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Family issues in child anxiety: Attachment, family functioning, parental rearing and beliefs
Abstract
Family studies have found a large overlap between anxiety disorders in family members. In addition to genetic heritability, a range of family factors may also be involved in the intergenerational transmission of anxiety. Evidence for a relationship between family factors and childhood as well as parental anxiety is reviewed. Four groups of family variables are considered: (I) attachment; (II), aspects of family functioning, such as marital conflict, co-parenting, functioning of the family as a whole, and sibling relationships; (III) parental rearing strategies; and (IV) beliefs that parents hold about their child. The reviewed literature provides evidence for an association between each of these family factors and child anxiety. However, there is little evidence as yet that identified family factors are specific to child anxiety, rather than to child psychopathology in general. Moreover, evidence for a relationship between child anxiety and family factors is predominantly cross-sectional. Therefore, whether the identified family factors cause childhood anxiety still needs to be investigated. Further research that investigates mechanisms mediating the relationship between family factors and child anxiety is also called for. Finally, parental beliefs are identified as important predictors of parental behaviour that have largely not been investigated in relation to child anxiety disorders.
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“Researchers seeking to improve outcomes of CBT for anxious youth have looked to parenting behavior, such as intrusive or controlling parenting and family accommodation (adjustments made to routines or actions to ease the child’s anxiety), as potential targets for optimization given that these caregiver variables have been shown to contribute to children’s anxiety symptoms [7,8].”
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“and child anxiety have on one another [21, 44].”
BackgroundInfluentialFamily Functioning and Psychological Health of Children with Mentally Ill Parents
Wiegand‐Grefe, S., Sell, M., Filter, B., & Plaß-Christl, A. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16071278 · Cited by 84
“Public Health 2019, 16, 1278; doi:10.3390/ijerph16071278 www.mdpi.com/journal/ijerph Boegels and Brechman-Toussaint [7] identified a higher percentage of dysfunctional family structures in families with parental anxiety disorders in comparison to psychologically healthy controls or other parental disorders.”
BackgroundInfluentialIrritability and Severity of Anxious Symptomatology Among Youth With Anxiety Disorders
Cornacchio, D., Crum, K. I., Coxe, S. J., Pincus, D. B., & Comer, J. S. (2015) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2015.10.007 · Cited by 91
Schleider, J. L., Vélez, C. E., Krause, E. D., & Gillham, J. E. (2013) · Cognitive Therapy and Research · doi:10.1007/s10608-013-9573-9 · Cited by 82
Group therapy for anxiety in children with autism spectrum disorder
McConachie, H., McLaughlin, E., Grahame, V., Taylor, H., Honey, E., Tavernor, L., Rodgers, J., Freeston, M., Hemm, C., Steen, N., et al. (2014) · Autism · doi:10.1177/1362361313488839 · Cited by 81
“Thematic analysis (Braun and Clarke, 2006) was used to extrapolate main themes from the transcripts; two independent raters divided participant responses into themes derived by the interviewer, with 100% agreement.”
MethodHudson, J. L., Newall, C., Rapee, R. M., Lyneham, H. J., Schniering, C. A., Wuthrich, V. M., Schneider, S. C., Seeley-Wait, E., Edwards, S., & Gar, N. S. (2013) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2013.807734 · Cited by 79
“…underreport their own anxiety symptoms, potentially due to feelings of guilt that is associated with feeling responsible for the child’s anxiety (Kendall & Suveg, 2006), and (b) self-report measures of anxiety tend to be less objective than clinical interviews (Bogels & Brechman-Toussaint, 2006).”
BackgroundBögels, S. M., Bamelis, L. L. M., & van der Bruggen, C. O. (2008) · Cognition & Emotion · doi:10.1080/02699930801886706 · Cited by 78
“Parental negativity is conceptualised as the absence of warmth and acceptance and the presence of parental criticism and rejection (see Bögels & Brechman-Toussaint, 2006).”
BackgroundResultSelf-citationBögels, S. M., Stevens, J., & Majdandžić, M. (2010) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2010.02345.x · Cited by 91
“…for the disorder (Hettema, Prescott, Myers, Neale, & Kendler, 2005; Kendler et al., 1992), factors such as information processing, modelling, rearing, and family functioning may play a role in the intergenerational transmission from parents to offspring (e.g., Bögels & Brechman-Toussaint, 2006).”
Self-citationBalan, R., Dobrean, A., Roman, G. D., & Balázsi, R. (2016) · Journal of Child and Family Studies · doi:10.1007/s10826-016-0532-4 · Cited by 78
“For example, two main domains of cognitive functioning posited to act as mechanisms through which parental over-control promotes child anxiety are outcome expectancy biases and children’s locus of control (e.g., Bögels & Brechman-Toussaint 2006; Chorpita & Barlow 1998).”
BackgroundYan, F., Zhang, Q., Ran, G., Li, S., & Niu, X. (2020) · Children and Youth Services Review · doi:10.1016/j.childyouth.2020.104900 · Cited by 76
Meyer, A., Hajcak, G., Bufferd, S. J., Kujawa, A., Laptook, R. S., Torpey, D. C., & Klein, D. N. (2014) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-014-9918-1 · Cited by 81
“…desirability and other biases associated with self-reports, it is difficult to determine the extent to which observations conducted in a short laboratory visit generalize to daily interactions between parents and children (Bögels and Brechman-Toussaint 2006; Epstein 1980; Greco and Morris 2002).”
BackgroundInfluentialvan Eijck, F. E. A. M., Branje, S., Hale, W. W., & Meeus, W. (2012) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-012-9613-z · Cited by 83
“It is assumed that emotional problems of adolescents could lead to negative responses of their parents (Bögels and Brechman-Toussaint 2006).”
BackgroundInfluentialThe impact of maternal anxiety disorder on mother-infant interaction in the postpartum period
Reck, C., Tietz, A., Müller, M., Seibold, K., & Tronick, E. Z. (2018) · PLoS ONE · doi:10.1371/journal.pone.0194763 · Cited by 77
“Other research has linked anxious parenting to higher parental control [45,46,47] (e.”
BackgroundResultEsbjørn, B. H., Pedersen, S. H., Daniel, S. I. F., Hald, H. H., Holm, J. M., & Steele, H. (2013) · British Journal of Clinical Psychology · doi:10.1111/bjc.12024 · Cited by 75
Ahmadzadeh, Y. I., Eley, T. C., Leve, L. D., Shaw, D. S., Natsuaki, M. N., Reiss, D., Neiderhiser, J. M., & McAdams, T. A. (2019) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13068 · Cited by 73
Developmental Epidemiology of Social Anxiety and Social Phobia in Adolescents
Knappe, S., Sasagawa, S., & Creswell, C. (2015) · Social Anxiety and Phobia in Adolescents · doi:10.1007/978-3-319-16703-9_3 · Cited by 74
Liber, J. M., van Widenfelt, B. M., Goedhart, A. W., Utens, E. M. W. J., van der Leeden, A. J. M., Markus, M. T., & Treffers, P. D. A. (2008) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374410802359692 · Cited by 75
“A recent meta-analysis (McLeod et al, 2006 ) and two reviews consistently identified higher rates of parental control as a substantial parenting factor related to anxiety in children (Bogels & Brechman-Toussaint, 2006 ; Wood, McLeod, Sigman, Hwang, & Chu, 2003 ).”
BackgroundA research for identifying study anxiety sources among university students
Vitasari, P., Wahab, M. N. A., Othman, A., & Awang, M. G. (2010) · International Education Studies · doi:10.5539/ies.v3n2p189 · Cited by 74
“Other sources as assumption in study anxiety, family factors are contribute to develop of anxiety disorders among students such as children of parents with anxiety disorders have an elevated rate of anxiety disorders (Susan and Margareth, 2006).”
Backgroundvan der Bruggen, C. O., Stams, G. J. J. M., Bögels, S. M., & Paulussen-Hoogeboom, M. C. (2010) · Infant and Child Development · doi:10.1002/icd.665 · Cited by 73
Self-citationGarthe, R. C., Sullivan, T. N., & Kliewer, W. L. (2014) · Journal of Youth and Adolescence · doi:10.1007/s10964-014-0112-0 · Cited by 87
“Additionally, several review articles found that parental warmth and acceptance were negatively related to depressive and anxiety symptoms (e.g., Bogels and Brechman-Toussaint 2006; Rapee 1997; Wood et al. 2003).”
Characterizing the association between parenting and adolescent social phobia
Knappe, S., Beesdo-Baum, K., Fehm, L., Lieb, R., & Wittchen, H.-U. (2012) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2012.02.014 · Cited by 87
“One parent may reinforce or even compensate for the unfavorable behavior of the other (Bögels & Brechman-Toussaint, 2006; Bögels & Phares, 2008).”
BackgroundAnxiety Disorders Among Children and Adolescents
Chiu, A. W., Falk, A. E., & Walkup, J. T. (2016) · FOCUS The Journal of Lifelong Learning in Psychiatry · doi:10.1176/appi.focus.20150029 · Cited by 73
Psychosocial mechanisms for the transmission of somatic symptoms from parents to children
van Tilburg, M. A. L. (2015) · World Journal of Gastroenterology · doi:10.3748/wjg.v21.i18.5532 · Cited by 77
Guo, L., Tian, L., & Huebner, E. S. (2018) · Journal of School Psychology · doi:10.1016/j.jsp.2018.04.002 · Cited by 87
Metadata
- Authors
- Bögels, S. M., & Brechman-Toussaint, M. L.
- Affiliations
- University of Amsterdam (NL)
- Corresponding author
- Bögels, Susan M.
- ORCID
- Bögels, Susan M.
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2006-11
- Volume
- 26
- Issue
- 7
- Pages
- 834-856
- ISSN
- 0272-7358 (ISSN-L)
- OpenAlex
- W1966079923
- Cited by
- 708
- References
- 173
- Citations by year
- 2026: 23 · 2025: 37 · 2024: 30 · 2023: 33 · 2022: 30 · 2021: 29 · 2020: 37 · 2019: 42 · 2018: 29 · 2017: 50 · 2016: 42 · 2015: 52 · 2014: 47 · 2013: 48 · 2012: 33
- FWCI
- 26.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (publishedVersion)
- EPubDev Repository (submittedVersion)
- RUNE (Research UNE) (submittedVersion)
- Research Publications (Maastricht University) (submittedVersion)
- 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 › Social Psychology › Attachment and Relationship Dynamics
- Keywords
- childhood anxiety, family factors, attachment, family functioning, parental beliefs, intergenerational transmission of anxiety, parental anxiety, marital conflict, co-parenting, sibling relationships, child psychopathology
- MeSH terms
- Adolescent, Anxiety Disorders, Attitude, Child, Psychology, Child, Child Rearing, Child, Preschool, Cognition, Family, Family Relations, Female, Humans, Infant, Male, Object Attachment, Perception, Risk Factors, Parenting
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