Skip to main content
Top
Published in: European Child & Adolescent Psychiatry 2/2018

Open Access 01-02-2018 | Original Contribution

Parent-dependent stressors and the onset of anxiety disorders in children: links with parental psychopathology

Authors: Jennifer L. Allen, Seija Sandberg, Celine Y. Chhoa, Tom Fearn, Ronald M. Rapee

Published in: European Child & Adolescent Psychiatry | Issue 2/2018

Login to get access

Abstract

Exposure to stressors is associated with an increased risk for child anxiety. Investigating the family origins of stressors may provide promising avenues for identifying and intervening with children at risk for the onset of anxiety disorders and their families. The aim of this study was to compare the frequency of parent-dependent negative life events and chronic adversities experienced by children with an anxiety disorder (n = 34) in the 12 months prior to the onset of the child’s most recent episode, compared to healthy controls (n = 34). Life events and chronic adversities were assessed using maternal report during an investigator-based interview, which provided independent panel ratings of the extent that reported experiences were related to parent behaviour. There were no group differences in the number of parent-dependent negative life events for anxious children compared to controls. However, significantly more parent-dependent chronic adversities were present for anxious children compared to controls. Findings suggest that parents contribute to an increased frequency of chronic adversities but not negative life events prior to their child’s most recent onset of anxiety. Furthermore, increased child exposure to parent-dependent chronic adversities was related to parental history of mental disorder.
Literature
1.
go back to reference Hudson JL, Rapee RM (2004) From anxious temperament to disorder: an etiological model of generalized anxiety disorder. In: Heimberg RG, Turk CL, Mennin DS (eds) The etiology and development of generalised anxiety disorder. Guilford Publications, New York, pp 51–74 Hudson JL, Rapee RM (2004) From anxious temperament to disorder: an etiological model of generalized anxiety disorder. In: Heimberg RG, Turk CL, Mennin DS (eds) The etiology and development of generalised anxiety disorder. Guilford Publications, New York, pp 51–74
2.
go back to reference Murray L, Creswell C, Cooper PJ (2009) The development of anxiety disorders in childhood: an integrative review. Psychol Med 39(9):1413–1423CrossRefPubMed Murray L, Creswell C, Cooper PJ (2009) The development of anxiety disorders in childhood: an integrative review. Psychol Med 39(9):1413–1423CrossRefPubMed
3.
go back to reference Rachman SJ (1977) The conditioning theory of fear acquisition: a critical examination. Behav Res Ther 15(5):375–387CrossRefPubMed Rachman SJ (1977) The conditioning theory of fear acquisition: a critical examination. Behav Res Ther 15(5):375–387CrossRefPubMed
4.
go back to reference Chorpita BF, Barlow DH (1998) The development of anxiety: the role of control in the early environment. Psychol Bull 124(1):3–21CrossRefPubMed Chorpita BF, Barlow DH (1998) The development of anxiety: the role of control in the early environment. Psychol Bull 124(1):3–21CrossRefPubMed
5.
go back to reference Laurent HK, Gilliam KS, Wright DB, Fisher PA (2015) Child anxiety symptoms related to longitudinal cortisol trajectories and acute stress responses: evidence of developmental stress sensitization. J Abnorm Psychol 124(1):68–79CrossRefPubMedPubMedCentral Laurent HK, Gilliam KS, Wright DB, Fisher PA (2015) Child anxiety symptoms related to longitudinal cortisol trajectories and acute stress responses: evidence of developmental stress sensitization. J Abnorm Psychol 124(1):68–79CrossRefPubMedPubMedCentral
6.
go back to reference Goodyer IM (2001) Life events: their nature and effects. In: Goodyer IM (ed) The depressed child and adolescent, 2nd edn. Cambridge University Press, London, pp 204–232CrossRef Goodyer IM (2001) Life events: their nature and effects. In: Goodyer IM (ed) The depressed child and adolescent, 2nd edn. Cambridge University Press, London, pp 204–232CrossRef
7.
go back to reference Phillips NK, Hammen CL, Brennan PA, Najman JM, Bor W (2005) Early adversity and the prospective prediction of depressive and anxiety disorders in adolescents. J Abnorm Child Psychol 33(1):13–24CrossRefPubMed Phillips NK, Hammen CL, Brennan PA, Najman JM, Bor W (2005) Early adversity and the prospective prediction of depressive and anxiety disorders in adolescents. J Abnorm Child Psychol 33(1):13–24CrossRefPubMed
8.
go back to reference Boer F, Markus MT, Maingay R, Lindhout IE, Borst SR, Hoogendijk T (2002) Negative life events of anxiety disordered children: bad fortune, vulnerability or reporter bias? Child Psychiatry Hum Dev 32(3):87–199CrossRef Boer F, Markus MT, Maingay R, Lindhout IE, Borst SR, Hoogendijk T (2002) Negative life events of anxiety disordered children: bad fortune, vulnerability or reporter bias? Child Psychiatry Hum Dev 32(3):87–199CrossRef
9.
go back to reference Eley TC, Stevenson J (2000) Specific life events and chronic experiences differentially associated with depression and anxiety in young twins. J Abnorm Child Psychol 28(4):383–394CrossRefPubMed Eley TC, Stevenson J (2000) Specific life events and chronic experiences differentially associated with depression and anxiety in young twins. J Abnorm Child Psychol 28(4):383–394CrossRefPubMed
10.
go back to reference Rapee RM, Szollos AA (2002) Developmental antecedents of clinical anxiety in childhood. Behav Change 19(3):146–157CrossRef Rapee RM, Szollos AA (2002) Developmental antecedents of clinical anxiety in childhood. Behav Change 19(3):146–157CrossRef
11.
go back to reference Allen JL, Rapee RM (2009) Are reported differences in life events experienced by anxious and control children due to comorbid disorders? J Anxiety Disord 23(4):511–518CrossRefPubMed Allen JL, Rapee RM (2009) Are reported differences in life events experienced by anxious and control children due to comorbid disorders? J Anxiety Disord 23(4):511–518CrossRefPubMed
12.
go back to reference Connolly NP, Eberhart NK, Hammen CL, Brennan PA (2010) Specificity of stress generation: a comparison of adolescents with depressive, anxiety, and comorbid diagnoses. Int J Cogn Ther 3(4):368–379CrossRefPubMedPubMedCentral Connolly NP, Eberhart NK, Hammen CL, Brennan PA (2010) Specificity of stress generation: a comparison of adolescents with depressive, anxiety, and comorbid diagnoses. Int J Cogn Ther 3(4):368–379CrossRefPubMedPubMedCentral
13.
go back to reference Allen JL, Rapee RM, Sandberg S (2008) Adverse life events and chronic adversities as antecedents to anxiety in children: a matched control study. J Abnorm Child Psychol 36(7):1047–1056CrossRefPubMed Allen JL, Rapee RM, Sandberg S (2008) Adverse life events and chronic adversities as antecedents to anxiety in children: a matched control study. J Abnorm Child Psychol 36(7):1047–1056CrossRefPubMed
14.
go back to reference Goodyer IM, Wright C, Altham P (1988) Maternal adversity and recent stressful life events in anxious and depressed children. J Child Psychol Psychiatr 29(5):651–667CrossRef Goodyer IM, Wright C, Altham P (1988) Maternal adversity and recent stressful life events in anxious and depressed children. J Child Psychol Psychiatr 29(5):651–667CrossRef
15.
go back to reference Goodyer IM, Wright C, Altham P (1990) The friendships and recent life events of anxious and depressed school-age children. Br J Psychiatry 156(5):689–698CrossRefPubMed Goodyer IM, Wright C, Altham P (1990) The friendships and recent life events of anxious and depressed school-age children. Br J Psychiatry 156(5):689–698CrossRefPubMed
16.
go back to reference Sandberg S, Rutter M (2008) Acute life stresses. In: Rutter M, Bishop D, Pine D, Scott S, Stevenson J, Taylor E, Thapar A (eds) Rutter’s child and adolescent psychiatry, 5th edn. Wiley, New York, pp 394–408 Sandberg S, Rutter M (2008) Acute life stresses. In: Rutter M, Bishop D, Pine D, Scott S, Stevenson J, Taylor E, Thapar A (eds) Rutter’s child and adolescent psychiatry, 5th edn. Wiley, New York, pp 394–408
17.
go back to reference Hammen C (1991) Generation of stress in the course of unipolar depression. J Abnorm Psychol 100(4):555–561CrossRefPubMed Hammen C (1991) Generation of stress in the course of unipolar depression. J Abnorm Psychol 100(4):555–561CrossRefPubMed
18.
go back to reference Rudolph KD, Hammen C, Burge D, Lindberg N, Herzberg D, Daley SE (2000) Toward an interpersonal life-stress model of depression: the developmental context of stress generation. Dev Psychopathol 12(2):215–234CrossRefPubMed Rudolph KD, Hammen C, Burge D, Lindberg N, Herzberg D, Daley SE (2000) Toward an interpersonal life-stress model of depression: the developmental context of stress generation. Dev Psychopathol 12(2):215–234CrossRefPubMed
19.
go back to reference Drake KL, Ginsburg GS (2012) Family factors in the development, treatment, and prevention of childhood anxiety disorders. Clin Child Fam Psychol Rev 15(2):144–162CrossRefPubMed Drake KL, Ginsburg GS (2012) Family factors in the development, treatment, and prevention of childhood anxiety disorders. Clin Child Fam Psychol Rev 15(2):144–162CrossRefPubMed
20.
go back to reference Deater-Deckard K (1998) Parenting stress and child adjustment: some old hypotheses and new questions. Clin Psychol 5(3):314–332 Deater-Deckard K (1998) Parenting stress and child adjustment: some old hypotheses and new questions. Clin Psychol 5(3):314–332
21.
go back to reference Costa NM, Weems CF, Pellerin K, Dalton R (2006) Parenting stress and childhood psychopathology: an examination of specificity to internalizing and externalizing symptoms. J Psychopathol Behav Assess 28(2):113–122CrossRef Costa NM, Weems CF, Pellerin K, Dalton R (2006) Parenting stress and childhood psychopathology: an examination of specificity to internalizing and externalizing symptoms. J Psychopathol Behav Assess 28(2):113–122CrossRef
22.
go back to reference Hser YI, Lanza HI, Li L, Kahn E, Evans E, Schulte M (2015) Maternal mental health and children’s internalizing and externalizing behaviors: beyond maternal substance use disorders. J Child Youth Family Stud 24(3):638–648CrossRef Hser YI, Lanza HI, Li L, Kahn E, Evans E, Schulte M (2015) Maternal mental health and children’s internalizing and externalizing behaviors: beyond maternal substance use disorders. J Child Youth Family Stud 24(3):638–648CrossRef
23.
go back to reference Lieb R, Wittchen HU, Höfler M, Fuetsch M, Stein MB, Merikanga KR (2000) Parental psychopathology, parenting styles, and the risk of social phobia in offspring: a prospective-longitudinal community study. Arch Gen Psychiatry 57(9):859–866CrossRefPubMed Lieb R, Wittchen HU, Höfler M, Fuetsch M, Stein MB, Merikanga KR (2000) Parental psychopathology, parenting styles, and the risk of social phobia in offspring: a prospective-longitudinal community study. Arch Gen Psychiatry 57(9):859–866CrossRefPubMed
24.
go back to reference Pilowsky DJ, Wickramaratne P, Nomura Y, Weissman MM (2006) Family discord, parental depression, and psychopathology in offspring: 20-year follow-up. J Am Acad Child Adolesc Psychiatry 45(4):452–460CrossRefPubMed Pilowsky DJ, Wickramaratne P, Nomura Y, Weissman MM (2006) Family discord, parental depression, and psychopathology in offspring: 20-year follow-up. J Am Acad Child Adolesc Psychiatry 45(4):452–460CrossRefPubMed
25.
go back to reference Bögels S, Phares V (2008) Fathers’ role in the etiology, prevention and treatment of child anxiety: a review and new model. Clin Psychol Rev 28(4):539–558CrossRefPubMed Bögels S, Phares V (2008) Fathers’ role in the etiology, prevention and treatment of child anxiety: a review and new model. Clin Psychol Rev 28(4):539–558CrossRefPubMed
26.
go back to reference Paquette D (2004) Theorizing the father-child relationship: mechanisms and developmental outcomes. Hum Dev 47(4):193–219CrossRef Paquette D (2004) Theorizing the father-child relationship: mechanisms and developmental outcomes. Hum Dev 47(4):193–219CrossRef
28.
go back to reference Broeren S, Newall C, Dodd HF, Locker R, Hudson JL (2014) Longitudinal investigation of the role of temperament and stressful life events in childhood anxiety. Dev Psychopathol 26(2):437–449CrossRefPubMed Broeren S, Newall C, Dodd HF, Locker R, Hudson JL (2014) Longitudinal investigation of the role of temperament and stressful life events in childhood anxiety. Dev Psychopathol 26(2):437–449CrossRefPubMed
29.
go back to reference American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders, 4th edn. American Psychiatric Association, Washington DC American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders, 4th edn. American Psychiatric Association, Washington DC
30.
31.
go back to reference Spence SH (1999) Spence children’s anxiety scale (parent version).Rating scale. University of Queensland, Brisbane Spence SH (1999) Spence children’s anxiety scale (parent version).Rating scale. University of Queensland, Brisbane
32.
go back to reference Nauta MH, Scholing A, Rapee RM, Abbott M, Spence SH, Waters A (2004) A parent-report measure of children’s anxiety: psychometric properties and comparison with child-report in a clinic and normal sample. Behav Res Ther 42(7):737–767CrossRef Nauta MH, Scholing A, Rapee RM, Abbott M, Spence SH, Waters A (2004) A parent-report measure of children’s anxiety: psychometric properties and comparison with child-report in a clinic and normal sample. Behav Res Ther 42(7):737–767CrossRef
33.
go back to reference Lovibond SH, Lovibond PF (1995) Manual for the depression anxiety stress scales, 2nd edn. Psychology Foundation, Sydney Lovibond SH, Lovibond PF (1995) Manual for the depression anxiety stress scales, 2nd edn. Psychology Foundation, Sydney
34.
go back to reference Brown TA, Chorpita BF, Korotitsch W, Barlow DH (1997) Psychometric properties of the depression anxiety stress scales (DASS) in clinical samples. Behav Res Ther 35(1):79–89CrossRefPubMed Brown TA, Chorpita BF, Korotitsch W, Barlow DH (1997) Psychometric properties of the depression anxiety stress scales (DASS) in clinical samples. Behav Res Ther 35(1):79–89CrossRefPubMed
35.
go back to reference Silverman WK, Albano AM (1996) Anxiety disorders interview schedule for DSM-IV: child and parent versions. The Psychological Corporation, San Antonio Silverman WK, Albano AM (1996) Anxiety disorders interview schedule for DSM-IV: child and parent versions. The Psychological Corporation, San Antonio
36.
go back to reference Silverman WK, Ollendick TH (2005) Evidence-based assessment of anxiety and its disorders in children and adolescents. J Clin Child Adolesc Psychol 34(3):380–411CrossRefPubMed Silverman WK, Ollendick TH (2005) Evidence-based assessment of anxiety and its disorders in children and adolescents. J Clin Child Adolesc Psychol 34(3):380–411CrossRefPubMed
37.
go back to reference Lyneham HJ, Abbott MJ, Rapee RM (2007) Inter-rater reliability of the anxiety disorders interview schedule for DSM-IV: child and parent version. J Am Acad Child Adolesc Psychiatry 26(6):731–736CrossRef Lyneham HJ, Abbott MJ, Rapee RM (2007) Inter-rater reliability of the anxiety disorders interview schedule for DSM-IV: child and parent version. J Am Acad Child Adolesc Psychiatry 26(6):731–736CrossRef
38.
go back to reference Glen S, Simpson A, Drinnan D, McGuinness D, Sandberg S (1993) Testing the reliability of a new measure of life events and experiences in childhood: the psychosocial assessment of childhood experiences (PACE). Eur Child Adolesc Psychiatry 2(2):98–110CrossRef Glen S, Simpson A, Drinnan D, McGuinness D, Sandberg S (1993) Testing the reliability of a new measure of life events and experiences in childhood: the psychosocial assessment of childhood experiences (PACE). Eur Child Adolesc Psychiatry 2(2):98–110CrossRef
39.
go back to reference Sandberg S, Rutter M, Giles S, Owen A, Champion L, Nicholls J, Prior V, McGuinness D, Drinnan D (1993) Assessment of psychosocial experiences in childhood: methodological issues and some illustrative findings. J Child Psychol Psychiatr 34(6):879–897CrossRef Sandberg S, Rutter M, Giles S, Owen A, Champion L, Nicholls J, Prior V, McGuinness D, Drinnan D (1993) Assessment of psychosocial experiences in childhood: methodological issues and some illustrative findings. J Child Psychol Psychiatr 34(6):879–897CrossRef
40.
go back to reference Brown GW, Harris TO (1978) Social origins of depression. Free Press, London Brown GW, Harris TO (1978) Social origins of depression. Free Press, London
41.
go back to reference 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. J Am Acad Child Adolesc Psychiatry 37(7):728–735CrossRefPubMed 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. J Am Acad Child Adolesc Psychiatry 37(7):728–735CrossRefPubMed
42.
go back to reference Lazarus RS, DeLongis A, Folkman S, Gruen R (1985) Stress and adaptational outcomes: the problem of confounded measures. Am Psychol 40(7):770–779CrossRefPubMed Lazarus RS, DeLongis A, Folkman S, Gruen R (1985) Stress and adaptational outcomes: the problem of confounded measures. Am Psychol 40(7):770–779CrossRefPubMed
43.
go back to reference Sandberg S, Zimmer R (2002) Manual for PACE-R: Coverage, guidelines on questioning, interview ratings and panel ratings on life events and long-term psychosocial experiences. Royal Free and University College Medical School, University College London, London Sandberg S, Zimmer R (2002) Manual for PACE-R: Coverage, guidelines on questioning, interview ratings and panel ratings on life events and long-term psychosocial experiences. Royal Free and University College Medical School, University College London, London
44.
go back to reference Sandberg S, Nicholls J, Prior V, Hillary C (2002) PACE-R psychosocial assessment of childhood experiences: life event and long-term experience dictionary. Royal Free and University College Medical School, University College London, London Sandberg S, Nicholls J, Prior V, Hillary C (2002) PACE-R psychosocial assessment of childhood experiences: life event and long-term experience dictionary. Royal Free and University College Medical School, University College London, London
45.
go back to reference IBM Corp (2013) IBM SPSS Statistics for Windows, Version 22.0. IBM Corp, Armonk, NY IBM Corp (2013) IBM SPSS Statistics for Windows, Version 22.0. IBM Corp, Armonk, NY
46.
go back to reference Nolen-Hoeksema S, Larson J, Grayson C (1999) Explaining the gender difference in depressive symptoms. J Pers Soc Psychol 77(5):1061–1072CrossRefPubMed Nolen-Hoeksema S, Larson J, Grayson C (1999) Explaining the gender difference in depressive symptoms. J Pers Soc Psychol 77(5):1061–1072CrossRefPubMed
47.
go back to reference Kendler KS, Thornton LM, Gardner CO (2001) Genetic risk, number of previous depressive episodes, and stressful life events in predicting onset of major depression. Am J Psychiatry 158(4):582–586CrossRefPubMed Kendler KS, Thornton LM, Gardner CO (2001) Genetic risk, number of previous depressive episodes, and stressful life events in predicting onset of major depression. Am J Psychiatry 158(4):582–586CrossRefPubMed
48.
go back to reference Cooper PJ, Fearn V, Willetts L, Seabrook H, Parkinson M (2006) Affective disorder in the parents of a clinic sample of children with anxiety disorders. J Affect Disord 93(1–3):205–212CrossRefPubMed Cooper PJ, Fearn V, Willetts L, Seabrook H, Parkinson M (2006) Affective disorder in the parents of a clinic sample of children with anxiety disorders. J Affect Disord 93(1–3):205–212CrossRefPubMed
49.
go back to reference Di Nardo PA, Brown TA, Barlow DH (1994) Anxiety disorders interview schedule for DSM-IV: lifetime version (ADIS-IV-L). Psychological Corporation, San Antonio, TX Di Nardo PA, Brown TA, Barlow DH (1994) Anxiety disorders interview schedule for DSM-IV: lifetime version (ADIS-IV-L). Psychological Corporation, San Antonio, TX
50.
go back to reference Allen JL (2015) When one size doesn’t fit all: Temperament-based parenting interventions. In: Essau C, Allen JL (eds) Making parenting work for children’s mental health, ACAMH occasional paper 33. Association for Child and Adolescent Mental Health, London, pp 12–22 Allen JL (2015) When one size doesn’t fit all: Temperament-based parenting interventions. In: Essau C, Allen JL (eds) Making parenting work for children’s mental health, ACAMH occasional paper 33. Association for Child and Adolescent Mental Health, London, pp 12–22
51.
go back to reference Ginsburg GS, Grover RL, Cord JJ, Ialongo N (2006) Observational measures of parenting in anxious and nonanxious mothers: does type of task matter? J Clin Child Adolesc Psychol 35(2):323–328CrossRefPubMedPubMedCentral Ginsburg GS, Grover RL, Cord JJ, Ialongo N (2006) Observational measures of parenting in anxious and nonanxious mothers: does type of task matter? J Clin Child Adolesc Psychol 35(2):323–328CrossRefPubMedPubMedCentral
52.
go back to reference Hammen C (2006) Stress generation in depression: reflections on origins, research, and future directions. J Clin Psychol 62(9):1065–1082CrossRefPubMed Hammen C (2006) Stress generation in depression: reflections on origins, research, and future directions. J Clin Psychol 62(9):1065–1082CrossRefPubMed
53.
go back to reference Rapee RM, Schniering CA, Hudson JL (2009) Anxiety disorders during childhood and adolescence: origins and treatment. Annu Rev Clin Psychol 5:311–341CrossRefPubMed Rapee RM, Schniering CA, Hudson JL (2009) Anxiety disorders during childhood and adolescence: origins and treatment. Annu Rev Clin Psychol 5:311–341CrossRefPubMed
54.
go back to reference Beesdo K, Knappe S, Pine DS (2009) Anxiety and anxiety disorders in children and adolescents: developmental issues and implications for DSM-V. Psychiatr Clin North Am 32(3):483–524CrossRefPubMedPubMedCentral Beesdo K, Knappe S, Pine DS (2009) Anxiety and anxiety disorders in children and adolescents: developmental issues and implications for DSM-V. Psychiatr Clin North Am 32(3):483–524CrossRefPubMedPubMedCentral
55.
go back to reference Goodyer IM, Kolvin I, Gatzanis S (1987) The impact of recent undesirable life events in psychiatric disorder in childhood and adolescence. BJPsych 151(2):179–184PubMed Goodyer IM, Kolvin I, Gatzanis S (1987) The impact of recent undesirable life events in psychiatric disorder in childhood and adolescence. BJPsych 151(2):179–184PubMed
56.
go back to reference Hardt J, Rutter M (2004) Validity of adult retrospective reports of adverse childhood experiences: a review of the evidence. J Child Psychol Psychiatr 45(2):260–273CrossRef Hardt J, Rutter M (2004) Validity of adult retrospective reports of adverse childhood experiences: a review of the evidence. J Child Psychol Psychiatr 45(2):260–273CrossRef
57.
go back to reference Allen JL, Rapee RM, Sandberg S (2012) Assessment of maternally reported child and adolescent life events: a comparison of interview and checklist methods. J Psychopathol Behav Assess 34(2):204–215CrossRef Allen JL, Rapee RM, Sandberg S (2012) Assessment of maternally reported child and adolescent life events: a comparison of interview and checklist methods. J Psychopathol Behav Assess 34(2):204–215CrossRef
58.
go back to reference Bögels SM, Perotti EC (2011) Does father know best? A formal model of the paternal influence on childhood social anxiety. J Child Fam Stud 20(2):171–181CrossRefPubMed Bögels SM, Perotti EC (2011) Does father know best? A formal model of the paternal influence on childhood social anxiety. J Child Fam Stud 20(2):171–181CrossRefPubMed
Metadata
Title
Parent-dependent stressors and the onset of anxiety disorders in children: links with parental psychopathology
Authors
Jennifer L. Allen
Seija Sandberg
Celine Y. Chhoa
Tom Fearn
Ronald M. Rapee
Publication date
01-02-2018
Publisher
Springer Berlin Heidelberg
Published in
European Child & Adolescent Psychiatry / Issue 2/2018
Print ISSN: 1018-8827
Electronic ISSN: 1435-165X
DOI
https://doi.org/10.1007/s00787-017-1038-3

Other articles of this Issue 2/2018

European Child & Adolescent Psychiatry 2/2018 Go to the issue