Skip to main content
Log in

Parental Anxiety and Child Symptomatology: An Examinzation of Additive and Interactive Effects of Parent Psychopathology

  • Published:
Journal of Abnormal Child Psychology Aims and scope Submit manuscript

An Erratum to this article was published on 10 September 2010

An Erratum to this article was published on 10 September 2010

Abstract

The current study examined relations between parent anxiety and child anxiety, depression, and externalizing symptoms. In addition, the study tested the additive and interactive effects of parent anxiety with parent depression and externalizing symptoms in relation to child symptoms. Forty-eight parents with anxiety disorders and 49 parents without any psychiatric disorder participated with one of their children (ages 6 to 14 years; 46.4% male; 75.8% Caucasian). Parent anxiety was related to both child anxiety and depression, but not child externalizing symptoms. Hierarchical regression analyses showed that only parent externalizing symptoms had additive effects, beyond parent anxiety symptoms, in relation to child anxiety symptoms. Further, parent anxiety symptoms moderated the relationship between parent and child externalizing symptoms, such that the strength of this relationship was reduced in the presence of high levels of parent anxiety symptoms. Results of this study illuminate the role of parent comorbidity in understanding relations between parent and child symptoms.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

Notes

  1. Notably, a number of studies involving community or clinically-referred youth have tested relations between parent psychopathology and child problems at the symptom rather than diagnostic level (e.g., Costa and Weems 2005; Costa et al. 2006). However, no studies of which we are aware have examined these relations in a high-risk design sample and none to our knowledge have examined the incremental contribution of different types of parent symptoms to relations between parent anxiety and child symptoms.

  2. All analyses involved participant data from the baseline assessment before involvement in the preventive intervention study.

  3. Many children with a psychiatric disorder had more than one diagnosis. As such, frequency counts are not mutually exclusive.

  4. Hierarchical linear regressions were also conducted without male parents. Because results were similar, they are presented for the entire sample.

References

  • Achenbach, T. M. (1998). Diagnosis, assessment, and taxonomy. In T. H. Ollendick & M. Herson (Eds.), Handbook of child psychopathology (pp. 63–87). New York: Plenum.

    Google Scholar 

  • Achenbach, T. M., & Rescorla, L. A. (2001). Manual for ASEBA school-age forms and profiles. Burlington: Univeristy of Vermont, Research Center for Children, Youth, and Families.

    Google Scholar 

  • Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park: Sage.

    Google Scholar 

  • Beidel, D. C., & Turner, S. M. (1997). At risk for anxiety: I. Psychopathology in the offspring of anxious parents. Journal of the American Academy of Child and Adolescent Psychiatry, 36(7), 918–924.

    Article  PubMed  Google Scholar 

  • Berman, M. E., Fallon, A. E., & Coccaro, E. F. (1998). The relationship between personality psychopathology and aggressive behavior in research volunteers. Journal of Abnormal Psychology, 107(4), 651–658.

    Article  PubMed  Google Scholar 

  • Berman, S. L., Weems, C. F., Silverman, W. K., & Kurtines, W. M. (2000). Predictors of outcome in exposure-based cognitive and behavioral treatments for phobic and anxiety disorders in children. Behavior Therapy, 31(4), 713–731.

    Article  Google Scholar 

  • Biederman, J., Rosenbaum, J. F., Bolduc, E. A., Faraone, S. V., & Hirshfeld, D. R. (1991). A high risk study of young children of parents with panic disorder and agoraphobia with and without comorbid major depression. Psychiatry Research, 37(3), 333–348.

    Article  PubMed  Google Scholar 

  • Biederman, J., Petty, C., Hirshfeld-Becker, D. R., Henin, A., Faraone, S. V., Dang, D., et al. (2006). A controlled longitudinal 5-year follow-up study of children at high and low risk for panic disorder and major depression. Psychological Medicine, 36(8), 1141–1152.

    Article  PubMed  Google Scholar 

  • Birmaher, B., Khetarpal, S., Brent, D., Cully, M., Balach, L., Kaufman, J., et al. (1997). The screen for child anxiety related emotional disorders (SCARED): Scale construction and psychometric characteristics. Journal of the American Academy of Child and Adolescent Psychiatry, 36(4), 545–553.

    Article  PubMed  Google Scholar 

  • Brown, T. A., DiNardo, P. A., & Barlow, D. H. (1994). Anxiety disorders interview schedule for DSM-IV. New York: Graywind.

    Google Scholar 

  • Burstein, M., Stanger, C., Kamon, J., & Dumenci, L. (2006). Parent psychopathology, parenting, and child internalizing problems in substance-abusing families. Psychology of Addictive Behaviors, 20, 97–106.

    Google Scholar 

  • Chassin, L., Pitts, S. C., & Prost, J. (2002). Binge drinking trajectories from adolescence to emerging adulthood in a high-risk sample: Predictors and substance abuse outcomes. Journal of Consulting and Clinical Psychology, 70, 67–78.

    Google Scholar 

  • Cicchetti, D., & Rogosch, F. A. (1996). Equifinality and multifinality in developmental psychopathology. Development and Psychopathology, 8, 597–600.

    Article  Google Scholar 

  • Cobham, V. E., Dadds, M. R., & Spence, S. H. (1998). The role of parental anxiety in the treatment of childhood anxiety. Journal of Consulting and Clinical Psychology, 66(6), 893–905.

    Article  PubMed  Google Scholar 

  • Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155–159.

    Google Scholar 

  • Cook, R. D. (1977). Detection of influential observations in linear regression. Technometrics, 19, 15–18.

    Article  Google Scholar 

  • Costa, N. M., & Weems, C. F. (2005). Maternal and child anxiety: do attachment beliefs or children’s perceptions of maternal control mediate their association? Social Development, 14, 574–590.

    Article  Google Scholar 

  • Costa, N. M., Weems, C. F., Pellerin, K., & Dalton, R. (2006). Parenting stress and childhood psychopathology: an examination of specificity to internalizing and externalizing symptoms. Journal of Psychopathology and Behavioral Assessment, 28, 113–122.

    Article  Google Scholar 

  • Derogatis, L. (1993). The brief symptom inventory. Minneapolis: National Computer Systems, Inc.

    Google Scholar 

  • Derogatis, L. R., & Melisaratos, N. (1983). The Brief Symptom Inventory: an introductory report. Psychological Medicine, 13, 596–605.

    Article  Google Scholar 

  • Dogan, S. J., Conger, R. D., Kim, K. J., & Masyn, K. E. (2007). Cognitive and parenting pathways in the transmission of antisocial behavior from parents to adolescents. Child Development, 78, 335–349.

    Article  PubMed  Google Scholar 

  • Fisak, B., & Grills-Taquechel, A. E. (2007). Parental modeling, reinforcement, and information transfer: risk factors in the development of child anxiety? Clinical Child and Family Psychology, 10, 213–231.

    Article  Google Scholar 

  • Ginsburg, G. S. (2009). The child anxiety prevention study: intervention model and primary outcomes. Journal of Consulting and Clinical Psychology, 77, 580–587.

    Article  PubMed  Google Scholar 

  • Ginsburg, G. S., & Schlossberg, M. C. (2002). Family-based treatment of childhood anxiety disorders. International Review of Psychiatry, 14, 143–154.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Goodman, S. H., Adamson, L. B., Riniti, J., & Cole, S. (1994). Mothers’ expressed attitudes: associations with maternal depression and children’s self-esteem and psychopathology. Journal of the American Academy of Child and Adolescent Psychiatry, 33(9), 1265–1274.

    Article  PubMed  Google Scholar 

  • Goodwin, R. D., & Hamilton, S. P. (2003). Lifetime comorbidity of antisocial personality disorder and anxiety disorders among adults in the community. Psychiatry Research, 117(2), 159–166.

    Article  PubMed  Google Scholar 

  • Gregory, A. M., & Eley, T. C. (2007). Genetic influences on anxiety in children: what we’ve learned and where we’re heading. Clinical Child and Family Psychology, 10, 199–212.

    Article  Google Scholar 

  • Hammen, C. (1991). Depression runs in families: The social context of risk and resilience in children of depressed mothers. New York: Springer-Verlag.

    Google Scholar 

  • Hicks, B. M., Krueger, R. F., Iacono, W. G., McGue, M., & Patrick, C. J. (2004). Family transmission and heritability of externalizing disorders. Archives of General Psychiatry, 61, 922–928.

    Article  PubMed  Google Scholar 

  • Howell, D. C. (2002). Multiple regression. In C. Crockett & A. Day (Eds.), Statistical methods for psychology (pp. 533–601). Pacific Grove: Thomson Learning.

    Google Scholar 

  • Katz, L. F., & Low, S. M. (2004). Marital violence, co-parenting, and family-level processes in relation to children’s adjustment. Journal of Family Psychology, 18(2), 372–382.

    Article  PubMed  Google Scholar 

  • Kendall, P. C., Hudson, J. L., Gosch, E., Flannery-Schroeder, E., & Suveg, C. (2008). Cognitive-behavioral therapy for anxiety disordered youth: a randomized clinical trial evaluating child and family modalities. Journal of Consulting and Clinical Psychology, 76(2), 282–297.

    Article  PubMed  Google Scholar 

  • Kessler, R. C., Chiu, W. T., Demler, O., Merikangas, K. R., & Walters, E. E. (2005a). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62(6), 617–627.

    Article  Google Scholar 

  • Kessler, R. C., Demler, O., Frank, R. G., Olfson, M., Pincus, H. A., Walters, E. E., et al. (2005b). Prevalence and treatment of mental disorders, 1990 to 2003. New England Journal of Medicine, 352(24), 2515–2523.

    Article  Google Scholar 

  • Kohr, R. L., & Games, P. A. (1974). Robustness of the analysis of variance, the Welch procedure and a box procedure to heterogeneous variances. Journal of Experimental Education., 43, 61–69.

    Google Scholar 

  • Kovacs, M. (1992). Children’s depression inventory manual. North Tonawanda: Multi-health Systems.

    Google Scholar 

  • Loney, B. R., Huntenburg, A., Counts-Allan, C., & Schmeelk, K. M. (2007). A preliminary examination of the intergenerational continuity of maternal psychopathic features. Aggressive Behavior, 33(1), 14–25.

    Article  PubMed  Google Scholar 

  • MacCallum, R. C., Zhang, S., Preacher, K. J., & Rucker, D. (2002). On the practice of dichotomization of quantitative variables. Psychological Methods, 7, 19–40.

    Article  PubMed  Google Scholar 

  • Marmorstein, N. R., Malone, S. M., & Iacono, W. G. (2004). Psychiatric disorders among offspring of depressed mothers: associations with paternal psychopathology. American Journal of Psychiatry, 161(9), 1588–1594.

    Article  PubMed  Google Scholar 

  • Merikangas, K. R., Dierker, L. C., & Szatmari, P. (1998). Psychopathology among offspring of parents with substance abuse and/or anxiety disorders: a high-risk study. Journal of Child Psychology and Psychiatry and Allied Disciplines, 39(5), 711–720.

    Article  Google Scholar 

  • Merikangas, K. R., Avenevoli, S., Dierker, L., & Grillon, C. (1999). Vulnerability factors among children at risk for anxiety disorders. Biological Psychiatry, 46(11), 1523–1535.

    Article  PubMed  Google Scholar 

  • Neter, J., Kutner, M., & Wasserman, W. (1989). Applied linear regression analysis. Chicago: Irwin.

    Google Scholar 

  • Patterson, G. R., & Capaldi, D. M. (1991). Antisocial parents: Unskilled and vulnerable. In P. A. Cowan & E. M. Hetherington (Eds.), Family transitions: Advances in family research series (pp. 195–218). Hillsdale: Erlbaum.

    Google Scholar 

  • Patterson, G. R., DeBaryshe, B. D., & Ramsey, E. (1989). A developmental perspective on antisocial behavior. American Psychologist, 44(2), 329–335.

    Article  PubMed  Google Scholar 

  • Rice, F., Harold, G., & Thapar, A. (2002). The genetic aetiology of childhood depression: a review. Journal of Child Psychology and Psychiatry, 43, 65–79.

    Article  PubMed  Google Scholar 

  • Rodriguez, C. M. (2003). Parental discipline and abuse potential affects on child depression, anxiety, and attributions. Journal of Marriage and Family, 65(4), 809–817.

    Article  Google Scholar 

  • Rutter, M. (1979). Protective factors in children’s responses to stress and disadvantage. Annals of the Academy of Medicine, Singapore, 8(3), 324–338.

    PubMed  Google Scholar 

  • Sameroff, A. J. (2000). Dialectical processes in developmental psychopathology. In A. Sameroff, M. Lewis, & S. Miller (Eds.), Handbook of developmental psychopathology (2nd ed., pp. 23–40). New York: Kluwer/Plenum.

    Google Scholar 

  • Sareen, J., Stein, M. B., Cox, B. J., & Hassard, S. T. (2004). Understanding comorbidity of anxiety disorders with antisocial behavior: findings from two large community surveys. Journal of Nervous and Mental Disease, 192(3), 178–186.

    Article  PubMed  Google Scholar 

  • Silverman, W. K., & Albano, A. M. (1996). The anxiety disorders interview schedule for DSM-IV: child and parent versions. San Antonio: Psychological Corporation.

    Google Scholar 

  • Silverman, W. K., Cerny, J. A., Nelles, W. B., & Burke, A. E. (1988). Behavior problems in children of parents with anxiety disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 27(6), 779–784.

    Article  PubMed  Google Scholar 

  • Stevens, J. P. (1984). Outliers and influential data points in regression analysis. Psychological Bulletin, 95, 334–344.

    Article  Google Scholar 

  • Sylvester, C. E., Hyde, T. S., & Reichler, R. J. (1988). Clinical psychopathology among children of adults with panic disorder. In D. L. Dunner, E. S. Gershon, & J. E. Barrett (Eds.), Relatives at Risk for Mental Disorder (Volume 26, pp. 87–102). New York: Raven Press.

  • Turner, S. M., Beidel, D. C., & Costello, A. (1987). Psychopathology in the offspring of anxiety disorders patients. Journal of Consulting and Clinical Psychology, 55(2), 229–235.

    Article  PubMed  Google Scholar 

  • Warner, V., Mufson, L., & Weissman, M. M. (1995). Offspring at high and low risk for depression and anxiety: mechanisms of psychiatric disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 34(6), 786–797.

    Article  PubMed  Google Scholar 

  • West, S. G., Finch, J. F., & Curran, P. J. (1995). Structural equation models with non-normal variables. Thousand Oaks: Sage.

    Google Scholar 

  • Wood, J. J., McLeod, B. D., Sigman, M., Hwang, W. C., & Chu, B. C. (2003). Parenting and child anxiety: theory, empirical findings, and future directions. Journal of Child Psychology and Psychiatry, 44, 134–151.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Marcy Burstein.

Additional information

An erratum to this article can be found at http://dx.doi.org/10.1007/s10802-010-9455-5

Rights and permissions

Reprints and permissions

About this article

Cite this article

Burstein, M., Ginsburg, G.S. & Tein, JY. Parental Anxiety and Child Symptomatology: An Examinzation of Additive and Interactive Effects of Parent Psychopathology. J Abnorm Child Psychol 38, 897–909 (2010). https://doi.org/10.1007/s10802-010-9415-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10802-010-9415-0

Keywords

Navigation