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Internalizing problems of childhood and adolescence: Prospects, pitfalls, and progress in understanding the development of anxiety and depression

ZAHN–WAXLER, CAROLYN, KLIMES–DOUGAN, BONNIE, SLATTERY, MARCIA J.·2000·Development and Psychopathology

Abstract

The focus of this article is on internalizing problems that are experienced by children and adolescents. We provide an historical perspective, selectively examine the current state of knowledge, consider advances and gaps in what is known, and identify new research directions. Diagnosis, epidemiology, theory, and research first are considered separately for anxiety and depressive disorders. These internalizing problems, however, whether clinical or subclinical, share many common features and show high comorbidity rates. We emphasize the importance of systematic analysis of comorbid anxiety and depression, including their comorbidity with externalizing problems. This could lead to more valid classification of subtypes of internalizing problems and further an understanding of the diverse conditions that constitute internalized distress. We highlight the need to study anxiety and depression within a developmental psychopathology framework, as well as to include both categorical and dimensional assessments of these problems in the same research designs. This will be essential for understanding the complex interplay of biological and environmental processes that contribute to the emergence, progression, and amelioration of internalizing problems over time.

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Metadata

Authors
ZAHN–WAXLER, C., KLIMES–DOUGAN, B., & SLATTERY, M. J.
Venue
Development and Psychopathology
Published
2000-09
Volume
12
Issue
3
Pages
443-466
ISSN
  • 0954-5794 (ISSN-L)
  • 1469-2198
OpenAlex
W2102614687
Cited by
808
References
18
FWCI
11.03
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Internalizing problems of childhood and adolescence: Prospects, pitfalls, and progress in understanding the development of anxiety and depression. https://app.cochat.ai/papers/10.1017/s0954579400003102
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ZAHN–WAXLER, C., KLIMES–DOUGAN, B., & SLATTERY, M. J. (2000). Internalizing problems of childhood and adolescence: Prospects, pitfalls, and progress in understanding the development of anxiety and depression. Development and Psychopathology. https://doi.org/10.1017/s0954579400003102

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.