The relationship between parental anxiety, child’s behavioral inhibition and child anxiety
DOI:
https://doi.org/10.37134/saecj.vol10.1.5.2021Keywords:
parental anxiety, child anxiety, child’s behavioral inhibition, mediating effectAbstract
The purpose of this cross-sectional study was to investigate the role of a child’s behavioral inhibition in mediating the relationship between parental anxiety and childhood anxiety in the Malaysian context. Participants were 92 parents (father = 23, mother = 69) of young children aged four to six years old. They completed three measures which were The Beck Anxiety Inventory (BAI), The Preschool Anxiety Scale (PAS) and Behavioral Inhibition Questionnaire (BIQ). Results indicated that there was a correlation between; (i) parental anxiety and child anxiety; and (ii) child’s behavioral inhibition and child anxiety, which supported our hypothesis. However, our findings did not provide support for the hypothesis that a child’s behavioral inhibition plays a mediating role in the association between parental anxiety and childhood anxiety. Although this study does not illuminate the mediating role of a child’s behavioral inhibition, our results still provided a groundwork for the development of a specific early intervention program for young children in Malaysia with childhood anxiety symptoms, with the inclusion of precursors of the presence of parental anxiety and child’s behavioral inhibition. Future improvements should focus on recruiting a larger sample size and incorporating the feedback from both father and mother in completing the measures.
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References
Affrunti, N. W., & Ginsburg, G. S. (2012). Exploring parental predictors of child anxiety: The mediating role of child interpretation bias. Child & Youth Care Forum, 41(6), 517–527. https://doi.org/10.1007/s10566-012-9186-6
Ahmad, N. F., Mansor, M., Madon, Z., Samah, A. A., & Zeehan, F. (2016). Level and profile of internalizing behaviors problem among preschool children: evidence from Malaysia. Asian Social Science, 12(9), 26. https://doi.org/10.5539/ass.v12n9p26
Aktar, E., Majdandžić, M., de Vente, W., & Bögels, S. M. (2013). The interplay between expressed parental anxiety and infant behavioral inhibition predicts infant avoidance in a social referencing paradigm. Journal of Child Psychology and Psychiatry, 54(2), 144–156. https://doi.org/10.1111/j.1469-7610.2012.02601.x
Aktar, E., Majdandžić, M., De Vente, W., & Bögels, S. M. (2017). Parental expressions of anxiety and child temperament in toddlerhood jointly predict preschoolers’ avoidance of novelty. Journal of Clinical Child & Adolescent Psychology, 47(sup1), S421–S434. https://doi.org/10.1080/15374416.2017.1371029
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).
Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182. https://doi.org/10.1037/0022-3514.51.6.1173
Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893–897.
Bishop, G., Spence, S. H., & Mcdonald, C. (2003). Can parents and teachers provide a reliable and valid report of behavioral inhibition? Child Development, 74(6), 1899–1917. https://doi.org/10.1046/j.1467-8624.2003.00645.x
Bollen, K. A., & Stine, R. (1990). Direct and indirect effects: Classical and bootstrap estimates of variability. Sociological Methodology, 20, 115. https://doi.org/10.2307/271084
Broeren, S., & Muris, P. (2008). Psychometric evaluation of two new parent-rating scales for measuring anxiety symptoms in young Dutch children. Journal of Anxiety Disorders, 22(6), 949–958. https://doi.org/10.1016/j.janxdis.2007.09.008
Broeren, S., & Muris, P. (2009). A psychometric evaluation of the behavioral inhibition questionnaire in a non-clinical sample of Dutch children and adolescents. Child Psychiatry & Human Development, 41(2), 214–229. https://doi.org/10.1007/s10578-009-0162-9
Burstein, M., Ginsburg, G. S., & Tein, J.-Y. (2010). Parental anxiety and child symptomatology: an examination of additive and interactive effects of parent psychopathology. Journal of Abnormal Child Psychology, 38(7), 897–909. https://doi.org/10.1007/s10802-010-9415-0
Canals, J., Voltas, N., Hernández-Martínez, C., Cosi, S., & Arija, V. (2018). Prevalence of DSM-5 anxiety disorders, comorbidity, and persistence of symptoms in Spanish early adolescents. European Child & Adolescent Psychiatry, 28(1), 131–143. https://doi.org/10.1007/s00787-018-1207-z
Copeland, W. E., Angold, A., Shanahan, L., & Costello, E. J. (2014). Longitudinal patterns of anxiety from childhood to adulthood: The Great Smoky Mountains Study. Journal of the American Academy of Child & Adolescent Psychiatry, 53(1), 21–33. https://doi.org/10.1016/j.jaac.2013.09.017
Creamer, M., Foran, J., & Bell, R. (1995). The Beck Anxiety Inventory in a non-clinical sample. Behavior Research and Therapy, 33(4), 477–485. https://doi.org/10.1016/0005-7967(94)00082-u
Crosby Budinger, M., Drazdowski, T. K., & Ginsburg, G. S. (2012). Anxiety-promoting parenting behaviors: A comparison of anxious parents with and without social anxiety disorder. Child Psychiatry & Human Development, 44(3), 412–418. https://doi.org/10.1007/s10578-012-0335-9
Dougherty, L. R., Tolep, M. R., Bufferd, S. J., Olino, T. M., Dyson, M., Traditi, J., Rose, S., Carlson, G. A., & Klein, D. N. (2013). Preschool anxiety disorders: Comprehensive assessment of clinical, demographic, temperamental, familial, and life stress correlates. Journal of Clinical Child & Adolescent Psychology, 42(5), 577–589. https://doi.org/10.1080/15374416.2012.759225
Drake, K. L., & Ginsburg, G. S. (2011). Parenting practices of anxious and nonanxious mothers: A multi-method, multi-informant approach. Child & Family Behavior Therapy, 33(4), 299–321. https://doi.org/10.1080/07317107.2011.623101
Faber, J., & Fonseca, L. M. (2014). How sample size influences research outcomes. Dental Press Journal of Orthodontics, 19(4), 27–29. https://doi.org/10.1590/2176-9451.19.4.027-029.ebo
First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2016). Structured clinical interview for DSM-5 disorders, Clinician version (SCID-5-CV). American Psychiatric Association.
Ghandour, R. M., Sherman, L. J., Vladutiu, C. J., Ali, M. M., Lynch, S. E., Bitsko, R. H., & Blumberg, S. J. (2019). Prevalence and treatment of depression, anxiety, and conduct problems in US children. The Journal of Pediatrics, 206, 256–267.e3. https://doi.org/10.1016/j.jpeds.2018.09.021
Gramszlo, C., Geronimi, E. M. C., Arellano, B., & Woodruff-Borden, J. (2017). Testing a cognitive pathway between temperament and childhood anxiety. Journal of Child and Family Studies, 27(2), 580–590. https://doi.org/10.1007/s10826-017-0914-2
Hayes, A. F. (2009). Beyond Baron and Kenny: Statistical mediation analysis in the new millennium. Communication Monographs, 76(4), 408–420. https://doi.org/10.1080/03637750903310360
Henderson, H. A., Green, E. S., & Wick, B. L. (2018). The social world of behaviorally inhibited children: A transactional account. In K. Perez-Edgar & N. A. Fox, Behavioral inhibition: Integrating theory, research, and clinical perspectives (pp. 135-155). Springer International Publishing. https://doi.org/10.1007/978-3-319-98077-5_11
Hong, L. B., Arshat, D. Z., & Yaacob, D. S. N. (2018). Temperament and anxiety of children in childcare centre: Child-parent relationship as mediator. International Journal of Humanities and Social Science, 8(5). https://doi.org/10.30845/ijhss.v8n5a9
Hudson, J. L., Murayama, K., Meteyard, L., Morris, T., & Dodd, H. F. (2018). Early childhood predictors of anxiety in early adolescence. Journal of Abnormal Child Psychology. https://doi.org/10.1007/s10802-018-0495-6
Indran, R. (2016). Relationship between child temperament and maternal parenting behavior amongst preschool children in Serdang, Selangor, Malaysia. [Master’s thesis, Universiti Putra Malaysia, Malaysia]. University Putra Malaysia Institutional Repository (UPMIR). http://psasir.upm.edu.my/id/eprint/66754/
Jafari, M., Baharudin, R., & Archer, M. (2016). Fathers’ parenting behaviors and Malaysian adolescents’ anxiety. Journal of Family Issues, 37(2), 198–220. https://doi.org/10.1177/0192513x13513580
Jansen, M., Bodden, D. H. M., Muris, P., van Doorn, M., & Granic, I. (2017). Measuring anxiety in children: The importance of separate mother and father reports. Child & Youth Care Forum, 46(5), 643–659. https://doi.org/10.1007/s10566-017-9402-5
Jones, S. R., Carley, S., & Harrison, M. (2003). An introduction to power and sample size estimation. Emergency Medicine Journal: EMJ, 20(5), 453–458. https://doi.org/10.1136/emj.20.5.453
Kagan, J., Reznick, J. S., Clarke, C., Snidman, N., & Garcia-Coll, C. (1984). Behavioral inhibition to the unfamiliar. Child Development, 55(6), 2212. https://doi.org/10.2307/1129793
Kerns, C. E., Pincus, D. B., McLaughlin, K. A., & Comer, J. S. (2017). Maternal emotion regulation during child distress, child anxiety accommodation, and links between maternal and child anxiety. Journal of Anxiety Disorders, 50, 52–59. https://doi.org/10.1016/j.janxdis.2017.05.002
Latiff et al. (2015). Prevalence of anxiety and its association with socio-demographic factors among secondary school students in Pasir Gudang district, Johor. International Journal of Public Health and Clinical Sciences, 2(6), 104-112.
Lawrence, P. J., Murayama, K., & Creswell, C. (2019). Systematic review and meta-analysis: Anxiety and depressive disorders in offspring of parents with anxiety disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 58(1), 46–60. https://doi.org/10.1016/j.jaac.2018.07.898
Lewis-Morrarty, E., Degnan, K. A., Chronis-Tuscano, A., Pine, D. S., Henderson, H. A., & Fox, N. A. (2014). Infant attachment security and early childhood behavioral inhibition interact to predict adolescent social anxiety symptoms. Child Development, 86(2), 598–613. https://doi.org/10.1111/cdev.12336
Luis-Joaquin, G. L., Lourdes, E. F., & José A, M. M. (2020). Behavioral inhibition in childhood as a risk factor for development of social anxiety disorder: A longitudinal study. International Journal of Environmental Research and Public Health, 17(11), 3941. https://doi.org/10.3390/ijerph17113941
Mian, N. D., Wainwright, L., Briggs-Gowan, M. J., & Carter, A. S. (2010). An ecological risk model for early childhood anxiety: The importance of early child symptoms and temperament. Journal of Abnormal Child Psychology, 39(4), 501–512. https://doi.org/10.1007/s10802-010-9476-0
Micco, J. A., Henin, A., Mick, E., Kim, S., Hopkins, C. A., Biederman, J., & Hirshfeld-Becker, D. R. (2009). Anxiety and depressive disorders in offspring at high risk for anxiety: A meta-analysis. Journal of Anxiety Disorders, 23(8), 1158–1164. https://doi.org/10.1016/j.janxdis.2009.07.021
Möller, E. L., Majdandžić, M., & Bögels, S. M. (2014). Parental anxiety, parenting behavior, and infant anxiety: Differential associations for fathers and mothers. Journal of Child and Family Studies, 24(9), 2626–2637. https://doi.org/10.1007/s10826-014-0065-7
Mousavi, S. E., Low, W. Y., & Hashim, A. H. (2016). Perceived parenting styles and cultural influences in adolescent’s anxiety: A cross-cultural comparison. Journal of Child and Family Studies, 25(7), 2102–2110. https://doi.org/10.1007/s10826-016-0393-x
Mukhtar, F. & Zulkefly, N. S. (2011). The Beck Anxiety Inventory for Malays (BAI-Malay): A preliminary study on psychometric properties. Malaysian Journal of Medicine and Health Sciences, 7(1), 73-79.
Pahl, K. M., Barrett, P. M., & Gullo, M. J. (2012). Examining potential risk factors for anxiety in early childhood. Journal of Anxiety Disorders, 26(2), 311–320. https://doi.org/10.1016/j.janxdis.2011.12.013
Paulus, F. W., Backes, A., Sander, C. S., Weber, M., & von Gontard, A. (2014). Anxiety disorders and behavioral inhibition in preschool children: a population-based study. Child Psychiatry & Human Development, 46(1), 150–157. https://doi.org/10.1007/s10578-014-0460-8
Perez-Edgar, K. (2018). Attention mechanisms in behavioral inhibition: Exploring and exploiting the environment. In K. Perez-Edgar & N. A. Fox, Behavioral inhibition: Integrating theory, research, and clinical perspectives (pp. 237-261). Springer International Publishing. https://doi.org/10.1007/978-3-319-98077-5_11
Raknes, S., Pallesen, S., Himle, J. A., Bjaastad, J. F., Wergeland, G. J., Hoffart, A., … Haugland, B. S. M. (2017). Quality of life in anxious adolescents. Child and Adolescent Psychiatry and Mental Health, 11(1). https://doi.org/10.1186/s13034-017-0173-4
Samsul Bahari, S. N., & Dzainudin, M. (2020). Persepsi ibu bapa terhadap separation anxiety kanak-kanak. Jurnal Pendidikan Awal Kanak-Kanak Kebangsaan, 9, 61-72. https://ejournal.upsi.edu.my/index.php/JPAK/article/view/4538
Sheehan, D. V. (2015). Mini international neuropsychiatric interview 7.0. Medical Outcomes Systems.
Spence, S. H., Rapee, R., McDonald, C., & Ingram, M. (2001). The structure of anxiety symptoms among preschoolers. Behavior Research and Therapy, 39(11), 1293–1316. https://doi.org/10.1016/s0005-7967(00)00098-x
Teetsel, R. N., Ginsburg, G. S., & Drake, K. L. (2013). Anxiety-promoting parenting behaviors: a comparison of anxious mothers and fathers. Child Psychiatry & Human Development, 45(2), 133–142. https://doi.org/10.1007/s10578-013-0384-8
Waite, P., & Creswell, C. (2015). Observing interactions between children and adolescents and their parents: The effects of anxiety disorder and age. Journal of Abnormal Child Psychology, 43(6), 1079–1091. https://doi.org/10.1007/s10802-015-0005-z
Yap, C. C. (2015). Relationships between gender, child temperament, parent-child relationship and behavior problems among preschool children in Kuala Lumpur. [Master’s thesis, Universiti Putra Malaysia, Malaysia]. University Putra Malaysia Institutional Repository (UPMIR). http://psasir.upm.edu.my/id/eprint/58240/1/FEM%202015%2026IR.pdf
Zakaria, M. Z., Yunus, F., & Mohamed, S. (2020). Examining self-awareness through drawing activity among preschoolers with high socio emotional development. Southeast Asia Early Childhood Journal, 9(2), 73-81. https://ejournal.upsi.edu.my/index.php/SAECJ/article/view/3516
Zakaria, M. Z., Yunus, F., & Mohamed, S. (2021). Drawing activities enhance preschoolers socio emotional development. Southeast Asia Early Childhood Journal, 10(1), 18-27. https://doi.org/10.37134/saecj.vol10.1.2.2021
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