Parental Reactivity and the Link Between Parent and Child Anxiety Symptoms
Ample research documents a link between parent and child anxiety, yet little work has examined parents’ and children’s emotional reactivity for their association with parent–child anxiety transmission. Using a community sample, here we evaluate parents’ subjective emotional reactions to imagining their children feeling afraid and examine (1) their link with parental anxiety and (2) whether this reactivity moderates the association between parent anxiety and children’s subjective and physiological reactivity [resting respiratory sinus arrhythmia (RSA)]. Finally, we evaluate whether these two indices of children’s reactivity act as indirect effects between parental anxiety and child anxiety, and whether this association is moderated by parents’ reactivity to the child’s fear (moderated mediation). School-aged children (N = 75) and their primary caregivers reported on their anxiety symptoms. Parents and children then completed parallel paradigms in which they imagined the child feeling afraid and reported on their reactivity. Children’s resting RSA was assessed as they watched a nature video. The association between parental anxiety and children’s subjective and physiological reactivity was moderated by parents’ reactivity, such that only when parents reported high reactivity was there a significant association between parental anxiety and children’s self-reported and physiological reactivity. Further, children’s physiological reactivity acted as an indirect effect in the link between parents’ and children’s anxiety symptoms, but only for parents who reported high levels of reactivity to child fear. Results are discussed in terms of their contribution to the literature on parent–child relationships and anxiety.
KeywordsAnxiety Reactivity Parenting Respiratory sinus arrhythmia Emotion
- Ainsworth, M. D. S. (1990). Some considerations regarding theory and assessment relevant to attachments beyond infancy. In M. T. Greenberg, D. Cicchetti, & E. M. Cummings ( Eds.), Attachment in the preschool years (pp. 463–488). Chicago: University of Chicago Press.Google Scholar
- Aureli, T., & Presaghi, F. (2010). Developmental trajectories for mother–infant coregulation in the second year of life. Infancy, 15(6), 557–585. doi: 10.1111/j.1532-7078.2010.00034.x.
- Baldwin, J. S., & Dadds, M. R. (2007). Reliability and validity of parent and child versions of the multidimensional anxiety scale for children in community samples. Journal of the American Academy of Child and Adolescent Psychiatry, 46(2), 252–260. doi: 10.1097/01.chi.0000246065.93200.a1.CrossRefPubMedGoogle Scholar
- Biederman, J., Rosenbaum, J. F., Bolduc, E. A., Faraone, S. V., & Hirschfeld, 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. doi: 10.1016/0165-1781(91)90068-Z.CrossRefPubMedGoogle Scholar
- Blossom, J. B., Ginsburg, G. S., Birmaher, B., Walkup, J. T., Kendall, P. C., Keeton, C. P., & Albano, A. (2013). Parental and family factors as predictors of threat bias in anxious youth. Cognitive Therapy and Research, 37(4), 812–819. doi: 10.1007/s10608-012-9513-0.CrossRefPubMedCentralPubMedGoogle Scholar
- Bögels, S. M., & van Melick, M. (2004). The relationship between child-report, parent self-report, and partner report of perceived parental rearing behaviors and anxiety in children and parents. Personality and Individual Differences, 37(8), 1583–1596. doi: 10.1016/j.paid.2004.02.014.CrossRefGoogle Scholar
- Borelli, J. L. (2009). The vulnerability vignettes: A method for probing children’s responses. Unpublished manuscript.Google Scholar
- Borelli, J. L., Hilt, L. M., West, J. L., Weekes, N. Y., & Gonzalez, M. C. (2013a). School-aged children's depressive rumination is associated with their reactivity to sadness but not fear. Journal of Clinical Child & Adolescent Psychology, 43(5), 799–812. doi: 10.1080/15374416.2013.814542.
- Borelli, J. L., Margolin, G., & Rasmussen, H. F. (2014). Parental overcontrol as a mechanism explaining the longitudinal association between parent and child anxiety. Journal of Child and Family Studies. doi: 10.1007/s10826-014-9960-1.
- Bowlby, J. (1973). Attachment and loss, Vol. 2: Separation-anxiety and anger. New York: Basic Books.Google Scholar
- Braungart-Rieker, J. M., Garwood, M. M., Powers, B. P., & Wang, X. (2001). Parental sensitivity, infant affect, and affect regulation: Predictors of later attachment. Child Development, 72(1), 252–270. doi: 10.1111/1467-8624.00277.
- Derogatis, L. R., & Spencer, P. M. (1982). The Brief Symptom Inventory (BSI): Administration, scoring, and procedures manual—1. Baltimore, MD: Johns Hopkins University School of Medicine, Clinical Psychometric Research Unit.Google Scholar
- Eisenberg, N., & Morris, A. S. (2002). Children’s emotion-related regulation. In R. V. Kail (Ed.), Advances in child development and behavior (Vol. 30, pp. 189–229). San Diego, CA: Academic Press.Google Scholar
- Fonagy, P., Gergely, G., Jurist, E. L., & Target, M. (2002). Affect regulation, mentalization, and the development of the self. New York, NY: Other Press.Google Scholar
- Hayes, A. F. (2012). PROCESS: A versatile computational tool for observed variable mediation, moderation, and conditional process modeling [White paper]. Retrieved from http://www.afhayes.com/public/process2012.pdf.
- 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. doi: 10.1037/0022-006X.76.2.282.CrossRefPubMedGoogle Scholar
- Lang, P. J. (1980). Behavioral treatment and bio-behavioral assessment: computer applications. In J. B. Sidowski, J. H. Johnson, & T. A. Williams (Eds.), Technology in mental health care delivery systems (pp. 119–137). Norwood, NJ: Ablex.Google Scholar
- Lau, J. F., Lissek, S., Nelson, E. E., Lee, Y., Roberson-Nay, R., Poeth, K., & Pine, D. S. (2008). Fear conditioning in adolescents with anxiety disorders: Results from a novel experimental paradigm. Journal of the American Academy of Child and Adolescent Psychiatry, 47(1), 94–102. doi: 10.1097/chi.0b01e31815a5f01.CrossRefPubMedCentralPubMedGoogle Scholar
- March, J. (1998). Manual for the multidimensional anxiety scale for children (MASC). Toronto: Multi-Health Systems Inc.Google Scholar
- March, J. S., Parker, J. A., Sullivan, K., Stallings, P., & Conners, C. (1997). The Multidimensional Anxiety Scale for Children (MASC): Factor structure, reliability, and validity. Journal of the American Academy of Child and Adolescent Psychiatry, 36(4), 554–565. doi: 10.1097/00004583-199704000-00019.CrossRefPubMedGoogle Scholar
- March, J. S., Swanson, J. M., Arnold, L., Hoza, B., Conners, C., Hinshaw, S. P., & Pelham, W. E. (2000). Anxiety as a predictor and outcome variable in the multimodal treatment study of children with ADHD (MTA). Journal of Abnormal Child Psychology, 28(6), 527–541. doi: 10.1023/A:1005179014321.CrossRefPubMedGoogle Scholar
- Mayseless, O. (2005). Ontogeny of attachment in middle childhood: Conceptualization of normative changes. In: K. A. Kerns & R. A. Richardson (Eds.), Attachment in middle childhood (pp. 1–23). New York: Guilford Press.Google Scholar
- Mikulincer, M., Shaver, P. R., & Pereg, D. (2003). Attachment theory and affect regulation: The dynamics, development, and cognitive consequences of attachment-related strategies. Motivation and Emotion, 27(2), 77–102. doi: 10.1023/A:1024515519160.
- Mineka, S., & Zinbarg, R. (1996). Conditioning and ethological models of anxiety disorders: Stress-in-Dynamic-Context Anxiety models. In D. A. Hope (Ed.), Nebraska Symposium on Motivation, 1995: Perspectives on anxiety, panic, and fear (pp. 135–210). Lincoln, NE: University of Nebraska Press.Google Scholar
- Muris, P., Merckelbach, H., Ollendick, T., King, N., & Bogie, N. (2002). Three traditional and three new childhood anxiety questionnaires: Their reliability and validity in a normal adolescent sample. Behaviour Research and Therapy, 40(7), 753–772. doi: 10.1016/S0005-7967(01)00056-0.CrossRefPubMedGoogle Scholar
- Patterson, G. R. (2002). The early development of coercive family process. In J. B. Reid, G. R. Patterson, & J. Snyder (Eds.), Antisocial behavior in children and adolescents: A developmental analysis and model for intervention (pp. 25–44). Washington, DC: American Psychological Association.Google Scholar
- Peris, T. S., Sugar, C. A., Bergman, R. L., Chang, S., Langley, A., & Piacentini, J. (2012). Family factors predict treatment outcome for pediatric obsessive-compulsive disorder. Journal of Consulting and Clinical Psychology, 80(2), 255–263. doi: 10.1037/a0027084.CrossRefPubMedCentralPubMedGoogle Scholar
- Reeb-Sutherland, B. C., Helfinstein, S. M., Degnan, K. A., Pérez -Edgar, K., Henderson, H. A., Lissek, S., & Fox, N. A. (2009). Startle response in behaviorally inhibited adolescents with a lifetime occurrence of anxiety disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 48(6), 610–617. doi: 10.1097/CHI.0b013e31819f70fb.CrossRefPubMedCentralPubMedGoogle Scholar
- Ruz, M., Lennie, T. A., Riegel, B., McKinley, S., Doering, L. V., & Moser, D. K. (2010). Evidence that the brief symptom inventory can be used to measure anxiety quickly and reliably in patients hospitalized for acute myocardial infarction. Journal of Cardiovascular Nursing, 25(2), 117–123.CrossRefPubMedGoogle Scholar
- Rynn, M., Wagner, K., Donnelly, C., Ambrosini, P., Wohlberg, C. J., Landau, P., & Yang, R. (2006). Long-term sertraline treatment of children and adolescents with major depressive disorder. Journal of Child and Adolescent Psychopharmacology, 16(1–2), 103–116. doi: 10.1089/cap.2006.16.103.CrossRefPubMedGoogle Scholar
- Sbarra, D. A., & Hazan, C. (2008). Coregulation, dysregulation, self-regulation: An integrative analysis and empirical agenda for understanding adult attachment, separation, loss, and recovery. Personality and Social Psychology Review, 12, 141–167. doi: 10.1177/1088868308315702.CrossRefPubMedGoogle Scholar
- Schneider, W., Eschman, A., & Zuccolotto, A. (2007). E-Prime getting started guide. Psychology software tools.Google Scholar
- Spielberger, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the state-trait anxiety inventory (form Y). Palo Alto, CA: Consulting Psychologists Press.Google Scholar
- Storch, E. A., Milsom, V. A., DeBraganza, N., Lewin, A. B., Geffken, G. R., & Silverstein, J. H. (2007). Peer victimization, psychosocial adjustment, and physical activity in overweight and at-risk-for-overweight youth. Journal of Pediatric Psychology, 32(1), 80–89. doi: 10.1093/jpepsy/jsj113.CrossRefPubMedGoogle Scholar
- Suveg, C., Shaffer, A., Morelen, D., & Thomassin, K. (2011). Links between maternal and child psychopathology symptoms: Mediation through child emotion regulation and moderation through maternal behavior. Child Psychiatry and Human Development, 42(5), 507–520. doi: 10.1007/s10578-011-0223-8.CrossRefPubMedGoogle Scholar
- Thompson, R. A., & Raikes, H. A. (2003). Toward the next quarter-century: Conceptual and methodological challenges for attachment theory. Development and Psychopathology, 15(3), 691–718. doi: 10.1017/S0954579403000348.
- Wetter, E. K., & El-Sheikh, M. (2012). Trajectories of children’s internalizing symptoms: The role of maternal internalizing symptoms, respiratory sinus arrhythmia and child sex. Journal of Child Psychology and Psychiatry, 53(2), 168–177. doi: 10.1111/j.1469-7610.2011.02470.x.CrossRefPubMedCentralPubMedGoogle Scholar
- Woodruff-Borden, J., Morrow, C., Bourland, S., & Cambron, S. (2002). The behavior of anxious parents: Examining mechanisms of transmission of anxiety from parent to child. Journal of Clinical Child and Adolescent Psychology, 31(3), 364–374. doi: 10.1207/153744202760082621.CrossRefPubMedGoogle Scholar