Abstract
Background
The clinical relevance of Anxiety Sensitivity (AS) is well established, as well as the association between parents’ and children’s AS. However, there is little data data on the indirect relation between parents’ AS and children’s anxiety and somatic-hypochondriac symptoms through children’s AS, and the few findings available are inconsistent.
Objective
The study examined, in a community sample, whether children’s AS was associated to their anxiety and somatic-hypochondriac symptoms, and tested whether children’s AS mediated the link between parents’ AS and children’s anxiety and somatic-hypochondriac symptoms.
Methods
A total of 392 children and one of their parents completed a battery of questionnaires.
Results
Children’s AS mediated the links between parents’ AS and children’s anxiety and somatic-hypochondriac symptoms. These pathways were moderated by the child’s age, in that they were significant for older children (ages 11–17 years old), but not for younger ones (ages 8–10 years old).
Conclusions
The findings advance understanding of how parental AS might be implicated in children’s AS and clinical symptoms.
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References
Adornetto, C., Hensdiek, M., Meyer, A., In-Albon, T., Federer, M., & Schneider, S. (2008). The factor structure of the Childhood Anxiety Sensitivity Index in German children. Journal of Behavior Therapy and Experimental Psychiatry, 39(4), 404–416.
Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173.
Bernini, O., Pennato, T., Berrocal Montiel, C., & Guazzelli, M. (2008). Reliability and validity of the Italian version of the Anxiety Sensitivity Index. International Journal of Psychology, 43(3–4), 443–444.
Bialas, I., & Craig, T. K. (2007). ‘Needs expressed’ and ‘offers of care’: An observational study of mothers with somatisation disorder and their children. Journal of Child Psychology and Psychiatry, 48(1), 97–104.
Bowlby, J. (1972). Attachment: attachment and loss (Vol. 1). London: Penguin Books.
Chorpita, B. F., Albano, A. M., & Barlow, D. H. (1996). Child anxiety sensitivity index: Considerations for children with anxiety disorders. Journal of Clinical Child Psychology, 25(1), 77–82.
Chorpita, B. F., & Daleiden, E. L. (2000). Properties of the Childhood Anxiety Sensitivity Index in children with anxiety disorders: Autonomic and nonautonomic factors. Behavior Therapy, 31(2), 327–349.
Cianchetti, C., & Sannio Fancello, G. (2001). Scale psichiatriche di autosomministrazione per fanciulli e adolescenti (SAFA) [Psychiatric self-administration scales for youths and adolescents (SAFA)]. Firenze: Giunti O.S.
Craig, T. K. J., Bialas, I., Hodson, S., & Cox, A. D. (2004). Intergenerational transmission of somatization behaviour: 2. Observations of joint attention and bids for attention. Psychological Medicine, 34(2), 199–209.
Creswell, C., Shildrick, S., & Field, A. P. (2011). Interpretation of ambiguity in children: A prospective study of associations with anxiety and parental interpretations. Journal of Child and Family Studies, 20(2), 240–250.
Dong, Y., & Peng, C. Y. J. (2013). Principled missing data methods for researchers. SpringerPlus, 2(1), 222.
Drake, K. L., & Kearney, C. A. (2008). Child anxiety sensitivity and family environment as mediators of the relationship between parent psychopathology, parent anxiety sensitivity, and child anxiety. Journal of Psychopathology and Behavioral Assessment, 30(2), 79–86.
East, A. J., Berman, M. E., & Stoppelbein, L. (2007). Familial association of anxiety sensitivity and psychopathology. Depression and Anxiety, 24(4), 264–267.
Eley, T. C., Stirling, L., Ehlers, A., Gregory, A. M., & Clark, D. M. (2004). Heart-beat perception, panic/somatic symptoms and anxiety sensitivity in children. Behaviour Research and Therapy, 42(4), 439–448.
Essau, C. A., Sasagawa, S., & Ollendick, T. H. (2010). The facets of anxiety sensitivity in adolescents. Journal of Anxiety Disorders, 24(1), 23–29.
Flavell, J. H., Miller, P. H., & Miller, S. A. (2002). Cognitive development. Upper Saddle River: Prentice Hall.
Fonagy, P., Gergely, G., Jurist, E., & Target, M. (2002). Affect regulation, mentalization, and the development of the self. New York: Other Press.
Francis, S. E., & Noël, V. (2010). Parental contributions to child anxiety sensitivity: A review and recommendations for future directions. Child Psychiatry and Human Development, 41(6), 595–613.
Franzoni, E., Monti, M., Pellicciari, A., Muratore, C., Verrotti, A., Garone, C., et al. (2009). SAFA: A new measure to evaluate psychiatric symptoms detected in a sample of children and adolescents affected by eating disorders. Correlations with risk factors. Neuropsychiatric Disease and Treatment, 5, 207–214.
Ginsburg, G. S., & Drake, K. L. (2002). Anxiety sensitivity and panic attack symptomatology among low-income African-American adolescents. Journal of Anxiety Disorders, 16(1), 83–96.
Ginsburg, G. S., Silverman, W. K., & Kurtines, W. K. (1995). Family involvement in treating children with phobic and anxiety disorders: A look ahead. Clinical Psychology Review, 15(5), 457–473.
Graham, R. A., & Weems, C. F. (2014). Identifying moderators of the link between parent and child anxiety sensitivity: The roles of gender, positive parenting, and corporal punishment. Journal of Abnormal Child Psychology, 43(5), 885–893.
Grant, D. M., Beck, J. G., & Davila, J. (2007). Does anxiety sensitivity predict symptoms of panic, depression, and social anxiety? Behavior Research and Therapy, 45(9), 2247–2255.
Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York, NY: The Guilford Press.
Hensley, L., & Varela, R. E. (2008). PTSD symptoms and somatic complaints following Hurricane Katrina: The roles of trait anxiety and anxiety sensitivity. Journal of Clinical Child & Adolescent Psychology, 37(3), 542–552.
Horwitz, B. N., Marceau, K., Narusyte, J., Ganiban, J., Spotts, E. L., Reiss, D., et al. (2015). Parental criticism is an environmental influence on adolescent somatic symptoms. Journal of Family Psychology, 29(2), 283.
Janssens, K. A., Oldehinkel, A. J., & Rosmalen, J. G. (2009). Parental overprotection predicts the development of functional somatic symptoms in young adolescents. The Journal of Pediatrics, 154(6), 918–923.
Jellesma, F. C., Rieffe, C., Terwogt, M. M., & Westenberg, P. M. (2008). Do parents reinforce somatic complaints in their children? Health Psychology, 27(2), 280.
Jongerden, L., & Bögels, S. M. (2015). Parenting, family functioning and anxiety-disordered children: Comparisons to controls, changes after family versus child CBT. Journal of Child and Family Studies, 24, 2046–2059.
Kehoe, C. E., Havighurst, S. S., & Harley, A. E. (2014). Somatic complaints in early adolescence: The role of parents’ emotion socialization. The Journal of Early Adolescence, 35(7), 966–989.
Lebowitz, E. R., Shic, F., Campbell, D., MacLeod, J., & Silverman, W. K. (2014). Avoidance moderates the association between mothers’ and children’s fears: Findings from a novel motion-tracking behavioral assessment. Depression and Anxiety, 32, 91–98. https://doi.org/10.1002/da.22333.
McLaughlin, E. N., Stewart, S. H., & Taylor, S. (2007). Childhood Anxiety Sensitivity Index factors predict unique variance in DSM-IV anxiety disorder symptoms. Cognitive Behaviour Therapy, 36(4), 210–219.
Muris, P., Schmidt, H., Merckelbach, H., & Schouten, E. (2001a). Anxiety sensitivity in adolescents: Factor structure and relationships to trait anxiety and symptoms of anxiety disorders and depression. Behaviour Research and Therapy, 39(1), 89–100.
Muris, P., Vlaeyen, J., & Meesters, C. (2001b). The relationship between anxiety sensitivity and fear of pain in healthy adolescents. Behaviour Research and Therapy, 39(11), 1357–1368.
Öst, L. G., & Ollendick, T. H. (2017). Brief, intensive and concentrated cognitive behavioral treatments for anxiety disorders in children: A systematic review and meta-analysis. Behaviour Research and Therapy, 97, 134–145.
Peterson, R. A., & Heilbronner, R. L. (1987). The anxiety sensitivity index: construct validity and factor analytic structure. Journal of Anxiety Disorders, 1(2), 117–121.
Peterson, C. C., & Palermo, T. M. (2004). Parental reinforcement of recurrent pain: The moderating impact of child depression and anxiety on functional disability. Journal of Pediatric Psychology, 29(5), 331–341.
Rabian, B., Embry, L., & MacIntyre, D. (1999). Behavioral validation of the Childhood Anxiety Sensitivity Index in children. Journal of Clinical Child Psychology, 28(1), 105–112.
Rabian, B., Peterson, R. A., Richters, J., & Jensen, P. S. (1993). Anxiety sensitivity among anxious children. Journal of Clinical Child Psychology, 22(4), 441–446.
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.
Reiss, S., & McNally, R. J. (1985). The expectancy model of fear. In S. Reiss & R. R. Bootzin (Eds.), Theoretical issues in behavior therapy (pp. 107–121). New York: Academic Press.
Reiss, S., Peterson, R. A., Gursky, D. M., & McNally, R. J. (1986). Anxiety sensitivity, anxiety frequency and the prediction of fearfulness. Behaviour Research and Therapy, 24(1), 1–8.
Repetti, R. L., Taylor, S. E., & Seeman, T. E. (2002). Risky families: Family social environments and the mental and physical health of offspring. Psychological Bulletin, 128(2), 330.
Rousseau, S., Grietens, H., Vanderfaeillie, J., Hoppenbrouwers, K., Desoete, A., & Van Leeuwen, K. (2014). Somatisation and functional impairment in adolescents: Longitudinal link with mothers’ reactions. Psychologica Belgica, 54(1), 131–156.
Rousseau, S., Grietens, H., Vanderfaeillie, J., Hoppenbrouwers, K., Wiersema, J. R., & Van Leeuwen, K. (2013). Parenting stress and dimensions of parenting behavior: Cross-sectional and longitudinal links with adolescents’ somatization. The International Journal of Psychiatry in Medicine, 46(3), 243–270.
Rubin, K. H., Coplan, R. J., & Bowker, J. (2009). Social withdrawal in childhood. Annual Reviews in Psychology, 60, 141–171.
Schafer, J. L. (1999). Multiple imputation: A primer. Statistical Methods in Medical Research, 8(1), 3–15.
Schmidt, N. B., Keough, M. E., Mitchell, M. A., Reynolds, E. K., MacPherson, L., Zvolensky, M. J., et al. (2010). Anxiety sensitivity: Prospective prediction of anxiety among early adolescents. Journal of Anxiety Disorders, 24(5), 503–508.
Silverman, W. K., Fleisig, W., Rabian, B., & Peterson, R. A. (1991). Childhood Anxiety Sensitivity Index. Journal of Clinical Child and Adolescent Psychology, 20(2), 162–168.
Silverman, W. K., Goedhart, A. W., Barrett, P., & Turner, C. (2003). The facets of anxiety sensitivity represented in the Childhood Anxiety Sensitivity Index: Confirmatory analyses of factor models from past studies. Journal of Abnormal Psychology, 112(3), 364–374.
Silverman, W. K., Pina, A. A., & Viswesvaran, C. (2008). Evidence-based psychosocial treatments for phobic and anxiety disorders in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 37(1), 105–130.
Simeone, M., Coppola, G., Curci, A., Goffredo, M., Latrofa, A., Di Liso, D. et al. (2018). Studio di validazione della versione italiana del Childhood Anxiety Sensitivity Index (CASI). Psicoterapia Cognitiva e Comportamentale (in preparation).
Simeone, M., Goffredo, M., Coppola, G., Latrofa, A., Di Liso, D., & Foschino, M. G. (2013). Validazione della versione italiana del “Childhood Anxiety Sensitivity Index”. Psicoterapia Cognitiva e Comportamentale, 19(3), 387–391.
Stassart, C., Dardenne, B., & Etienne, A. M. (2017). The role of parental anxiety sensitivity and learning experiences in children’s anxiety sensitivity. British Journal of Developmental Psychology, 35(3), 359–375.
Stassart, C., & Etienne, A. M. (2014). A French translation of the Childhood Anxiety Sensitivity Index (CASI): Factor structure, reliability and validity of this scale in a nonclinical sample of children. Psychologica Belgica, 54(2), 222–241.
Stein, M. B., Jang, K. L., & Livesley, W. J. (1999). Heritability of anxiety sensitivity: A twin study. American Journal of Psychiatry, 156(2), 246–251.
Stevanovic, D. S., Silverman, W. K., Nichols-Lopez, K. A., Popovic-Deusic, S. D., & Pejovic-Milovancevic, M. M. (2013). Facets of the Childhood Anxiety Sensitivity Index among Serbian youth. Cognitive Behaviour Therapy, 42(4), 342–346.
Stewart, S. H. (1997). Gender differences in dimensions of anxiety sensitivity. Journal of Anxiety Disorders, 11(2), 19179–19200.
Stewart, S. H., Taylor, S., Jang, K. L., Cox, B. J., Watt, M. C., Fedoroff, I. C., et al. (2001). Causal modeling of relations among learning history, anxiety sensitivity, and panic attacks. Behaviour Research and Therapy, 39(4), 443–456.
Taylor, S. (1999). Anxiety sensitivity: theory, research and treatment of the fear of anxiety. Mahwah, NJ: Erlbaum.
Thulin, U., Svirsky, L., Serlachius, E., Andersson, G., & Öst, L. G. (2014). The effect of parent involvement in the treatment of anxiety disorders in children: A meta-analysis. Cognitive Behaviour Therapy, 43(3), 185–200.
Tsao, J. C., Lu, Q., Myers, C. D., Kim, S. C., Turk, N., & Zeltzer, L. K. (2006). Parent and child anxiety sensitivity: Relationship to children’s experimental pain responsivity. The Journal of Pain, 7(5), 319–326.
Tsao, J. C., Myers, C. D., Craske, M. G., Bursch, B., Kim, S. C., & Zeltzer, L. K. (2005). Parent and child anxiety sensitivity: Relationship in a nonclinical sample. Journal of Psychopathology and Behavioral Assessment, 27(4), 259–268.
van Beek, N., Perna, G., Schruers, K., Muris, P., & Griez, E. (2005). Anxiety sensitivity in children of panic disorder patients. Child Psychiatry and Human Development, 35(4), 315–324.
van Widenfelt, B. M., Siebelink, B. M., Goedhart, A. W., & Treffers, P. D. (2002). The Dutch Childhood Anxiety Sensitivity Index: Psychometric properties and factor structure. Journal of Clinical Child and Adolescent Psychology, 31(1), 90–100.
Varela, R. E., Niditch, L. A., Hensley-Maloney, L., Moore, K. W., & Creveling, C. C. (2013). Parenting practices, interpretative biases, and anxiety in Latino children. Journal of Anxiety Disorders, 27, 171–177.
Varela, R. E., Sanchez-Sosa, J. J., Biggs, B. K., & Luis, T. M. (2009). Parenting strategies and socio-cultural influences in childhood anxiety: Mexican, Latin American descent, and European American families. Journal of Anxiety Disorders, 23, 609–616.
Varela, R. E., Weems, C. F., Berman, S. L., Hensley, L., & de Bernal, M. C. R. (2007). Internalizing symptoms in Latinos: The role of anxiety sensitivity. Journal of Youth and Adolescence, 36(4), 429–440.
Walker, L. S., Claar, R. L., & Garber, J. (2002). Social consequences of children’s pain: When do they encourage symptom maintenance? Journal of Pediatric Psychology, 27(8), 689–698.
Watt, M. C., & Stewart, S. H. (2000). Anxiety sensitivity mediates the relationships between childhood learning experiences and elevated hypochondriacal concerns in young adulthood. Journal of Psychosomatic Research, 49(2), 107–118.
Watt, M. C., Stewart, S. H., & Cox, B. J. (1998). A retrospective study of the learning history origins of anxiety sensitivity. Behavior Research and Therapy, 36(5), 505–525.
Weems, C. F., Costa, N. M., Watts, S. E., Taylor, L. K., & Cannon, M. F. (2007). Cognitive errors, anxiety sensitivity, and anxiety control beliefs: Their unique and specific association with childhood anxiety symptoms. Behavior Modification, 31(2), 174–201.
Weems, C. F., Hammond-Laurence, K., Silverman, W. K., & Ferguson, C. (1997). The relation between anxiety sensitivity and depression in children and adolescents referred for anxiety. Behaviour Research and Therapy, 35(10), 961–966.
Weems, C. F., Taylor, L. K., Marks, A. B., & Varela, R. E. (2010). Anxiety sensitivity in childhood and adolescence: Parent Reports and factors that influence associations with child reports. Cognitive Therapy and Research, 34, 303–315.
Wilson, K. A., & Hayward, C. (2006). Unique contributions of anxiety sensitivity to avoidance: A prospective study in adolescents. Behavior Research and Therapy, 44(4), 601–609.
Wood, J. J., McLeod, B. D., Sigman, M., Hwang, W. C., & Chu, B. C. (2003). Parenting and childhood anxiety: Theory, empirical findings, and future directions. Journal of Child Psychology and Psychiatry, 44(1), 134–151.
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Coppola, G., Foschino Barbaro, M.G., Curci, A. et al. The Associations of Parents’ and Children’s Anxiety Sensitivity with Child Anxiety and Somatic-Hypochondriac Symptoms. Child Youth Care Forum 47, 845–861 (2018). https://doi.org/10.1007/s10566-018-9464-z
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DOI: https://doi.org/10.1007/s10566-018-9464-z