Journal of Abnormal Child Psychology

, Volume 16, Issue 1, pp 57–68 | Cite as

Association between anxiety and depression in children and adolescents with anxiety disorders

  • Cyd C. Strauss
  • Cynthia G. Last
  • Michel Hersen
  • Alan E. Kazdin


The relationship between anxiety and depression was examined in a sample of 106 children and adolescents referred to an outpatient anxiety disorder clinic for children. Twenty-eight percent of patients with DSM-III diagnoses of anxiety disorders displayed a concurrent major depression. Children with anxiety disorders plus major depression were found (1) to be older, (2) to demonstrate more severe anxiety symptomatology, and (3) to be diagnosed with different rates of certain anxiety-disorder subtypes, when compared to anxious patients without major depression. Nondepressed anxious children and adolescents did not differ from a psychopathological control group in severity of either anxiety or depression symptoms.


Anxiety Disorder Major Depression Depression Symptom Anxious Child Disorder Clinic 
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  1. Akiskal, H. S., & McKinney, W. T. (1975). Overview of recent research in depression: Integration of ten conceptual models into a comprehensive clinical frame.Archives of General Psychiatry, 32, 285–305.Google Scholar
  2. Baker, H., & Wills, U. (1978). School phobia: Classification and treatment.British Journal of Psychiatry, 132, 492–499.Google Scholar
  3. Beck, A. T. (1967).Depression: Clinical, experimental, and theoretical aspects. New York: Harper & Row.Google Scholar
  4. Bernstein, G. A., & Garfinkel, B. D. (1986). School phobia: The overlap of affective and anxiety disorders.Journal of the American Academy of Child Psychiatry, 25, 235–241.Google Scholar
  5. Breier, A., Charney, D., & Heninger, G. (1984). Major depression in patients with agoraphobia and panic disorder.Archives of General Psychiatry, 41, 1129–1135.Google Scholar
  6. Davidson, S. (1961). School phobia as a manifestation of family disturbance: Its structure and treatment.Journal of Child Psychology and Psychiatry, 1, 270–287.Google Scholar
  7. Gurney, C., Roth, M., Garside, R. F., & Kerr, T. A. (1972). Studies in the classification of affective disorders: The relationship between anxiety states and depressive illness.British Journal of Psychiatry, 121, 162–166.Google Scholar
  8. Hershberg, S. G., Carlson, G. A., Cantwell, D. P., & Strober, M. (1982). Anxiety and depressive disorders in psychiatrically disturbed children.Journal of Clinical Psychiatry, 43, 358–361.Google Scholar
  9. Hollingshead, A. B. (1975).Four-factor index of social status. Unpublished manuscript.Google Scholar
  10. Hummel, T. J., & Sligo, J. R. (1971). Empirical comparison of univariate and multivariate analyses of variance procedures.Psychological Bulletin, 76, 49–57.Google Scholar
  11. Jacobsen, R. H., Lahey, B. B., & Strauss, C. C. (1983). Correlates of depressed mood in normal children.Journal of Abnormal Child Psychology, 11, 29–40.Google Scholar
  12. Kendell, R. E., & Discipio, W. J. (1970). Obsessional symptoms and obsessional personality traits in patients with depressive illness.Psychological Medicine, 1, 65–72.Google Scholar
  13. Kolvin, I., Berney, P., & Bhate, R. (1984). Classification and diagnosis of depression in school phobia.British Journal of Psychiatry, 145, 347–357.Google Scholar
  14. Kovacs, M. (1983a).The interview schedule for children (ISC): Form C, and the follow-up form. Unpublished manuscript, University of Pittsburgh.Google Scholar
  15. Kovacs, M. (1983b).The interview schedule for children (ISC): Interrater and parent-child agreement. Unpublished manuscript, University of Pittsburgh.Google Scholar
  16. Kovacs, M. (1983c).The Children's Depression Inventory: A self-rated depression scale for school-aged youngsters. Unpublished manuscript, University of Pittsburgh School of Medicine.Google Scholar
  17. Last, C. G., Hersen, M., Kazdin, A. E., Finkelstein, R., & Strauss, C. C. (1987). Comparison of DSM-III separation anxiety and overanxious disorders: Demographic characteristics and patterns of comorbidity.Journal of the American Academy of Child Psychiatry, 26, 527–531.Google Scholar
  18. Noyes, R., Clancy, J., Hoenk, P. R., & Slymen, D. J. (1980). The prognosis of anxiety neurosis.Archives of General Psychiatry, 37, 173–178.Google Scholar
  19. Ollendick, T. H. (1983). Reliability and validity of the Revised Fear Survey Schedule for Children (FSSC-R).Behaviour Research and Therapy, 21, 685–692.Google Scholar
  20. Puig-Antich, J. (1980). Affective disorders in childhood: A review and perspective.Psychiatric Clinics of North America, 3, 403–424.Google Scholar
  21. Puig-Antich, J., Blau, S., Marx, N., Greenhill, L., & Chambers, W. J. (1978). Prepubertal major depressive disorder.Journal of the American Academy of Child Psychiatry, 17, 695–707.Google Scholar
  22. 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.Google Scholar
  23. Spielberger, C. (1973).Manual for the stait-trait anxiety inventory for children. Palo Alto: Consulting Psychologists Press.Google Scholar
  24. Strauss, C. C., Forehand, R., Frame, C., & Smith, K. (1984). Characteristics of children with extreme scores on the Children's Depression Inventory.Journal of Clinical Child Psychology, 13, 227–231.Google Scholar
  25. Waldron, S., Shrier, D. L., Stone, B., & Tobin, S. (1975). School phobia and other childhood neuroses: A systematic study of the children and their families.American Journal of Psychiatry, 132, 802–808.Google Scholar

Copyright information

© Plenum Publishing Corporation 1988

Authors and Affiliations

  • Cyd C. Strauss
    • 1
  • Cynthia G. Last
    • 1
  • Michel Hersen
    • 1
  • Alan E. Kazdin
    • 1
  1. 1.Western Psychiatric Institute and ClinicUniversity of Pittsburgh School of MedicinePittsburgh

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