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Anxiety in Children

  • Laura Nabors
Chapter
Part of the Springer Series on Child and Family Studies book series (SSCFS)

Abstract

This introductory chapter addresses what anxiety looks like and how it impacts children. Symptoms of different anxiety disorders based on diagnostic definitions are reviewed. Information on prevalence of anxiety and medication management ideas are briefly presented. An in-depth overview of cognitive behavioral interventions to help young children and adolescents overcome anxiety is introduced. A case study focusing on a child with anxiety sensitivity and separation issues is presented.

Keywords

Avoidance cycle Anxiety-provoking Ruminate Separation anxiety disorder Generalized anxiety disorder Phobia Medication 

References

  1. Allan, N. P., Capron, D. W., Lejuez, C. W., Reynolds, E. K., MacPherson, L., & Schmidt, N. B. (2014). Developmental trajectories of anxiety symptoms in early adolescence: The influence of anxiety sensitivity. Journal of Abnormal Child Psychology, 42(4), 589–600.  https://doi.org/10.1007/s10802-013-9806-0CrossRefPubMedPubMedCentralGoogle Scholar
  2. Allen, J. L., Rapee, R. M., & Sandberg, 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.  https://doi.org/10.1007/s10802-008-9240-xCrossRefPubMedGoogle Scholar
  3. American Academy of Child and Adolescent Psychiatry Work Group on Quality Issues. (2007). Practice parameter for the assessment and treatment of children with anxiety disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 267–283.  https://doi.org/10.1097/01.chi.0000246070.23695.06CrossRefGoogle Scholar
  4. American Psychiatric Association (DSM). (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.CrossRefGoogle Scholar
  5. Byrne, S. P., Lebowitz, E. R., Ollendick, T. H., & Silverman, W. K. (2018). Anxiety disorders in children and adolescents. In J. Hunsley & E. J. Mash (Eds.), A guide to assessments that work (2nd ed., pp. 217–241). New York, NY: Oxford University Press.Google Scholar
  6. Creswell, C., Waite, P., & Cooper, P. J. (2014). Assessment and management of anxiety disorders in children and adolescents. Archives of Disease in Childhood, 99(7), 674–678.  https://doi.org/10.1136/archdischild-2013-303768CrossRefPubMedPubMedCentralGoogle Scholar
  7. Cummings, C. M., Caporino, N. E., Settipani, C. A., Read, K. L., Compton, S. N., March, J., … Kendall, P. C. (2013). The therapeutic relationship in cognitive-behavioral therapy and pharmacotherapy for anxious youth. Journal of Consulting and Clinical Psychology, 81(5), 859–864.  https://doi.org/10.1037/a0033294CrossRefPubMedPubMedCentralGoogle Scholar
  8. Drake, K. L., & Ginsburg, G. S. (2012). Family factors in the development, treatment, and prevention of childhood anxiety disorders. Clinical Child and Family Psychology Review, 15, 144–162.  https://doi.org/10.1007/s10567-011-0109-0CrossRefPubMedGoogle Scholar
  9. Egger, H. L., & Angold, A. (2006). Common emotional and behavioral disorders in preschool children: Presentation, nosology, and epidemiology. Journal of Child Psychology and Psychiatry, 47, 313–337.  https://doi.org/10.1111/j.1469-7610.2006.01618.xCrossRefPubMedGoogle Scholar
  10. 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.  https://doi.org/10.1016/j.beth.2011.08.003CrossRefPubMedGoogle Scholar
  11. Fattore, T., Mason, J., & Watson, E. (2009). When children are asked about their well-being: Towards a framework for guiding policy. Child Indicators Research, 2, 57–77.  https://doi.org/10.1007/s12187-008-9025-3CrossRefGoogle Scholar
  12. 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: Cambridge University Press.CrossRefGoogle Scholar
  13. Franz, L., Angold, A., Copeland, W., Costello, E. J., Towe-Goodman, N., & Egger, H. (2013). Preschool anxiety disorders in pediatric primary care: Prevalence and comorbidity. Journal of the American Academy of Child & Adolescent Psychiatry, 52, 1294–1303.  https://doi.org/10.1016/j.jaac.2013.09.008CrossRefGoogle Scholar
  14. Garber, J., & Weersing, V. R. (2010). Comorbidity of anxiety and depression in youth: Implications for treatment and prevention. Clinical Psychology, 17(4), 293–306.  https://doi.org/10.1111/j.1468-2850.2010.01221.xCrossRefPubMedPubMedCentralGoogle Scholar
  15. Garcia-Coll, C., Kagan, J., & Reznick, J. S. (1984). Behavioral inhibition in young children. Child Development, 55, 1005–1019.  https://doi.org/10.2307/1130152CrossRefGoogle Scholar
  16. Jacobson, C. M., Muehlenkamp, J. J., Miller, A. L., & Turner, J. B. (2008). Psychiatric impairment among adolescents engaging in different types of deliberate self-harm. Journal of Clinical Child and Adolescent Psychology, 37(2), 363–375.  https://doi.org/10.1080/15374410801955771CrossRefPubMedGoogle Scholar
  17. James, A. C., James, G., Cowdrey, F. A., Soler, A., & Choke, A. (2015). Cognitive behavioural therapy for anxiety disorders in children and adolescents. Cochrane Editorial Group: Cochrane Common Mental Disorders Group. Cochrane database systematic reviews. New York: Wiley.CrossRefGoogle Scholar
  18. Kahn, J. H., Nursten, J. P., & Carroll, H. C. M. (1981). Unwillingly to school: School phobia or school refusal: A psycho-social problem (3rd ed.). New York: Pergamon Press.Google Scholar
  19. Kendall, P. C. (2012). Anxiety disorders in youth. In P. C. Kendall (Ed.), Child and adolescent therapy: Cognitive-behavioral procedures (4th ed., pp. 143–189). New York: Guilford Press.Google Scholar
  20. Kendall, P. C., Compton, S. N., Walkup, J. T., Birmaher, B., Albano, A. M., … Piacentini, J. (2010). Clinical characteristics of anxiety-disordered youth. Journal of Anxiety Disorders, 24(3), 360–365.  https://doi.org/10.1016/j.janxdis.2010.01.009CrossRefPubMedPubMedCentralGoogle Scholar
  21. Kodish, I., Rockhill, C., & Varley, C. (2011). Pharmacotherapy for anxiety disorders in children and adolescents. Dialogues in Clinical Neuroscience, 13(4), 439–452.PubMedPubMedCentralGoogle Scholar
  22. Maynard, B. R., Brendel, K. E., Bulanda, J. J., Heyne, D., Thompson, A. M., & Pigott, T. D. (2015). Chapter 12. Psychosocial interventions for school refusal with primary and secondary school students: A systematic review. In S. J. Wilson & C. L. Fong (Eds.), Campbell systematic review. Oslo: The Campbell Collaboration.  https://doi.org/10.4073/csr.2015:12CrossRefGoogle Scholar
  23. McClure, E. B., Brennan, P. A., Hammen, C., & Le Brocque, R. M. (2001). Parental anxiety disorders, child anxiety disorders, and the perceived parent-child relationship in an Australian high-risk sample. Journal of Abnormal Child Psychology, 29(1), 1–10.  https://doi.org/10.1023/A:1005260311313CrossRefPubMedGoogle Scholar
  24. 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.  https://doi.org/10.1016/j.jaac.2010.05.017CrossRefPubMedPubMedCentralGoogle Scholar
  25. Merikangas, K. R., Nakamura, E. F., & Kessler, R. C. (2009). Epidemiology of mental disorders in children and adolescents. Dialogues in Clinical Neuroscience, 11(1), 7–20.PubMedPubMedCentralGoogle Scholar
  26. Moreno, M. A., Furtner, F., & Rivara, F. P. (2010). Anxiety disorders in children and adolescents. Archives of Pediatrics and Adolescent Medicine, 164(10), 984.  https://doi.org/10.1001/archpediatrics.2010.179CrossRefPubMedGoogle Scholar
  27. Nuata, M. H., Scholing, S. H., Rapee, R. M., Abbott, M., Spence, S. H., & Waters, A. (2004). A parent-report measure of children’s anxiety: Psychometric properties and comparison with child report in a clinic sample. Behaviour Research and Therapy, 42(7), 813–839.  https://doi.org/10.1016/S0005-7967(03)00200-6CrossRefGoogle Scholar
  28. Ollendick, T. H., Costa, N. M., & Benoit, K. E. (2010). Interpersonal processes and the anxiety disorders of childhood. In J. G. Bock (Ed.), Interpersonal processes in the anxiety disorders: Implications for understanding psychopathology and treatment (pp. 71–95). Washington, DC: American Psychological Association.CrossRefGoogle Scholar
  29. Ollendick, T. H., Halldorsdottir, T., Fraire, M. G., Austin, K. E., Ryoichi, J. P., … 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.  https://doi.org/10.1016/j.beth.2014.09.004CrossRefPubMedGoogle Scholar
  30. Patel, D. R., Feucht, C., Brown, K., & Ramsay, J. (2018). Pharmacological treatment of anxiety disorders in children and adolescents: A review for practitioners. Translational Pediatrics, 7(1), 23–35.  https://doi.org/10.21037/tp.2017.08.05CrossRefPubMedPubMedCentralGoogle Scholar
  31. Ramsawh, H. J., Chavira, D. A., & Stein, M. B. (2010). Burden of anxiety disorders in pediatric medical settings: Prevalence, phenomenology, and a research agenda. Archives of Pediatrics and Adolescent Medicine, 164(10), 965–972.  https://doi.org/10.1001/archpediatrics.2010.170CrossRefPubMedGoogle Scholar
  32. Rosen, J. B., & Schulkin, J. (1998). From normal fear to pathological anxiety. Psychological Review, 105(2), 325–350.CrossRefGoogle Scholar
  33. Silverman, W. K., & Albano, A. M. (1996). Anxiety disorders interview schedule for the DSM-IV: Child and parent versions. Boulder, CO: Graywind Publications.Google Scholar
  34. 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.  https://doi.org/10.1016/j.janxdis.2011.12.008CrossRefPubMedGoogle Scholar
  35. Spence, S. H. (1998). A measure of anxiety symptoms among children. Behaviour Research and Therapy, 36(5), 545–566.  https://doi.org/10.1016/S0005-7967(98)00034-5CrossRefPubMedGoogle Scholar
  36. Spence, S. H., Rapee, R., McDonald, C., & Ingram, M. (2001). The structure of anxiety symptoms among preschoolers. Behaviour Research and Therapy, 39, 1293–1316.  https://doi.org/10.1016/S0005-7967(00)00098-XCrossRefPubMedGoogle Scholar
  37. Vallance, A. K., & Fernandez, V. (2016). Anxiety disorders in children and adolescents: Aetiology, diagnosis, and treatment. BJPsych Advances, 22(5), 335–344.  https://doi.org/10.1192/apt.bp.114.014183CrossRefGoogle Scholar
  38. Vassey, M. W., Bosmans, G., & Ollendick, T. H. (2014). The developmental psychopathology of anxiety. In M. Lewis & K. Rudolph (Eds.), Handbook of developmental psychopathology (pp. 543–560). Boston, MA: Springer.CrossRefGoogle Scholar
  39. Wehry, A. M., Beesdo-Baum, K., Hennelly, M. M., Connolly, S. D., & Strawn, J. R. (2015). Assessment and treatment of anxiety disorders in children and adolescents. Current Psychiatry Reports, 17(7), 591. (19 pages).  https://doi.org/10.1007/s11920-015-0591-zCrossRefPubMedCentralGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Laura Nabors
    • 1
  1. 1.School of Human ServicesUniversity of CincinnatiCincinnatiUSA

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