Fears in Clinic-Referred Children: Relations With Child Anxiety Sensitivity, Maternal Overcontrol, and Maternal Phobic Anxiety
Abstract
Relations among maternal phobic anxiety, maternal overcontrol, child anxiety sensitivity, and child level of fear were explored in 156 children referred to an outpatient clinic for psychological evaluation. In addition, these relations were examined separately in analyses of age, gender, and diagnostic status. Overall, age, gender, and child anxiety sensitivity, along with maternal ratings of an overly controlling parenting strategy were significant predictors of levels of fear. These four variables predicted approximately 50% of the variance associated with fear levels. Surprisingly, maternal phobic anxiety was not a significant predictor in this sample of clinic-referred children. In separate analyses of age, gender, and diagnostic status (presence or absence of an anxiety disorder), anxiety sensitivity was a significant predictor of fear levels for both older and younger children, for both boys and girls, and for both children with and without an anxiety disorder. However, maternal overly controlling parenting strategy was significant only for the younger children (and not the older ones) and only for girls (and not boys). Moreover, maternal overcontrol was a marginally significant predictor for the anxiety-disorder group (and not the non-anxiety-disordered group). Results are discussed within a developmental framework, and implications for treatment are explored.
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The development and maintenance of fears and phobias is multi-determined, arising from a combination of reciprocal biopsychosocial influences including child factors, parent factors, and learning experiences.
“The development and maintenance of fears and phobias is multi-determined, arising from a combination of reciprocal biopsychosocial in fl uences including child factors (e.g., temperament, genetics, and cognitive processing of threat), parent factors (e.g., parental psychopathology, parenting practices), and learning experiences (e.g., stress, trauma, fear conditioning) (Kane et al., 2015; Ollendic”
From Specific Phobia in Young Children: Associations between the Origins of Fear and Clinical Expression of Phobia Symptoms. (2025) · cites this paper as Ollendick & Horsch, 2007
Overinvolved/controlling parenting and low parental warmth are associated with the development and course of anxiety symptoms and phobias, including greater distress and avoidance behaviours in children.
“Indeed, overinvolved/controlling parenting and low parental warmth are associated with the development and course of anxiety symptoms and phobias, including greater distress and avoidance behaviours in children (Kane et al., 2015; Murray et al., 2009; Ollendick & Horsch, 2007).”
From Specific Phobia in Young Children: Associations between the Origins of Fear and Clinical Expression of Phobia Symptoms. (2025) · cites this paper as Ollendick & Horsch, 2007
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- Authors
- Ollendick, T. H., & Horsch, L. M.
- Affiliations
- Virginia Tech (US)
- Corresponding author
- Ollendick, Thomas H.
- ORCID
- Ollendick, Thomas H.
- Venue
- Behavior Therapy
- Publisher
- Elsevier BV
- Published
- 2007-12
- Volume
- 38
- Issue
- 4
- Pages
- 402-411
- ISSN
- 0005-7894 (ISSN-L)
- OpenAlex
- W2029990574
- Cited by
- 50
- References
- 43
- Citations by year
- 2025: 4 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 2 · 2019: 1 · 2018: 4 · 2017: 3 · 2016: 3 · 2015: 2 · 2014: 4 · 2013: 2 · 2012: 5
- FWCI
- 3.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavior Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Child Therapy and Development
- Keywords
- children's fears, anxiety sensitivity, parenting styles, clinic-referred children, childhood anxiety disorders, age and gender differences, developmental framework
- MeSH terms
- Adolescent, Anxiety Disorders, Child, Fear, Female, Humans, Male, Maternal Behavior, Mother-Child Relations, Mothers, Phobic Disorders, Referral and Consultation, Severity of Illness Index, Diagnostic and Statistical Manual of Mental Disorders
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