behavioral therapy for anxious children: Therapist manual (3rd ed.). Ardmore, PA: Workbook Publishing.

    Google Scholar 

  • Kendall, P. C., & Hedtke, K. A. (2006b). The coping cat workbook (2nd ed.). Ardmore, PA: Workbook Publishing.

    Google Scholar 

  • March, S., Spence, S. H., & Donovan, C. L. (2009). The efficacy of an internet-based cognitive-behavioral therapy intervention for child anxiety disorders. Journal of Pediatric Psychology, 34(5), 474–487.

    Article  PubMed  Google Scholar 

  • Maynard, B. R., Brendel, K., Bulanda, J. J., Heyne, D., Thompson, A., & Pigott, T. (2015). Psychosocial interventions for school refusal with primary and secondary school students: A systematic review. Campbell Systematic Reviews, 11(12).

    Google Scholar 

  • Merikangas, K. R., He, M. J. P., Burstein, M., Swanson, M. S. A., Avenevoli, S., Cui, M. L., … Swendsen, J. (2010). Lifetime prevalence of mental disorders in US adolescents: Results from the National Comorbidity Study-Adolescent Supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 49(10), 980–989. doi: 10.1016/j.jaac.2010.05.017.

    Google Scholar 

  • Norman, K. R., Silverman, W. K., & Lebowitz, E. R. (2015). Family accommodation of child and adolescent anxiety: Mechanisms, assessment, and treatment. Journal of Child and Adolescent Psychiatric Nursing, 28(3), 131–140.

    Article  PubMed  Google Scholar 

  • Ollendick, T. H., Costa, N. M., & Benoit, K. E. (2010). Interpersonal processes and the anxiety disorders of childhood. In G. Beck (Ed.), Interpersonal processes in the anxiety disorders: Implications for understanding psychopathology and treatment (pp. 71–95). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Ollendick, T. H., Halldorsdottir, T., Fraire, M. G., Austin, K. E., Noguchi, R. J., Lewis, K. M., … Whitmore, M. J. (2015). Specific phobias in youth: A randomized controlled trial comparing one-session treatment to a parent-augmented one-session treatment. Behavior Therapy, 46(2), 141–155. doi: 10.1016/j.beth.2014.09.004.

    Google Scholar 

  • Rapee, R. M. (2012). F. 1. Anxiety disorders in children and adolescents: Nature, development, treatment, and prevention. In J. M. Rey (Ed.), Section F. Anxiety disorders of the IACAPAP e-textbook of child and adolescent mental health (pp. 1–19). Geneva, Switzerland: International Association for Child and Adolescent Psychiatry and Allied Professions.

    Google Scholar 

  • Reynolds, S., Wilson, C., Austin, J., & Hooper, L. (2012). Effects of psychotherapy for anxiety in children and adolescents: A meta-analytic review. Clinical Psychology Review, 32, 251–262.

    Article  PubMed  Google Scholar 

  • Santucci, L. C., & Ehrenreich-May, J. (2013). A randomized controlled trial of the child anxiety multi-day program (CAMP) for separation anxiety disorder. Child Psychiatry & Human Development, 44(3), 439–451. doi:10.1007/s10578-012-0338-6.

    Article  Google Scholar 

  • Shechner, T., Rimon-Chakis, A., Britton, J. C., Lotan, D., Apter, A., Bliese, P. D., … Bar-Haim, Y. (2014). Attention bias modification treatment augmenting effects on cognitive-behavioral therapy in children with anxiety: Randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 53(1), 61–71.

    Google Scholar 

  • Silverman, W. K., & Albano, A. M. (1996). The anxiety disorders interview schedule for DSM-IV—Child and parent versions. San Antonio, TX: Psychological Corporation.

    Google Scholar 

  • Simon, E., Dirksen, C., Bögels, S., & Bodden, D. (2012). Cost-effectiveness of child-focused and parent-focused interventions in a child anxiety prevention program. Journal of Anxiety Disorders, 26, 287–296.

    Article  PubMed  Google Scholar 

  • Spence, S. H. (1997). Structure of anxiety symptoms among children: A confirmatory factor-analytic study. Journal of Abnormal Psychology, 106(2), 280–297.

    Article  PubMed  Google Scholar 

  • Spence, S. H. (1998). A measure of anxiety symptoms among children. Behaviour Research and Therapy, 36(5), 545–566.

    Article  PubMed  Google Scholar 

  • Spence, S. H., Holmes, J. M., March, S., & Lipp, O. V. (2006). The feasibility and outcome of clinic plus internet delivery of cognitive behavior therapy for childhood anxiety. Journal of Consulting and Clinical Psychology, 74(3), 614–621.

    Article  PubMed  Google Scholar 

  • Torp, N. C., Dahl, K., Skarphedinsson, G., Thomsen, P. H., Valderhaug, R., Weidle, B., … Ivarsson, T. (2015). Effectiveness of cognitive behavior treatment for pediatric Obsessive-Compulsive Disorder: Acute outcomes from the Nordic long-term OCD treatment study (NordLOTS). Behaviour Research and Therapy, 64, 15–23.

    Google Scholar 

  • Vasey, M. W., Bosmans, G., & Ollendick, T. H. (2014). The developmental psychopathology of anxiety. In M. Lewis & K. D. Rudolph (Eds.), Handbook of developmental psychopathology (3rd ed., pp. 543–560). New York, NY: Springer.

    Chapter  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Nabors, L. (2016). Anxiety. In: Medical and Mental Health During Childhood. Springer Series on Child and Family Studies. Springer, Cham. https://doi.org/10.1007/978-3-319-31117-3_7

Download citation

Publish with us

Policies and ethics