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01-07-2009 | ORIGINAL CONTRIBUTION

Temperament and parental child-rearing style: unique contributions to clinical anxiety disorders in childhood

Authors: Ingeborg E. Lindhout, MD, PhD, Monica Th. Markus, PhD, Thea H. G. Hoogendijk, MA, Frits Boer, MD, PhD

Published in: European Child & Adolescent Psychiatry | Issue 7/2009

Abstract

Both temperament and parental child-rearing style are found to be associated with childhood anxiety disorders in population studies. This study investigates the contribution of not only temperament but also parental child-rearing to clinical childhood anxiety disorders. It also investigates whether the contribution of temperament is moderated by child-rearing style, as is suggested by some studies in the general population. Fifty children were included (25 with anxiety disorders and 25 non-clinical controls). Child-rearing and the child’s temperament were assessed by means of parental questionnaire (Child Rearing Practices Report (CRPR) (Block in The Child-Rearing Practices Report. Institute of Human Development. University of California, Berkely, 1965; The Child-Rearing Practices Report (CRPR): a set of Q items for the description of parental socialisation attitudes and values. Unpublished manuscript. Institute of Human Development. University of California, Berkely, 1981), EAS Temperament Survey for Children (Boer and Westenberg in J Pers Assess 62:537–551, 1994; Buss and Plomin in Temperament: early developing personality traits. Lawrence Erlbaum Associates, Inc, Hillsdale, 1984s). Analysis of variance showed that anxiety-disordered children scored significantly higher on the temperamental characteristics emotionality and shyness than non-clinical control children. Hierarchical logistic regression analyses showed that temperament (emotionality and shyness) and child-rearing style (more parental negative affect, and less encouraging independence of the child) both accounted for a unique proportion of the variance of anxiety disorders. Preliminary results suggest that child-rearing style did not moderate the association between children’s temperament and childhood anxiety disorders. The limited sample size might have been underpowered to assess this interaction.

At the time of the study the DSM IV version of the ADIS-C was not yet available in its Dutch version.

American Psychiatric Association (1987) Diagnostic and statistical manual of mental disorders, third edition-revised DSM-III-R. American Psychiatric Association, Washington, DC

Belsky J (1997) Theory testing, effect-size evaluation, and differential susceptibility to rearing influence: the case of mothering and attachment. Child Dev 64(4):598–600CrossRef

Biederman J, Hirshfeld-Becker DR, Rosenbaum JF, Hérot C, Friedman D, Snidman N, Kagan J, Faraone SV (2001) Further evidence of association between behavioral inhibition and social anxiety in children. Am J Psychiatry 158:1673–1679PubMedCrossRef

Block JH (1965) The Child-Rearing Practices Report. Institute of Human Development. University of California, Berkely

Block JH (1981) The Child-Rearing Practices Report (CRPR): a set of Q items for the description of parental socialisation attitudes and values. Unpublished manuscript. Institute of Human Development. University of California, Berkely

Boer F, Stegge H, Akyuz H (2007) Recognition of children of preschool age at risk for internalising disorders in mainstream and Islamic primary care. Int J Ment Health Promotion 9:17–24

Boer F, Westenberg PM (1994) The factor structure of the Buss and Plomin EAS Temperament Survey (parental ratings) in a Dutch sample of elementary school children. J Pers Assess 62:537–551PubMedCrossRef

Bögels SM, Brechman-Toussaint L (2006) Family issues in child anxiety: attachment, family functioning, parental rearing and beliefs. Clin Psychol Rev 26:834–856PubMedCrossRef

Buss AH, Plomin R (1984) Temperament: early developing personality traits. Lawrence Erlbaum Associates, Inc, Hillsdale

10.

Chorpita BF, Barlow DH (1998) The development of anxiety: the role of control in the early environment. Psychol Bull 124:3–21PubMedCrossRef

11.

Clark LA, Watson D, Mineka S (1994) Temperament, personality, and the mood and anxiety disorders. J Abnorm Psychol 103:103–116PubMedCrossRef

12.

Crockenberg SC, Leerkes EM (2006) Infant and maternal behavior moderate reactivity to novelty to predict anxious behavior at 2.5 years. Dev Psychopathol 18:17–34PubMedCrossRef

13.

Deković M, Janssens JMAM, Gerris JM (1991) Factor structure and construct validity of the Block Child Rearing Practices Report (CRPR). Psychol Assess J Consult Clin Psychol 3:182–187

14.

Eastburg M, Johnson WB (1990) Shyness and perceptions of parental behavior. Psychol Rep 66:915–921CrossRef

15.

Eisenberg N, Sadovsky A, Spinrad TL, Fabes RA, Losoya SH, Valiente C, Reiser M, Cumberland A, Shepard SA (2005) The relations of problem behavior status to children’s negative emotionality, effortful control, and impulsivity: concurrent relations and prediction of change. Dev Psychol 41:193–211PubMedCrossRef

16.

Feng X, Shaw DS, Silk JS (2008) Developmental trajectories of anxiety symptoms of boys across early and middle childhood. J Abnorm Psychol 117:32–47PubMedCrossRef

17.

Gerhardt CA, Vannatta K, McKellop JM, Tayler J, Passo M, Reiter-Purtill J, Zeller M, Noll RB (2003) Brief report: child-rearing practices of caregivers with and without a child with juvenile rheumatoid arthritis: perspectives of caregivers and professionals. J Pediatr Psychol 28:275–279PubMedCrossRef

18.

Gibbs MV, Reeves D, Cunningham CC (1987) The application of temperament questionnaires in a British sample: issues of reliability and validity. J Child Psychol Psychiatry 28:61–67PubMedCrossRef

19.

Goodyer IM, Ashby L, Altham PME, Vize C, Cooper PJ (1993) Temperament and major depression in 11–16 year olds. J Child Psychol Psychiatry 34:1409–1423PubMedCrossRef

20.

Hadwin JA, Garner M, Perez-Olivas G (2006) The development of information processing biases in childhood anxiety: a review and exploration of its origins in parenting. Clin Psychol Rev 26:879–894CrossRef

21.

Hastings PD, Rubin KH (1999) Predicting mothers’ beliefs about preschool-aged children’s social behavior: evidence for maternal attitudes moderating child effects. Child Dev 70:722–741PubMedCrossRef

22.

Kagan J, Reznick JS, Clarke C, Snidman N, Garcia-Coll C (1984) Behavioral inhibition to the unfamiliar. Child Dev 55:2212–2225CrossRef

23.

Kagan J, Reznick JS, Snidman N (1987) The physiology and psychology of behavioral inhibition in children. Child Dev 58:1459–1473PubMedCrossRef

24.

Katz MH (2006) Setting up a multivariable analysis. In: Katz MH (ed) Multivariable analysis: a practical guide for clinicians. Cambridge University Press, New York

25.

Keller MB, Lavori PhW, Wunder J, Beardslee WR, Schwartz CE, Roth J (1992) Chronic course of anxiety disorders in children and adolescents. J Am Acad Child Adolesc Psychiatry 31:595–599PubMed

26.

Kelvin RG, Goodyer IM, Altham PME (1995) Temperament and psychopathology amongst siblings of probands with depressive and anxiety disorders. J Child Psychol Psychiatry 37:543–550CrossRef

27.

Kovacs M, Devlin B (1998) Internalizing disorders in childhood. J Child Psychol Psychiatry 39:47–63PubMedCrossRef

28.

Lemery KS, Essex MJ, Smider NA (2002) Revealing the relation between temperament and behavior problem symptoms by eliminating measurement confounding: expert ratings and factor analyses. Child Dev 73:867–882PubMedCrossRef

29.

Leve LD, Kim HK, Pears KC (2005) Childhood temperament and family environment as predictors of internalizing and externalizing trajectories from ages 5 to 17. J Abnorm Child Psychol 33:505–520PubMedCrossRef

30.

Lindhout IE, Markus MT, Borst SR, Hoogendijk ThHG, Dingemans PMAJ, Boer F (in press) Childrearing style in families of anxiety-disordered children: between- and within-family differences. Child Psychiatry Hum Dev

31.

Lonigan CJ, Phillips BM (2001) Temperamental influences on the development of anxiety disorders. In: Vasey MW, Dadds MR (eds) The developmental psychopathology of anxiety. Oxford University Press, New York, pp 60–91

32.

Maccoby EE, Martin JA (1983) Socialization in the context of the family: parent–child interaction. In: Hetherington EM (ed) Handbook of child psychology. Wiley, New York, pp 1–101

33.

Masi G, Mucci M, Favilla L, Brovedani P, Millepiedi S, Perugi G (2003) Temperament in adolescents with anxiety and depressive disorders and in their families. Child Psychiatry Hum Dev 33:245–259PubMedCrossRef

34.

McLeod BD, Wood JJ, Weisz JR (2006) Examining the association between parenting and childhood anxiety: a meta-analysis. Clin Psychol Rev 27:155–172PubMedCrossRef

35.

McNally S, Eisenberg N, Harris JD (1991) Consistency and change in maternal child-rearing practices and values: a longitudinal study. Child Dev 62:190–198PubMedCrossRef

36.

Merikangas KR, Zhang H, Avenevoli S, Acharyya S, Neuenschwander M, Angst J (2003) Longitudinal trajectories of depression and anxiety in a prospective community study. The Zurich Cohort Study. Arch Gen Psychiatry 60:993–1000PubMedCrossRef

37.

Morris AS, Silk JS, Steinberg L, Sessa FM, Avenevoli S, Essex MJ (2002) Temperamental vulnerability and negative parenting as interacting predictors of child adjustment. J Marriage Fam 64:461–471CrossRef

38.

Muris P, Th Ollendick (2005) The role of temperament in the etiology of child psychopathology. Clin Child Fam Psychol Rev 8:271–289PubMedCrossRef

39.

Neal JA, Edelmann RJ (2003) The etiology of social phobia: toward a developmental profile. Clin Psychol Rev 23:761–786PubMedCrossRef

40.

Oldehinkel AJ, Veenstra R, Ormel J, de Winter AF, Verhulst FC (2006) Temperament, parenting, and depressive symptoms in a population sample of preadolescents. J Child Psychol Psychiatry 47:684–695PubMedCrossRef

41.

Perez-Edgar K, Fox NA (2005) Temperament and anxiety disorders. Child Adolesc Psychiatric Clin N Am 14:681–706CrossRef

42.

Plomin R, Dunn J (1986) The study of temperament: changes, continuities and challenges. Erlbaum, Hillsdale

43.

Rapee RM (1997) Potential role of childrearing practices in the development of anxiety and depression. Clin Psychol Rev 17:47–67PubMedCrossRef

44.

Rapee RM (2002) The development and modification of temperamental risk for anxiety disorders: prevention of a lifetime of anxiety? Biol Psychiatry 52:947–957PubMedCrossRef

45.

Rende RD (1993) Longitudinal relations between temperament traits and behavioral syndromes in middle childhood. J Am Acad Child Adolesc Psychiatry 32:287–290PubMedCrossRef

46.

Reti IM, Samuels JF, Eaton WW, Bienvenu O JIII, Costa PT Jr, Nestadt G (2002) Influences of parenting on normal personality traits. Psychiatry Res 111:55–64PubMedCrossRef

47.

Richter J, Eisemann M, Richter G (2000) Temperament, character and perceived parental rearing in healthy adults: two related concepts? Psychopathology 33:36–42PubMedCrossRef

48.

Rickel AV, Biasatti LL (1982) Modifications of the Block Child Rearing Practices Report. J Clin Psychol 38:129–134CrossRef

49.

Roberts GC, Block JH, Block J (1984) Continuity and change in parents’ child-rearing practices. Child Dev 55:586–597CrossRef

50.

Rosenbaum JF, Biederman J, Hirshfeld-Becker DR, Kagan J, Snidman N, Friedman D, Nineberg A, Gallery DJ, Faraone SV (2000) A controlled study of behavioral inhibition in children of parents with panic disorder and depression. Am J Psychiatry 157:2002–2010PubMedCrossRef

51.

Rothbart MK, Bates JE (1998) Temperament. In: Eisenberg N, Damon W (eds) Handbook of child psychology: social, emotional, and personality development, vol 3. Wiley, New York, pp 105–176

52.

Rubin KH, Burgess KB, Hastings PD (2002) Stability and social-behavioral consequences of toddlers’ inhibited temperament and parenting behaviors. Child Dev 73:483–495PubMedCrossRef

53.

Schlette P, Brändström S, Eisemann M, Sigvardsson S, Nylander P, Adolfsson R, Perris C (1998) Perceived parental rearing behaviours and temperament and character in healthy adults. Personality Individ Differ 24:661–668CrossRef

54.

Siebelink BM, PhDA Treffers (1995) Anxiety Disorders Interview Schedule for DSM-III-R, Child version. Academic Centre for Child and Adolescent Psychiatry Curium, Oegstgeest

55.

Siebelink BM, PhDA Treffers (1995) Anxiety Disorders Interview Schedule for DSM-III-R, Parent version. Academic Centre for Child and Adolescent Psychiatry Curium, Oegstgeest

56.

Silverman WK (1991) Diagnostic reliability of anxiety disorders in children using structured interviews. J Anxiety Disord 5:105–124CrossRef

57.

Silverman WK, Eisen AR (1992) Age differences in the reliability of parent and child reports of child anxious symptomatology using a structured interview. J Am Acad Child Adolesc Psychiatry 31:117–124PubMedCrossRef

58.

Silverman WK, Kurtines WM, Ginsburg GS, Weems CF, Rabian B, Serafini LT (1999) Contingency management, self-control, and education support in the treatment of childhood phobic disorders: a randomized clinical trial. J Consult Clin Psychol 67:675–687PubMedCrossRef

59.

Silverman WK, Nelles WB (1988) The anxiety disorders interview schedule for children. J Am Acad Child Adolesc Psychiatry 27:772–778PubMed

60.

Silverman WK, Rabian B (1995) Test-retest reliability of the DSM-III-R childhood anxiety disorders symptoms using the anxiety disorders interview schedule for children. J Anxiety Disord 9:139–150CrossRef

61.

Smeekens S, Riksen-Walraven JM, van Bakel HJA (2007) Cortisol reactions in five-year-olds to parent–child interaction: the moderating role ego-resiliency. J Child Psychol Psychiatry 48:649–656PubMedCrossRef

62.

Smith J, Prior M (1995) Temperament and stress resilience in school-age children: a within-families study. J Am Acad Child Adolesc Psychiatry 34:168–179PubMedCrossRef

63.

Turner SM, Beidel DC, Wolff PL (1996) Is behavioral inhibition related to the anxiety disorders? Clin Psychol Rev 16:157–172CrossRef

64.

Van Brakel AML, Muris P, Bögels SM, Thomassen C (2006) A multifactorial model for the etiology of anxiety in non-clinical adolescents: main and interactive effects of behavioural inhibition, attachment and parental rearing. J Child Fam Stud 15:569–579CrossRef

65.

Verhulst FC (2001) Community and epidemiological aspects of anxiety disorders in children. In: Silverman WK, PhDA Treffers (eds) Anxiety disorders in children and adolescents. Research assessment and intervention. Cambrigde University Press, Cambridge, pp 273–292

66.

Verhulst FC, van der Ende J (1995) The eight-year stability of problem behavior in an epidemiologic sample. Pediatr Res 38:612–617PubMedCrossRef

67.

Wamboldt M, Chipuer S (1990) The reliability and validity of the EAS scales. Unpublished manuscript. Center for Development and Human Genetics, College of Health and Human Development. The Pennsylvania State University

Title: Temperament and parental child-rearing style: unique contributions to clinical anxiety disorders in childhood
Authors: Ingeborg E. Lindhout, MD, PhD
Monica Th. Markus, PhD
Thea H. G. Hoogendijk, MA
Frits Boer, MD, PhD
Publication date: 01-07-2009
Publisher: Steinkopff-Verlag
Published in: European Child & Adolescent Psychiatry / Issue 7/2009
Print ISSN: 1018-8827
Electronic ISSN: 1435-165X
DOI: https://doi.org/10.1007/s00787-009-0753-9

At a glance: The STEP trials

Springer Medicine

Temperament and parental child-rearing style: unique contributions to clinical anxiety disorders in childhood

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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