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Coping Responses in the Context of Family Stress Moderate the Association Between Childhood Anxiety and Adolescent Depressive Symptoms

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Abstract

Anxiety and depressive symptoms are common and highly interrelated. A relatively consistent temporal pattern of anxious and depressive symptoms has emerged from previous studies, such that the development of anxiety tends to precede and predict the development of depression rather than the other way around. Whether high levels of childhood anxiety predict depressive symptoms in late adolescence may depend, in part, on the ways in which children cope with stressful events. Accordingly, the present study used latent intercept models to examine involuntary and voluntary coping responses to familial stress as potential moderators of the association between childhood anxiety and adolescent depressive symptoms. Two hundred twenty-seven participants completed questionnaires measuring demographic variables as well as anxiety, depressive symptoms, and coping responses at a minimum of one time point over four waves of data collection (T1 Mage = 10.26 years, T2 Mage = 15.77 years, T3 Mage = 16.75 years, T4 Mage = 17.68 years). We found that childhood anxiety was positively associated with adolescent depressive symptoms when children reported higher levels of involuntary responses to family stress (e.g., rumination or physiological arousal) in conjunction with either lower levels of voluntary engaged responses (e.g., problem solving or emotion regulation) or higher levels of voluntary disengaged responses (e.g., avoidance or denial). These results shed light on the conditions under which childhood anxiety is associated with adolescent depressive symptoms and underscore the need for continued longitudinal and developmental research on this topic.

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Data are not available for sharing with others yet. Per National Institutes of Health data sharing guidelines, data will be available to other scholars at a later date after completion of this longitudinal study.

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Funding

This research was supported by grants R01-HD046795 (waves 1–3) and R01-HD046795 (waves 4–6) from the Eunice Kennedy Shriver National Institute of Child Health and Human Development awarded to Mona El-Sheikh.

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Contributions

All authors contributed to various aspects of the present study. Conceptualization of the broader study: Mona El-Sheikh and Stephen Erath; Management and oversight of data collection: Mona El-Sheikh; Data analysis: Alexander Kaeppler and Benjamin Hinnant; Writing—original draft preparation: Alexander Kaeppler; Writing—review and editing: Alexander Kaeppler, Stephen Erath, Benjamin Hinnant, and Mona El-Sheikh; Funding acquisition: Mona El-Sheikh.

Corresponding author

Correspondence to Stephen A. Erath.

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Ethics Approval

This study was approved by the Institutional Review Board at Auburn University and performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Informed Consent

Parents provided written consent and children provided written assent for participation. All participants were informed that their participation was completely voluntary and that they could stop participating at any time.

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The authors have no competing interests to disclose.

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Kaeppler, A.K., Erath, S.A., Hinnant, J.B. et al. Coping Responses in the Context of Family Stress Moderate the Association Between Childhood Anxiety and Adolescent Depressive Symptoms. Res Child Adolesc Psychopathol 52, 429–441 (2024). https://doi.org/10.1007/s10802-023-01135-z

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  • DOI: https://doi.org/10.1007/s10802-023-01135-z

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