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Rationale and Principles for Early Intervention with Young Children at Risk for Anxiety Disorders

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Abstract

Anxiety disorders are one of the most prevalent categories of disorder among adults and children. Children of parents with anxiety disorders are known to be at higher risk for anxiety disorders themselves, with manifestations of this risk often appearing in toddlerhood or early childhood. Yet because affected parents are often unskilled in anxiety management, they often have difficulty in helping their young children learn to manage anxiety. Literature on the course of anxiety disorders through childhood and on effective cognitive-behavioral interventions suggests that preventive interventions even with very young children could potentially be of benefit in mitigating the course of these often debilitating disorders. This paper outlines the rationale for offering early or preventive interventions to preschool-age children at risk and their parents and discusses means of identifying children to target for intervention and the importance of parental involvement. Drawing upon the literature on parental factors in childhood anxiety disorders as well as on effective intervention strategies with preschool-age children, it delineates principles for intervention with parents and effective components of intervention with youngsters in this age range.

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REFERENCES

  • Anderson, J., Williams, S., McGee, R., & Silva, P. (1987). DSMIII disorders in preadolescent children: Prevalence in a large sample from the general population. Archives of General Psychiatry, 44, 69-76.

    Google Scholar 

  • Andrews, G., Stewart, G., Allen, R., & Henderson, A. S. (1990). The genetics of six neurotic disorders: A twin study. Journal of Affective Disorders, 19, 23-29.

    Google Scholar 

  • Aronson, T., & Logue, C. (1987). On the longitudinal course of panic disorder: Developmental history and predictors of phobic complications. Comprehensive Psychiatry, 28, 344-355.

    Google Scholar 

  • Asendorpf, J. B. (1990). Development of inhibition during childhood: Evidence for situational specificity and a two-factor model. Developmental Psychology, 26, 721-730.

    Google Scholar 

  • Bandura, A., Grusec, J. E., & Menlove, F. L. (1967). Vicarious extinction of avoidance behavior. Journal of Personality and Social Psychology, 5, 16-23.

    Google Scholar 

  • Bandura, A., & Menlove, F. L. (1968). Factors determining vicarious extinction of avoidance behavior through symbolic modeling. Journal of Personality and Social Psychology, 8, 99-108.

    Google Scholar 

  • Bank, L., Hicks Marlowe, J., Reid, J. B., Patterson, G. R., & Weinrott, M. R. (1991). A comparative evaluation of parenttraining interventions for families of chronic delinquents. Journal of Abnormal Child Psychology, 19, 15-33.

    Google Scholar 

  • Barlow, D., DiNardo, P., Vermilyea, B., & Blanchard, E. (1986). Comorbidity and depression among anxiety disorders: Issues in diagnosis and classification. Journal of Nervous and Mental Disease, 174, 63-72.

    Google Scholar 

  • Barrett, P. M. (1998). Evaluation of cognitive-behavioral group treatments for childhood anxiety disorders. Journal of Clinical Child Psychology, 27, 459-468.

    Google Scholar 

  • Barrett, P. M., Rapee, R. M., & Dadds, M. R. (1996). Family treatment of childhood anxiety: A controlled trial. Journal of Consulting and Clinical Psychology, 64, 333-342.

    Google Scholar 

  • Barrett, P. M., Rapee, R. M., Dadds, M. M., & Ryan, S. M. (1996). Family enhancement of cognitive style in anxious and aggressive children. Journal of Abnormal Child Psychology, 24, 187- 203.

    Google Scholar 

  • Battaglia, M., Bajo, S., Strambi, L. F., Brambilla, F., Castronovo, C., Vanni,G., et al. (1997). Physiological and behavioral responses to minor stressors in offspring of patients with panic disorder. Journal of Psychiatric Research, 31, 365-376.

    Google Scholar 

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

    Google Scholar 

  • Beidel, D., & Turner, S. (1998). Shy children, phobic adults: Nature and treatment of social phobia. Washington, DC: American Psychological Association.

    Google Scholar 

  • Beidel, D. C., Turner, S. M., & Morris, T. L. (2000). Behavioral treatment of childhood social phobia. Journal of Consulting and Clinical Psychology, 68, 1072-1080.

    Google Scholar 

  • Biederman, J., Faraone, S., Hirshfeld-Becker, D., Friedman, D., Robin, J., & Rosenbaum, J. (2001). Patterns of psychopathology and dysfunction in a large sample of high-risk children of parents with panic disorder and major depression: A controlled study. American Journal of Psychiatry, 158, 49-57.

    Google Scholar 

  • Biederman, J., Hirshfeld-Becker, D. R., Rosenbaum, J. F., Friedman, D., Snidman, N., et al. (2001). Further evidence of association between behavioral inhibition and social anxiety in children. American Journal of Psychiatry, 158, 1673-1679.

    Google Scholar 

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

    Google Scholar 

  • Biederman, J., Rosenbaum, J. F., Bolduc-Murphy, E. A., Faraone, S.V., Chaloff, J., Hirshfeld, D. R., et al. (1993).A3-year followup of children with and without behavioral inhibition. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 814-821.

    Google Scholar 

  • Brady, E., & Kendall, P. (1992). Comorbidity of anxiety and depression in children and adolescents. Psychological Bulletin, 111, 244-255.

    Google Scholar 

  • Breslau, N., Davis, G. C., & Prabucki, K. (1987). Searching for evidence on the validity of generalized anxiety disorder: Psychopathology in children of anxious mothers. Psychiatry Research, 20, 285-297.

    Google Scholar 

  • Broberg, A., Lamb, M., & Hwang, P. (1990). Inhibition: Its stability and correlates in sixteen-to forty-month-old children. Child Development, 61, 1153-1163.

    Google Scholar 

  • Cantwell, D. P., & Baker, L. (1989). Stability and natural history of DSM-III childhood diagnoses. Journal of the American Academy of Child and Adolescent Psychiatry, 28, 691-700.

    Google Scholar 

  • Chorpita,B., Albano, A., & Barlow,D. (1996). Cognitive processing in children: Relation to anxiety and family influences. Journal of Clinical Child Psychology, 25, 170-176.

    Google Scholar 

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

    Google Scholar 

  • Craske, M. (1997). Fear and anxiety in children and adolescents. Bulletin of the Menninger Clinic, 61(Suppl. A), A4-A35.

    Google Scholar 

  • Dadds, M. R., Barrett, P. M., Rapee, R. M., & Ryan, S. (1996). Family process and child anxiety and aggression: An observational analysis. Journal of Abnormal Child Psychology, 24, 715-734.

    Google Scholar 

  • Dadds, M. H., Holland, D. E., Laurens, K. R., Mullins, M., Barrett, P. M., & Spence, S. H. (1999). Early intervention and prevention of anxiety disorders in children: Results at 2-year followup. Journal of Consulting and Clinical Psychology, 67, 145-150.

    Google Scholar 

  • Dadds, M. H., Spence, S. H., Holland, D. E., Barrett, P. M., & Laurens, K. R. (1997). Early intervention and prevention of anxiety disorders:Acontrolled trial. Journal of Consulting and Clinical Psychology, 65, 627-635.

    Google Scholar 

  • Delito, J., Perugi, G., & Maremmani, I. (1986). The importance of separation anxiety in the differentiation of panic disorder from agoraphobia. Psychiatric Developmernt, 4, 227-236.

    Google Scholar 

  • Derryberry, D., & Reed, M. A. (1994). Temperament and the selforganization of personality. Development and Psychopathology, 6, 653-676.

    Google Scholar 

  • Fordham, K., & Stevenson-Hinde, J. (1999). Shyness, friendship quality, and adjustment during middle childhood. Journal of Child Psychology and Psychiatry, 40, 757-768.

    Google Scholar 

  • Forehand, R., & Kotchick, B. A. (1996). Cultural diversity:Awakeup call for parent training. Behavior Therapy, 27, 187-206.

    Google Scholar 

  • Graziano, A. M., & Diament, D. M. (1992). Parent behavioral training: An examination of the paradigm. Behavior Modification, 16(1), 3-38.

    Google Scholar 

  • Harter, S. (1988). Developmental processes in the construction of the self. In T. D. Yawkey & J. E. Johnson (Eds.), Integrative processes and socialization: Early to middle childhood (pp. 45-78). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Hayward, C., Killen, J., Kraemer, K., & Taylor, C. (1998). Linking self-reported childhood behavioral inhibition to adolescent social phobia. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 1308-1316.

    Google Scholar 

  • Hill, J. H., Liebert, R. M., & Mott, D. E. W. (1968). Vicarious extinction of avoidance behavior through films: An initial test. Behavior Therapy, 20, 499-508.

    Google Scholar 

  • Hirshfeld, D. R., Biederman, J., Brody, L., Faraone, S. V., & Rosenbaum, J. F. (1997a). Expressed emotion toward children with and without behavioral inhibition: Associations with maternal anxiety disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 910-917.

    Google Scholar 

  • Hirshfeld, D. R., Biederman, J., Brody, L., Faraone, S. V., & Rosenbaum, J. R. (1997b). Associations between expressed emotion and child behavioral inhibition and psychopathology: A pilot study. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 205-213.

    Google Scholar 

  • Hirshfeld, D. R., Rosenbaum, J. F., Biederman, J., Bolduc, E. A., Faraone, S. V., Snidman, N., et al. (1992). Stable behavioral inhibition and its association with anxiety disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 103-111.

    Google Scholar 

  • Hock, M. (1992). Exchange of aversive communicative acts between mother and child as related to perceived child-rearing practices and anxiety of the child. In K. Hagtvet & T. Johnsen (Eds.), Advances in test anxiety research (Vol. 7, pp. 156-174). Amsterdam: Swets and Zeitlinger.

    Google Scholar 

  • Hudson, J., & Rapee, R. (1997). Parenting factors in child anxiety. Paper presented at the annual convention of the Association for the Advancement of Behavior Therapy, Miami, FL.

  • Hymel, S., Rubin, K., Rowden, L., & LeMare, L. (1990). Children's peer relationships: Longitudinal prediction of internalizing and externalizing problems from middle to late childhood. Child Development, 61, 2004-2021.

    Google Scholar 

  • Ialongo, N., Edelsohn, G., Werthamer-Larsson, L., Crockett, L., & Kellam, S. (1995). The significance of self-reported anxious symptoms in first-grade children: Prediction to anxious symptoms and adaptive functioning in fifth grade. Journal of Child Psychology and Psychiatry, 36, 427-437.

    Google Scholar 

  • Kagan, J., Reznick, J. S., & Snidman, N. (1988). Biological bases of childhood shyness. Science, 240, 167-171.

    Google Scholar 

  • Kanfer, F., Karoly, P., & Newman, A. (1975). Reduction of children's fear of the dark by competence-related and situational threat-related verbal cues. Journal of Consulting and Clinical Psychology, 43, 251-258.

    Google Scholar 

  • Kazdin, A. E. (1997). Parent management training: Evidence, outcomes, and issues. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 1349-1356.

    Google Scholar 

  • Keller, M., Lavori, P., Wunder, J., Beardslee, W., Schwartz, C., & Roth, J. (1992). Chronic course of anxiety disorders in children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 595-599.

    Google Scholar 

  • Kendall, P. C. (1994). Treating anxiety disorders in children: Results of a randomized clinical trial. Journal of Consulting and Clinical Psychology, 62, 100-110.

    Google Scholar 

  • Kendall, P., Chansky, T., Kane, M., Kim, R., Kortlander, E., Ronan, K., et al. (1992). Anxiety disorders in youth: Cognitivebehavioral interventions. Boston: Allyn and Bacon.

    Google Scholar 

  • Kendall, P., Flannery-Schroeder, E., Panichelli-Mindel, S., Southam-Gerow, M., Henin, A., & Warman, M. (1997). Therapy for youths with anxiety disorders: A second randomized trial. Journal of Consulting and Clinical Psychology, 65, 366-380.

    Google Scholar 

  • Kendall, P., Kane, M., Howard, B., & Siqueland, L. (1992). Cognitive-behavioral therapy for anxious children: Therapist manual. Ardmore: Workbook Publishing.

    Google Scholar 

  • Kendall, P.C., Kortlander, E., Chansky, T. E., & Brady, E.U. (1992). Comorbidity of anxiety and depression in youth: Treatment implications. Journal of Consulting and Clinical Psychology, 60, 869-880.

    Google Scholar 

  • Kendall, P. C., & Southam-Gerow, M.A. (1996). Long-term followup of a cognitive-behavioral therapy for anxiety disordered youth. Journal of Consulting and Clinical Psychology, 64, 724- 730.

    Google Scholar 

  • Kendler, K., Neale, M., Kessler, R., Heath, A., & Eaves, L. (1992). The genetic epidemiology of phobias in women: The interrelationship of agoraphobia, social phobia, situational phobia, and simple phobia. Archives of General Psychiatry, 49, 273-281.

    Google Scholar 

  • Kendler, K. S., Neale, M. C., Kessler, R. C., Heath, A. C., & Eaves, L. J. (1993). Panic disorder in women:Apopulation-based twin study. Psychological Medicine, 23, 397-406.

    Google Scholar 

  • King, N. J., Hamilton, D. I., & Murphy, G.C. (1983). The prevention of children's maladaptive fears. Child and Family Behavior Therapy, 5, 43-57.

    Google Scholar 

  • Klein, D. F. (1981). Anxiety reconceptualized. In D. F. Klein & J. Rabkin (Eds.), Anxiety: New research and concepts (pp. 235-262). New York: Raven.

    Google Scholar 

  • Klein, R. (1995). Is panic disorder associated with childhood separation anxiety disorder? Clinical Neuropharmacology, 18, S7-S14.

    Google Scholar 

  • Kochanska, G. (1991). Patterns of inhibition to the unfamiliar in children of normal and affectively ill mothers. Child Development, 62, 250-263.

    Google Scholar 

  • Koeppen, A. (1974). Relaxation training for children. Elementary School Guidance and Counseling, 9, 521-528.

    Google Scholar 

  • Kuroda, J. (1969). Elimination of children's fears of animals by the method of experimental desensitization: An application of learning theory to child psychology. Psychologia, 12, 161-165.

    Google Scholar 

  • Last, C. G., Hansen, C., & Franco, N. (1998). Cognitive-behavioral treatment of school phobia. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 404-411.

    Google Scholar 

  • Last, C., Hersen, M., Kazdin, A., Francis, G., & Grubb, H. (1987). Psychiatric illness in the mothers of anxious children. American Journal of Psychiatry, 144, 1580-1583.

    Google Scholar 

  • Last, C. G., Hersen, M., Kazdin, A. E., Orvaschel, H., & Perrin, S. (1991). Anxiety disorders in children and their families. Archives of General Psychiatry, 48, 928-934.

    Google Scholar 

  • Last, C., Perrin, S., Hersen, M., & Kazdin, A. (1996).A prospective study of childhood anxiety disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 1502-1510.

    Google Scholar 

  • Leitenberg, H., & Callahan, E. (1973). Reinforced practice and reduction of different kinds of fears in adults and children. Behavioral Research and Therapy, 11, 19-30.

    Google Scholar 

  • Leonard, H., Swedo, S., & Lenane, M. (1993). A two to seven year follow-up study of 54 obsessive-compulsive children and adolescents. Archives of General Psychiatry, 50, 429-439.

    Google Scholar 

  • Lipsitz, J. D., Mannuzza, S., Liebowitz, M., Klein, D. F., & Fyer, A. J. (1997). Childhood separation anxiety disorder and adult anxiety disorders in a non-clinical sample. Paper presented at the ADAA 17th National Conference, New Orleans, LA.

  • Lipsitz, J. D., Martin, L. Y., Mannuzza, S., Chapman, T. F., Liebowitz, M. R., Klein, D. F., et al. (1994). Childhood separation anxiety disorder in patients with adult anxiety disorders. American Journal of Psychiatry, 151, 927-929.

    Google Scholar 

  • Long, P., Forehand, R., Wierson, M., & Morgan, A. (1994). Does parent training with young noncompliant children have longterm effects? Behavioral Research and Therapy, 32, 101-107.

    Google Scholar 

  • Manassis, K., Bradley, S., Goldberg, S., Hood, J., & Swinson, R. (1995). Behavioural inhibition, attachment and anxiety in children of mothers with anxiety disorders. Canadian Journal of Psychiatry, 40, 87-92.

    Google Scholar 

  • Mancini, C., van Ameringen, M., Szatmari, P., Fugere, C., & Boyle, M. (1996). A high-risk study of the children of adults with social phobia. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 1511-1517.

    Google Scholar 

  • Maser, J., & Cloninger,C. (1990). Comorbidity of mood and anxiety disorders.Washington, DC: American Psychiatric Press.

    Google Scholar 

  • McGee, R., Feehan, M., Williams, S., Patridge, F., SIlva, P., & Kelly, J. (1990). DSM-III disorders in a large sample of adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 611-619.

    Google Scholar 

  • Mendez, F., & Garcia, M. (1996). Emotive performances: A treatment package for children's phobias. Child and Family Behavior Therapy, 18, 19-34.

    Google Scholar 

  • Menzies, R. G., & Clarke, J. C. (1993). A comparison of in vivo and vicarious exposure in the treatment of childhood water phobia. Behavioral Research and Therapy, 31, 9-15.

    Google Scholar 

  • Miranda, J., Azocar, F., Organista, K. C., Munoz, R. F., & Lieberman, A. (1996). Recruiting and retaining low-income Latinos in psychotherapy research. Journal of Consulting and Clinical Psychology, 64, 868-874.

    Google Scholar 

  • Muris, P., Steerneman, P., Merckelbach, H., & Meesters, C. (1996). The role of parental fearfulness and modeling in children's fear. Behavioral Research and Therapy, 34, 265-268.

    Google Scholar 

  • Ollendick, T. H., & King, N. J. (1998). Empirically supported treatments for children with phobic and anxiety disorders: Current status. Journal of Clinical Child Psychology, 27, 156-167.

    Google Scholar 

  • Otto, M., Pollock, M., Rosenbaum, J. F., Sachs, G. S., & Asher, R. H. (1994). Childhood history of anxiety in adults with panic disorder: Association with anxiety sensitivity and comorbidity. Harvard Review of Psychiatry, 1, 288-293.

    Google Scholar 

  • Parker, G. (1983). Parental overprotection: A risk factor in psychosocial development. New York: Grune and Stratton.

    Google Scholar 

  • Pine, D. S., Cohen, P., Gurley, D., Brook, J., & Ma, Y. (1998). The risk for early-adulthood anxiety and depressive disorders in adolescents with anxiety and depressive disorders. Archives of General Psychiatry, 55, 56-64.

    Google Scholar 

  • Pollack, M. H., Otto, M.W., Sabatino, S., Majcher,D., Worthington, J. J., McArdle, E. T., et al. (1996). Relationship of childhood anxiety to adult panic disorder: Correlates and influence on course. American Journal of Psychiatry, 153, 376-381.

    Google Scholar 

  • Reznick, J. S., Hegeman, I. M., Kaufman, E., Woods, S. W., & Jacobs, M. (1992). Retrospective and concurrent self-report of behavioral inhibition and their relation to adult mental health. Development and Psychopathology, 4, 301-321.

    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, 1030-1037.

    Google Scholar 

  • Rosenbaum, J. F., Biederman, J., Bolduc, E. A., Hirshfeld, D. R., Faraone, S. V., & Kagan, J. (1992). Comorbidity of parental anxiety disorders as risk for child-onset anxiety in inhibited children. American Journal of Psychiatry, 149, 475-478.

    Google Scholar 

  • Rosenbaum, J. F., Biederman, J., Gersten, M., Hirshfeld, D. R., Meminger, S. R., Herman, J. B., et al. (1988). Behavioral inhibition in children of parents with panic disorder and agoraphobia: A controlled study. Archives of General Psychiatry, 45, 463-470.

    Google Scholar 

  • Rosenbaum, J. F., Biederman, J., Hirshfeld-Becker, D. R., Kagan, J., Snidman, N., Friedman, D., et al. (2000). A controlled study of behavioral inhibition in children of parents with panic disorder and depression. American Journal of Psychiatry, 157, 2002-2010.

    Google Scholar 

  • Rubin, K. H., Hymel, S., & Mills, R. S. (1989). Sociability and social withdrawal in childhood: Stability and outcomes. Journal of Personality, 57, 237-255.

    Google Scholar 

  • Rubin, K., & Mills, R. (1988). The many faces of social isolation in childhood. Journal of Consulting and Clinical Psychology, 56, 916-924.

    Google Scholar 

  • Sachs, G., Lafer, B., & Thibault, A. (1994). Childhood psychopathology in 52 adult bipolar patients Paper presented at the annual meeting of the American Psychiatric Association, Philadelphia, PA.

  • Safren, S. A., Gonzalez, R. E., Horner, K. J., Leung, A. W., Heimberg, R. G., & Juster, H. R. (2000). Anxiety in ethnic minority youth: Methodological and conceptual issues and review of the literature. Behavior Modification, 24, 147-183.

    Google Scholar 

  • Schwartz, C., Snidman, N., & Kagan, J. (1999). Adolescent social anxiety as an outcome of inhibited temperament in childhood. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1008-1015.

    Google Scholar 

  • Serketich, W. J., & Dumas, J. E. (1996). The effectiveness of behavioral parent training to modify antisocial behavior in children: A meta-analysis. Behavior Therapy, 27, 171-186.

    Google Scholar 

  • Sheslow, D. V., Bondy, A. S., & Nelson, R.O. (1983).Acomparison of graduated exposure, verbal coping skills, and their combination in the treatment of children's fear of the dark. Child and Family Behavior Therapy, 4, 33-45.

    Google Scholar 

  • Silove, D., Parker, G., Hadzi-Pavlovic, D., Manicavasagar, V., & Blaszczynski, A. (1991). Parental representations of patients with panic disorder and generalized anxiety disorder. British Journal of Psychiatry, 159, 835-841.

    Google Scholar 

  • Silverman, W. K., Kurtines, W. M., Ginsburg, G. S., Weems, C. F., Lumpkin, P.W., & Carmichael, D. H. (1999). Treating anxiety disorders in children with group cognitive-behavioral therapy: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 67, 995-1003.

    Google Scholar 

  • Siqueland, L., Kendall, P., & Steinberg, L. (1996). Anxiety in children: Perceived family environments and observed family interaction. Journal of Clinical Child Psychology, 25, 225-237.

    Google Scholar 

  • Spence, S. H. (1994). Preventative strategies. In T. H. Ollendick, N. J. King, & W.Yule (Eds.), International handbook of phobic and anxiety disorders (pp. 453-474). New York: Plenum.

    Google Scholar 

  • Spurlock, J. (1985). Assessment and therapeutic intervention of black children. Journal of the American Academy Child and Adolescent Psychiatry, 24, 68-174.

    Google Scholar 

  • Stevenson-Hinde, J., & Shouldice, A. (1995). 4.5 to 7 years: Fearful behaviour, fears and worries. Journal of Child Psychology and Psychiatry, 36, 1027-1038.

    Google Scholar 

  • Strauss, C., Frame, C., & Forehand, R. (1987). Psychosocial impairment associated with anxiety in children. Journal of Clinical Child Psychology, 16, 235-239.

    Google Scholar 

  • Stubbe, D. E., Zahner, G., Goldstein, M. J., & Leckman, J. F. (1993). Diagnostic specificity of a brief measure of expressed emotion: A community study of children. Journal of Child Psychology and Psychiatry, 34, 139-154.

    Google Scholar 

  • Sylvester, C. E., Hyde, T. S., & Reichler, R. J. (1987). The Diagnostic Interview for Children and Personality Inventory for Children in studies of children at risk for anxiety disorders or depression. Journal of the American Academy of Child and Adolescent Psychiatry, 26, 668-675.

    Google Scholar 

  • Sylvester, C., Hyde, T., & Reichler, R. (1988). Clinical psychopathology among children of adults with panic disorder. In D. Dunner, E. Gershon, & J. Barrett (Eds.), Relatives at risk for mental disorder (pp. 87-102). New York: Raven.

    Google Scholar 

  • Thompson, R., Ruma, P., Schuchman, L., & Burke, R. (1996). A cost-effectiveness evaluation of parent thinking. Journal of Child and Family Studies, 5, 415-429.

    Google Scholar 

  • Torgersen, S. (1983). Genetic factors in anxiety disorders. Archives of General Psychiatry, 40, 1085-1089.

    Google Scholar 

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

    Google Scholar 

  • Ultee, C. A., Griffioen, D., & Schellekens, J. (1982). The reduction of anxiety in children: A comparison of the effects of “systematic desensitization in vitro” and “systematic desensitization in vivo.” Behaviour Research and Therapy, 20, 61-67.

    Google Scholar 

  • Weissman, M. M., Leckman, J. F., Merikangas, K. R., Gammon, G. D., & Prusoff, B. A. (1984). Depression and anxiety disorders in parents and children: Results from the Yale family study. Archives of General Psychiatry, 41, 845-852.

    Google Scholar 

  • Wessely, S., Rose, S., & Bisson, J. (2000). Brief psychological interventions (“debriefing”) for trauma-related symptoms and the prevention of post traumatic stress disorder. Cochrane Database System Review, CD00560.

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Hirshfeld-Becker, D.R., Biederman, J. Rationale and Principles for Early Intervention with Young Children at Risk for Anxiety Disorders. Clin Child Fam Psychol Rev 5, 161–172 (2002). https://doi.org/10.1023/A:1019687531040

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