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Longitudinal investigation of the role of temperament and stressful life events in childhood anxiety

Published online by Cambridge University Press:  02 January 2014

Suzanne Broeren
Affiliation:
Macquarie University Erasmus Medical Centre
Carol Newall
Affiliation:
Macquarie University
Helen F. Dodd
Affiliation:
Macquarie University University of East Anglia
Ruth Locker
Affiliation:
Macquarie University
Jennifer L. Hudson*
Affiliation:
Macquarie University
*
Address correspondence and reprint requests to: Jennifer Hudson, Centre for Emotional Health, Macquarie University, Macquarie, NSW 2109, Australia; E-mail: jennie.hudson@mq.edu.au.

Abstract

The current study investigated the longitudinal relationships among behavioral inhibition (BI), life events, and anxiety in a sample of 102 BI children and 100 behaviorally uninhibited (BUI) children aged 3 to 4 years. Children's parents completed questionnaires on BI, stressful life events, and anxiety symptoms, and were administered a diagnostic interview three times in a 5-year period. In line with our hypotheses, negative life events, particularly negative behavior-dependent life events (i.e., life events that are related to the children's own behaviors), and the impact of negative life events were predictive of increases in subsequent anxiety symptoms, the likelihood of having an anxiety disorder, and increased number of anxiety diagnoses over the 5-year follow-up period. Experiencing more positive, behavior-independent life events decreased the risk of being diagnosed with an anxiety disorder. Furthermore, differences were found in life events between BI and BUI children. That is, BI children experienced fewer positive and specifically positive behavior-dependent life events, and the impact of these positive life events was also lower in BI children than in BUI children. However, BI did not interact with life events in the prediction of anxiety problems as hypothesized. Therefore, this study seems to indicate that BI and life events act as additive risk factors in the development of anxiety problems.

Type
Regular Articles
Copyright
Copyright © Cambridge University Press 2013 

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References

Allen, J. L., & Rapee, R. M. (2009). Are reported differences in life events for anxious children and controls due to comorbid disorders? Journal of Anxiety Disorders, 23, 511518.CrossRefGoogle ScholarPubMed
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, 10471056.CrossRefGoogle ScholarPubMed
Allen, J. L., Rapee, R. M., & Sandberg, S. (2012). Assessment of maternally reported life events in children and adolescents: A comparison of interview and checklist methods. Journal of Psychopathology and Behavioral Assessment, 34, 204215.CrossRefGoogle Scholar
Belsky, J., Bakermans-Kranenburg, M. J., & van IJzendoorn, M. H. (2007). For better and for worse: Differential susceptibility to environmental influences. Current Directions in Psychological Science, 16, 300304.CrossRefGoogle Scholar
Belsky, J., & Pluess, M. (2009). Beyond diathesis stress: Differential susceptibility to environmental influences. Psychological Bulletin, 135, 885908.CrossRefGoogle ScholarPubMed
Biederman, J., Rosenbaum, J. F., Bolduc-Murphy, E. A., Faraone, S. V., Chaloff, J., & Hirshfeld, D. R. (1993). A 3-year follow-up of children with and without behavioral inhibition. Journal of the American Academy of Child & Adolescent Psychiatry, 32, 814821.CrossRefGoogle ScholarPubMed
Biederman, J., Rosenbaum, J. F., Chaloff, J., & Kagan, J. (1995). Behavioural inhibition as a risk factor for anxiety disorders. In March, J. S. (Ed.), Anxiety disorders in children and adolescents (pp. 6181). New York: Guilford Press.Google Scholar
Boer, F., Markus, M., Maingay, R., Lindhout, I., Borst, S., & Hoogendijk, T. (2002). Negative life events of anxiety disordered children: Bad fortune, vulnerability, or reporter bias? Child Psychiatry & Human Development, 32, 187199.CrossRefGoogle ScholarPubMed
Bradley, R. H., & Corwyn, R. F. (2008). Infant temperament, parenting, and externalizing behavior in first grade: A test of the differential susceptibility hypothesis. Journal of Child Psychology and Psychiatry, 49, 124131.CrossRefGoogle Scholar
Broeren, S., & Muris, P. (2008). Psychomtric evaluation of two new parent-rating scales for measuring anxiety symptoms in young Dutch children. Journal of Anxiety Disorders, 22, 949958.CrossRefGoogle ScholarPubMed
Brozina, K., & Abela, J. R. Z. (2006). Behavioural inhibition, anxious symptoms, and depressive symptoms: A short-term prospective examination of a diathesis–stress model. Behaviour Research and Therapy, 44, 13371346.CrossRefGoogle ScholarPubMed
Cohen, L. H., Towbes, L. C., & Flocco, R. (1988). Effects of induced mood on self-reported life events and perceived and received social support. Journal of Personality and Social Psychology, 55, 669674.CrossRefGoogle ScholarPubMed
Edwards, S. L., Rapee, R. M., & Kennedy, S. (2010). Prediction of anxiety symptoms in preschool-aged children: Examination of maternal and paternal perspectives. Journal of Child Psychology and Psychiatry, 51, 313321.CrossRefGoogle ScholarPubMed
Eley, T. C., & Stevenson, J. (2000). Specific life events and chronic experiences differentially associated with depression and anxiety in young twins. Journal of Abnormal Child Psychology, 28, 383394.CrossRefGoogle ScholarPubMed
Evans, G. W., & Kim, P. (2013). Childhood poverty, chronic stress, self-regulation, and coping. Child Development Perspectives, 7, 4348.CrossRefGoogle Scholar
Garnefski, N., Kraaij, V., & Spinhoven, P. (2001). Negative life events, cognitive emotion regulation and emotional problems. Personality and Individual Differences, 30, 13111327.CrossRefGoogle Scholar
Goodyer, I., Wright, C., & Altham, P. (1990). The friendships and recent life events of anxious and depressed school age children. British Journal of Psychiatry, 156, 689698.CrossRefGoogle ScholarPubMed
Gothelf, D., Aharonovsky, O., Horesh, N., Carty, T., & Apter, A. (2004). Life events and personality factors in children and adolescents with obsessive–compulsive disorder and other anxiety disorders. Comprehensive Psychiatry, 45, 192198.CrossRefGoogle ScholarPubMed
Hirshfeld, D. R., Rosenbaum, J. F., Biederman, J., Bolduc, E., Faraone, S. V., & Snidman, N. (1992). Stable behavioural inhibition and its association with anxiety disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 31, 103111.CrossRefGoogle Scholar
Hirshfeld-Becker, D. R., Biederman, J., & Rosenbaum, J. F. (2004). Behavioral inhibition. In Morris, T. L. & March, J. S. (Eds.), Anxiety disorders in children and adolescents (Vol. 2, pp. 2758). New York: Guilford Press.Google Scholar
Hsieh, F. Y., Block, D. A., & Larsen, M. D. (1998). A simple method of sample size calculation for linear and logistic regression. Statistics in Medicine, 17, 16231634.3.0.CO;2-S>CrossRefGoogle ScholarPubMed
Hudson, J. L., & Dodd, H. F. (2012). Informing early intervention: Preschool predictors of anxiety disorders in middle childhood. PLoS ONE, 7, e42359. doi:10.1371/journal.pone.0042359 CrossRefGoogle ScholarPubMed
Hudson, J. L., Dodd, H. F., & Bovopoulos, N. (2011). Temperament, family environment and anxiety in preschool children. Journal of Abnormal Child Psychology, 39, 939951.CrossRefGoogle ScholarPubMed
Hudson, J. L., Dodd, H. F., Lyneham, H. J., & Bovopoulous, N. (2011). Temperament and family environment in the development of anxiety disorder: Two-year follow-up. Journal of the American Academy of Child & Adolescent Psychiatry, 50, 12551264.CrossRefGoogle ScholarPubMed
Hudson, J. L., & Rapee, R. M. (2004). From anxious temperament to disorder: An etiological model of generalized anxiety disorder. In Heimberg, R. G., Turk, C. L., & Mennin, D. S. (Eds.), The etiology and development of generalized anxiety disorder (pp. 5174). New York: Guilford Press.Google Scholar
Judd, C. M., & Kenny, D. A. (1981). The regression discontinuity design. In Estimating the effects of social interventions (pp. 81101). Cambridge: Cambridge University Press.Google Scholar
Kagan, J., Reznick, J. S., Clarke, C., Snidman, N., & Garcia-Coll, C. (1984). Behavioral inhibition to the unfamiliar. Child Development, 55, 22122225.CrossRefGoogle Scholar
Kagan, J., Reznick, J. S., & Gibbons, J. (1989). Inhibited and uninhibited types of children. Child Development, 60, 838845.CrossRefGoogle ScholarPubMed
Kerr, M., Lambert, W. W., Stattin, H., & Klackenberg-Larsson, I. (1994). Stability of inhibition in a Swedish longitudinal sample. Child Development, 65, 138146.CrossRefGoogle Scholar
Lengua, L. J. (2008). Anxiousness, frustration, and effortful control as moderators of the relation between parenting and adjustment in middle-childhood. Social Development, 17, 554577.CrossRefGoogle Scholar
Lyneham, H. J., & Rapee, R. M. (2004). Generalized anxiety disorder in children and adolescents. In Schneider, S. (Ed.), Anxiety disorders in children and adolescents (pp. 197236). Heidelberg: Springer–Verlag.Google Scholar
Mervielde, I., & De Pauw, S. S. W. (2012). Models of child temperament. In Zentner, M. & Shiner, R. L. (Eds.), Handbook of temperament (pp. 2140). New York: Guilford Press.Google Scholar
Meyers, L. S., Gamst, G., & Guarino, A. J. (2006). Multiple regression. In Applied multivariate research: Design and interpretation (pp. 147196). Thousand Oaks, CA: Sage.Google Scholar
Moehler, E., Kagan, J., Oelkers-Ax, R., Brunner, R., Poustka, L., Haffner, J., et al. (2008). Infant predictors of behavioural inhibition. British Journal of Developmental Psychology, 26, 145150.CrossRefGoogle Scholar
Monroe, S. M., & Roberts, J. E. (1990). Conceptualizing and measuring life stress: Problems, principles, procedures, progress. Stress Medicine, 6, 209216.CrossRefGoogle Scholar
Muris, P., Merckelbach, H., Schmidt, H., Gadet, B., & Bogie, N. (2001). Anxiety and depression as correlates of self-reported behavioural inhibition in normal adolescents. Behaviour Research and Therapy, 39, 10511061.CrossRefGoogle ScholarPubMed
Muris, P., Van Brakel, A. M. L., Arntz, A., & Schouten, E. I. P. (2011). Behavioral inhibition as a risk factor for the development of childhood anxiety disorders: A longitudinal study. Journal of Child and Family Studies, 20, 157170.CrossRefGoogle ScholarPubMed
Nauta, M. H., Scholing, A., Rapee, R. M., Abbott, M., Spence, S. H., & Waters, A. (2004). A parent report measure of children's anxiety. Behaviour Research and Therapy, 42, 813839.CrossRefGoogle ScholarPubMed
Pluess, M., & Belsky, J. (2010). Differential susceptibility to parenting and quality child care. Developmental Psychology, 46, 379390.CrossRefGoogle ScholarPubMed
Pluess, M., & Belsky, J. (2012). Vantage sensitivity: Individual differences in response to positive experiences. Psychological Bulletin. Advance online publication. doi:10.1037/a0030196 Google Scholar
Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879891.CrossRefGoogle ScholarPubMed
Prior, M., Smart, D., Sanson, A., & Oberklaid, F. (2000). Does shy–inhibited temperament in childhood lead to anxiety problems in adolescence. Journal of the American Academy of Child & Adolescent Psychiatry, 30, 461468.CrossRefGoogle Scholar
Rapee, R. M. (2001). The development of generalized anxiety. In Vasey, M. W. & Dadds, M. R. (Eds.), The developmental psychoptahology of anxiety (pp. 481503). Oxford: Oxford University Press.CrossRefGoogle Scholar
Rapee, R. M., Kennedy, S., Ingram, M., Edwards, S., & Sweeney, L. (2005). Prevention and early intervention of anxiety disorders in inhibited preschool children. Journal of Consulting and Clinical Psychology, 73, 488497.CrossRefGoogle ScholarPubMed
Rapee, R. M., & Szollos, A. A. (2002). Developmental antecedents of clinical anxiety in childhood. Behaviour Change, 19, 146157.CrossRefGoogle Scholar
Reznick, J. S., Gibbons, J., Johnson, M. O., & McDonough, P. M. (1989). Behavioural inhibition in a normative sample. In Reznick, J. S. (Ed.), Perspectives on behavioural inhibition (pp. 2549). Chicago: Chicago University Press.Google Scholar
Robinson, J. L., Kagan, J., Reznick, J. S., & Corley, R. (1992). The heritability of inhibited and uninhibited behavior: A twin study. Developmental Psychology, 28, 10301037.CrossRefGoogle Scholar
Rutter, M. (1987). Psychosocial resilience and protective mechanisms. American Journal of Orthopsychiatry, 57, 316331. doi:10.1111/j.1939-0025.1987.tb03541.x CrossRefGoogle ScholarPubMed
Sameroff, A. J. (2000). Developmental systems and psychopathology. Development and Psychopathology, 12, 297312. doi:10.1017/S0954579400003035 CrossRefGoogle ScholarPubMed
Sandberg, S., McGuinness, D., Hillary, C., & Rutter, M. (1998). Independence of childhood life events and chronic adversities: A comparison of two patient groups and controls. Journal of the American Academy of Child & Adolescent Psychiatry, 37, 728735.CrossRefGoogle ScholarPubMed
Sandberg, S., Rutter, M., Pickles, A., McGuinness, D., & Angold, A. (2001). Do high-threat life events really provoke the onset of psychiatric disorder in children? Journal of Child Psychology and Psychiatry and Allied Disciplines, 42, 523532.CrossRefGoogle ScholarPubMed
Sanson, A., Smart, D., Prior, M., Oberklaid, F., & Pedlow, R. (1994). The structure of temperament form age 3 to 7 years: Age, sex, and sociodemographic influences. Merrill–Palmer Quarterly, 40, 233252.Google Scholar
Scarpa, A., Raine, A., Venables, P. H., & Mednick, S. A. (1995). The stability of inhibited/uninhibited temperament from ages 3 to 11 years in Mauritian children. Journal of Abnormal Child Psychology, 23, 607619.CrossRefGoogle ScholarPubMed
Shahar, G., & Priel, B. (2002). Positive life events and adolescent emotional distress: In search of protective–interactive processes. Journal of Social and Clinical Psychology, 21, 645668.CrossRefGoogle Scholar
Silverman, W. K., & Nelles, W. B. (1988). The Anxiety Disorders Interview Schedule for Children. Journal of the American Academy of Child & Adolescent Psychiatry, 27, 772778.CrossRefGoogle ScholarPubMed
Spence, S. H., Rapee, R. M., McDonald, C., & Ingram, M. (2001). The structure of anxiety symptoms among preschoolers. Behaviour Research & Therapy, 39, 12931316.CrossRefGoogle ScholarPubMed
Stright, A. D., Gallagher, K. C., & Kelley, K. (2008). Infant temperament moderates relations between maternal parenting in early childhood and children's adjustment in first grade. Child Development, 79, 186200.CrossRefGoogle ScholarPubMed
Tiet, Q. Q., Bird, H. R., Hoven, C. W., Moore, R., Wu, P., & Wicks, J. (2001). Relationship between specific adverse life events and psychiatric disorders. Journal of Abnormal Child Psychology, 29, 153164.CrossRefGoogle ScholarPubMed
Turner, S. M., Beidel, D. C., & Wolff, P. L. (1996). Is behavioural inhibition related to anxiety disorders? Clinical Psychology Review, 16, 157172.CrossRefGoogle Scholar
van Aken, C., Junger, M., Verhoeven, M., van Aken, M. A. G., & Deković, M. (2007). The interactive effects of temperament and maternal parenting on toddlers' externalizing behaviours. Infant and Child Development, 16, 553572.CrossRefGoogle Scholar
Wagner, C., Abela, J., & Brozina, K. (2006). A comparison of stress measures in children and adolescents: A self-report checklist versus an objectively rated interview. Journal of Psychopathology and Behavioral Assessment, 28, 250260.CrossRefGoogle Scholar
Williamson, D. E., Birmaher, B., Dahl, R. E., & Ryan, N. D. (2005). Stressful life events in anxious and depressed children. Journal of Child and Adolescent Psychopharmacology, 15, 571580.CrossRefGoogle ScholarPubMed