Linking mother–child discrepancies to behavioral observations of children’s anxiety

Marleen M.E.M. van Doorn*, Denise Bodden, Mélou Jansen, Ronald M. Rapee, Isabela Granic

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    3 Citations (Scopus)
    12 Downloads (Pure)

    Abstract

    Background: Informant discrepancies between mother and child have challenged the assessment, classification, and treatment of childhood anxiety. Despite numerous studies on this matter, the implications and consequences for research and clinical practice remain unclear. Objective: The present study aimed to obtain meaningful clinical information about informant discrepancies by examining mother–child agreement for anxiety subtypes, and by exploring mother–child discrepancies in relation to independent observer ratings of behavioral anxiety. Method: The screen for child anxiety related emotional disorders was administered to 79 mothers and clinically referred anxious children aged 7–13 years. Mother–child dyads were observed during an anxiety-provoking task and independent observers rated children’s observed anxiety. Results: The findings indicated a high level of mother–child disagreement on reports of anxiety. There was variability in levels of agreement between subtypes of anxiety, with significantly stronger mother–child agreement for separation compared to other forms of anxiety. Observed proximity between the mother and child was positively associated with child-reported separation anxiety and children’s observed anxious voice was negatively associated with child-reported panic disorder. Conclusions: The results highlight the need to incorporate a multi-informant assessment of childhood anxiety in clinical practice and research, in particular for subtypes of anxiety problems that are characterized by less observable and more internally experienced components.

    Original languageEnglish
    Pages (from-to)481–498
    Number of pages18
    JournalChild and Youth Care Forum
    Volume47
    Issue number4
    Early online date25 Jan 2018
    DOIs
    Publication statusPublished - Aug 2018

    Bibliographical note

    Copyright the Author(s) 2018. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

    Keywords

    • childhood anxiety disorders
    • informant discrepancies
    • mother–child agreement
    • rating scales
    • behavioral observation

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