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Clinical Child and Family Psychology Review

, Volume 12, Issue 3, pp 234–254 | Cite as

Emotion Regulation in Youth with Emotional Disorders: Implications for a Unified Treatment Approach

  • Sarah E. TrosperEmail author
  • Brian A. Buzzella
  • Shannon M. Bennett
  • Jill T. Ehrenreich
Article

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.

Keywords

ER Anxiety disorders Depression Cognitive behavioral treatment Children 

Notes

Acknowledgement

The authors wish to thank Emily Laird for editorial assistance and for help in preparing this manuscript.

References

  1. 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.Google Scholar
  2. 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.Google Scholar
  3. 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.PubMedCrossRefGoogle Scholar
  4. 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.PubMedCrossRefGoogle Scholar
  5. 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.CrossRefGoogle Scholar
  6. 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.Google Scholar
  7. 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.PubMedCrossRefGoogle Scholar
  8. 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.PubMedCrossRefGoogle Scholar
  9. Beck, J. S. (1995). Cognitive therapy: Basics and beyond. New York: The Guilford Press.Google Scholar
  10. Beck, A. T., Rush, A. J., Shaw, B. P., & Emery, G. (1979). Cognitive therapy of depression. New York: The Guilford Press.Google Scholar
  11. 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.CrossRefGoogle Scholar
  12. 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.PubMedCrossRefGoogle Scholar
  13. 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.PubMedGoogle Scholar
  14. 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.PubMedCrossRefGoogle Scholar
  15. 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.PubMedCrossRefGoogle Scholar
  16. 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.CrossRefGoogle Scholar
  17. 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.PubMedCrossRefGoogle Scholar
  18. 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.PubMedCrossRefGoogle Scholar
  19. 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.PubMedCrossRefGoogle Scholar
  20. Bradley, S. J. (2000). Affect regulation and the development of psychopathology. New York: The Guilford Press.Google Scholar
  21. 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.PubMedCrossRefGoogle Scholar
  22. 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.PubMedCrossRefGoogle Scholar
  23. 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.PubMedCrossRefGoogle Scholar
  24. 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.PubMedCrossRefGoogle Scholar
  25. 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.Google Scholar
  26. 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.PubMedGoogle Scholar
  27. 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.Google Scholar
  28. 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.CrossRefGoogle Scholar
  29. 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.PubMedCrossRefGoogle Scholar
  30. 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.PubMedCrossRefGoogle Scholar
  31. 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.PubMedCrossRefGoogle Scholar
  32. Cicchetti, D., Ackerman, B. P., & Izard, C. E. (1995). Emotions and emotion regulation in developmental psychopathology. Development and Psychopathology, 7, 1–10. Special issue.CrossRefGoogle Scholar
  33. 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.PubMedCrossRefGoogle Scholar
  34. 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.PubMedCrossRefGoogle Scholar
  35. 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.Google Scholar
  36. 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.PubMedCrossRefGoogle Scholar
  37. 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.PubMedCrossRefGoogle Scholar
  38. 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.PubMedCrossRefGoogle Scholar
  39. 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.PubMedCrossRefGoogle Scholar
  40. 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.CrossRefGoogle Scholar
  41. Denham, S. A. (1998). Emotional development in young children. New York: The Guilford Press.Google Scholar
  42. 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.CrossRefGoogle Scholar
  43. 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.Google Scholar
  44. 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.Google Scholar
  45. Eisenberg, N., Cumberland, A., & Spinrad, T. L. (1998). Parental socialization of emotion. Psychological Inquiry, 9, 241–273. doi: 10.1207/s15327965pli0904_1.PubMedCrossRefGoogle Scholar
  46. 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.PubMedCrossRefGoogle Scholar
  47. 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.Google Scholar
  48. 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.PubMedCrossRefGoogle Scholar
  49. 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.CrossRefGoogle Scholar
  50. 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.Google Scholar
  51. 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.PubMedCrossRefGoogle Scholar
  52. 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.PubMedCrossRefGoogle Scholar
  53. Garber, J., Braafladt, N., & Weiss, B. (1995). Affect regulation in depressed and nondepressed children and young adolescents. Development and Psychopathology, 7, 93–115.CrossRefGoogle Scholar
  54. 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.CrossRefGoogle Scholar
  55. 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.CrossRefGoogle Scholar
  56. 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.PubMedCrossRefGoogle Scholar
  57. 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.PubMedCrossRefGoogle Scholar
  58. 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.PubMedGoogle Scholar
  59. 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.PubMedCrossRefGoogle Scholar
  60. 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.Google Scholar
  61. 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.CrossRefGoogle Scholar
  62. Gottman, J. M., Katz, L. F., & Hooven, C. (1997). Meta-emotion: How families communicate emotionally. Mahwah, NJ: Erlbaum.Google Scholar
  63. 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.CrossRefGoogle Scholar
  64. 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.PubMedCrossRefGoogle Scholar
  65. Gross, J. J. (2003). ER: Affective, cognitive, and social consequences. Psychophysiology, 39, 281–291. doi: 10.1017/S0048577201393198.CrossRefGoogle Scholar
  66. Gross, J. J., & Thompson, R. A. (2007). ER: Conceptual foundations. In J. J. Gross (Ed.), Handbook of emotion regulation. New York: The Guilford Press.Google Scholar
  67. 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.Google Scholar
  68. Hammen, C. (1991). Depression runs in families: The social context of risk and resilience in children of depressed mothers. New York: Springer.Google Scholar
  69. 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.Google Scholar
  70. 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.CrossRefGoogle Scholar
  71. 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.CrossRefGoogle Scholar
  72. 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.PubMedCrossRefGoogle Scholar
  73. 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.CrossRefGoogle Scholar
  74. Izard, C. E., & Bear, G. (2001). Head Start/ECAP emotions curriculum. Newark, DE: University of Delaware Instructional Resources Center.Google Scholar
  75. 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.PubMedCrossRefGoogle Scholar
  76. 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.CrossRefGoogle Scholar
  77. 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.PubMedCrossRefGoogle Scholar
  78. 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.CrossRefGoogle Scholar
  79. Kashani, J. H., & Orvaschel, H. (1990). A community study of anxiety in children and adolescents. The American Journal of Psychiatry, 147, 313–318.PubMedGoogle Scholar
  80. 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.CrossRefGoogle Scholar
  81. 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.PubMedCrossRefGoogle Scholar
  82. 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.CrossRefGoogle Scholar
  83. Kendall, P. C. (2000). Cognitive-behavioral therapy for anxious children: Treatment manual. Ardmore, PA: Workbook Publishing Inc.Google Scholar
  84. 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.Google Scholar
  85. 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.Google Scholar
  86. 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.PubMedCrossRefGoogle Scholar
  87. Kendall, P. C., & Hedtke, K. A. (2006). Cognitive-behavioral therapy for anxious children: Therapist manual (3rd ed.). Ardmore, PA: Workbook Publishing Inc.Google Scholar
  88. 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.Google Scholar
  89. 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.Google Scholar
  90. 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.PubMedCrossRefGoogle Scholar
  91. 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.PubMedCrossRefGoogle Scholar
  92. 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.Google Scholar
  93. 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.CrossRefGoogle Scholar
  94. 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.PubMedCrossRefGoogle Scholar
  95. 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.PubMedCrossRefGoogle Scholar
  96. 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.PubMedCrossRefGoogle Scholar
  97. 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.PubMedCrossRefGoogle Scholar
  98. 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.Google Scholar
  99. 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.PubMedCrossRefGoogle Scholar
  100. 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.Google Scholar
  101. Mash, E. J., & Wolfe, D. A. (2002). Abnormal child psychology (2nd ed.). Belmont, CA: Wadsworth.Google Scholar
  102. 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.CrossRefGoogle Scholar
  103. 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.PubMedCrossRefGoogle Scholar
  104. 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.PubMedCrossRefGoogle Scholar
  105. 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.PubMedCrossRefGoogle Scholar
  106. 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.PubMedCrossRefGoogle Scholar
  107. Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: Preparing people for change (2nd ed.). New York: The Guilford Press.Google Scholar
  108. 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.PubMedCrossRefGoogle Scholar
  109. 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.PubMedCrossRefGoogle Scholar
  110. 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.PubMedCrossRefGoogle Scholar
  111. 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.PubMedCrossRefGoogle Scholar
  112. 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.CrossRefGoogle Scholar
  113. 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.PubMedCrossRefGoogle Scholar
  114. 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.Google Scholar
  115. 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.PubMedGoogle Scholar
  116. 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.PubMedCrossRefGoogle Scholar
  117. 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.PubMedCrossRefGoogle Scholar
  118. 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.CrossRefGoogle Scholar
  119. 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.PubMedCrossRefGoogle Scholar
  120. Radke-Yarrow, M. (1998). Children of depressed mothers: From early childhood to maturity. Cambridge: Cambridge University Press.Google Scholar
  121. 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.PubMedCrossRefGoogle Scholar
  122. 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.CrossRefGoogle Scholar
  123. 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.CrossRefGoogle Scholar
  124. 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.CrossRefGoogle Scholar
  125. Saarni, C. (1999). The development of emotional competence. New York: The Guilford Press.Google Scholar
  126. Salkovskis, P. M. (1991). The importance of behaviour in the maintenance of anxiety and panic: A cognitive account. Behavioural Psychotherapy, 19, 6–19.CrossRefGoogle Scholar
  127. 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.PubMedCrossRefGoogle Scholar
  128. 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.CrossRefGoogle Scholar
  129. 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.PubMedCrossRefGoogle Scholar
  130. 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.PubMedCrossRefGoogle Scholar
  131. 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.CrossRefGoogle Scholar
  132. 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.PubMedCrossRefGoogle Scholar
  133. 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.PubMedCrossRefGoogle Scholar
  134. 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.PubMedCrossRefGoogle Scholar
  135. 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.Google Scholar
  136. 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.PubMedCrossRefGoogle Scholar
  137. 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.Google Scholar
  138. 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.CrossRefGoogle Scholar
  139. 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.CrossRefGoogle Scholar
  140. 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.Google Scholar
  141. 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.PubMedCrossRefGoogle Scholar
  142. 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.PubMedCrossRefGoogle Scholar
  143. 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.PubMedCrossRefGoogle Scholar
  144. 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.Google Scholar
  145. 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.Google Scholar
  146. Thompson, R. A., & Calkins, S. D. (1996). The double-edged sword: Emotion regulation for children at risk. Development and Psychopathology, 8(1), 163–182.CrossRefGoogle Scholar
  147. 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.Google Scholar
  148. 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.PubMedCrossRefGoogle Scholar
  149. 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.CrossRefGoogle Scholar
  150. 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.PubMedCrossRefGoogle Scholar
  151. 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.Google Scholar
  152. 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.PubMedCrossRefGoogle Scholar
  153. 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.Google Scholar
  154. 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.Google Scholar
  155. 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.PubMedCrossRefGoogle Scholar
  156. 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.PubMedCrossRefGoogle Scholar
  157. 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.CrossRefGoogle Scholar
  158. 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.PubMedCrossRefGoogle Scholar
  159. 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.Google Scholar
  160. 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.Google Scholar
  161. 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.PubMedCrossRefGoogle Scholar
  162. 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.CrossRefGoogle Scholar
  163. 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.Google Scholar
  164. 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.PubMedCrossRefGoogle Scholar
  165. 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.PubMedCrossRefGoogle Scholar
  166. 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.Google Scholar
  167. 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.PubMedCrossRefGoogle Scholar
  168. 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.PubMedCrossRefGoogle Scholar
  169. 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.CrossRefGoogle Scholar
  170. 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.CrossRefGoogle Scholar
  171. 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.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Sarah E. Trosper
    • 1
    • 2
    Email author
  • Brian A. Buzzella
    • 1
  • Shannon M. Bennett
    • 1
    • 3
  • Jill T. Ehrenreich
    • 1
    • 4
  1. 1.Department of PsychologyBoston UniversityBostonUSA
  2. 2.Eating Disorders ClinicNew York State Psychiatric InstituteNew YorkUSA
  3. 3.University of CaliforniaLos AngelesUSA
  4. 4.Department of PsychologyUniversity of MiamiCoral GablesUSA

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