A longitudinal look at the relation between depression and anxiety in children and adolescents

Abstract

Elementary school students (n = 330) and their parents (n = 228) participated in a 3-year longitudinal study of the temporal relation between anxiety and depressive symptoms in children. Every 6 months, children and parents completed depression and anxiety questionnaires for a total of 6 waves. Structural equation modeling revealed that individual differences on all measures were remarkably stable over time. Nevertheless, high levels of anxiety symptoms at 1 point in time predicted high levels of depressive symptoms at subsequent points in time even after controlling for prior levels of depression symptoms. These findings were consistent across self- and parent reports. Results support the temporal hypothesis that anxiety leads to depression in children and adolescents.

Cites (47)

1. Child/adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity.
   Achenbach, Thomas M., McConaughy, Stephanie H., Howell, Catherine T. · 1987 · Psychological Bulletin
2. What I Think and Feel: A Revised Measure of Children's Manifest Anxiety
   Cecil R. Reynolds, Bert O. Richmond · 1997 · Research on Child and Adolescent Psychopathology
3. Rating scales to assess depression in school-aged children.
   Mária Kovács · 1981 · PubMed
4. Comorbidity in Child Psychopathology: Concepts, Issues and Research Strategies
   Caron, Chantal, Rutter, Michael · 1991 · Journal of Child Psychology and Psychiatry
5. Sex differences in depression
   Wilhelm, Kathleen Anne · 1991 · Choice Reviews Online
6. Normative and reliability data for the children's depression inventory
   Mervin R. Smucker, W. Edward Craighead, Linda Wilcoxon Craighead, Barbara J. Green · 1986 · Research on Child and Adolescent Psychopathology
7. Comorbidity of anxiety and depression in children and adolescents
   Brady, Erika U., Kendall, Philip C. · 1992 · Psychological Bulletin
8. Depressive Disorders in Childhood
   Mária Kovács, Constantine G. Gatsonis, S L Paulauskas, C. Richards · 1989 · Archives of General Psychiatry
9. Social-cognitive and cognitive correlates of depression in children
   Nadine J. Kaslow, Lynn P. Rehm, Alexander W. Siegel · 1984 · Research on Child and Adolescent Psychopathology
10. The relationship between anxiety and depression
    Keith Stephen Dobson · 1985 · Clinical Psychology Review
11. "Adolescent psychopathology: I. Prevalence and incidence of depression and other DSM-III--R disorders in high school students": Correction.
    Peter M. Lewinsohn, Hyman Hops, ROBERT EDMUND ROBERTS, John Robert Seeley, Judy A. Andrews · 1993 · Journal of Abnormal Psychology
12. The Relationship of Anxiety and Depression: A Review of the Literature
    Chrissoula Stavrakaki, Beverley Vargo · 1986 · The British Journal of Psychiatry
13. Modeling causal relations between academic and social competence and depression: A multitrait-multimethod longitudinal study of children.
    David A. Cole, Joan M. Martin, Bruce P. Powers, Ruth Truglio · 1996 · Journal of Abnormal Psychology
14. Modeling causal relations between academic and social competence and depression: A multitrait-multimethod longitudinal study of children.
    Cole, David A., Martin, Joan M., Powers, Bruce, Truglio, Ruth · 1996 · Journal of Abnormal Psychology
15. Assessment of Childhood Depression: Correspondence of Child and Parent Ratings
    Alan E. Kazdin, Nancy H. French, Alan S. Unis, Karen Esveldt‐Dawson · 1983 · Journal of the American Academy of Child Psychiatry
16. Preliminary support for a competency-based model of depression in children.
    David A. Cole · 1991 · Journal of Abnormal Psychology
17. Association between anxiety and depression in children and adolescents with anxiety disorders
    Cyd C. Strauss, Cynthia G. Last, Michel Hersen, Alan E. Kazdin · 1988 · Research on Child and Adolescent Psychopathology
18. Adolescent Psychopathology: IV. Specificity of Psychosocial Risk Factors for Depression and Substance Abuse in Older Adolescents
    LEWINSOHN, PETER M., GOTLIB, IAN H., SEELEY, JOHN R. · 1995 · Journal of the American Academy of Child & Adolescent Psychiatry
19. Psychosocial risks for major depression in late adolescence: a longitudinal community study
    REINHERZ, HELEN Z., GIACONIA, ROSE M., PAKIZ, BILGE, SILVERMAN, AMY B., FROST, ABBIE K., LEFKOWITZ, EVA S. · 1993 · Journal of the American Academy of Child & Adolescent Psychiatry
20. Children's Depression Inventory: Sex and grade norms for normal children.
    Alfred J. Finch Jr., Conway Fleming Saylor, Garry L. Edwards · 1985 · Journal of Consulting and Clinical Psychology
21. Depression in a Sample of 9-Year-Old Children
    Javad H. Kashani · 1983 · Archives of General Psychiatry
22. Depression and anxiety in children: A comparison of self-report questionnaires to clinical interview.
    Kay Kline Hodges · 1990 · Psychological Assessment
23. School phobia: the overlap of affective and anxiety disorders
    BERNSTEIN, GAIL A., GARFINKEL, BARRY D. · 1986 · Journal of the American Academy of Child Psychiatry
24. Symptoms of DSM-III-R Major Depression in Adolescence: Evidence from an Epidemiological Survey
    ROBERT EDMUND ROBERTS, Peter M. Lewinsohn, John Robert Seeley · 1995 · Journal of the American Academy of Child & Adolescent Psychiatry
25. Relation between symptoms of anxiety and depression in children: A multitrait-multimethod-multigroup assessment.
    David A. Cole, Ruth Truglio, Lachlan G. Peeke · 1997 · Journal of Consulting and Clinical Psychology
26. Continuity of psychopathology in a community sample of adolescents
    ORVASCHEL, HELEN, LEWINSOHN, PETER M., SEELEY, JOHN R. · 1995 · Journal of the American Academy of Child & Adolescent Psychiatry
27. Depression in children and adolescents: Assessment issues and recommendations
    Philip C. Kendall, Dennis P. Cantwell, Alan E. Kazdin · 1989 · Cognitive Therapy and Research
28. Negative affectivity in children: A multitrait-multimethod investigation.
    Vicky V. Wolfe, Alfred J. Finch Jr., Conway Fleming Saylor, Ronald L. Blount, Thomas P. Pallmeyer, Donald J. Carek · 1987 · Journal of Consulting and Clinical Psychology
29. Discriminating patterns of emotions in 10- and 11-yr-old children's anxiety and depression.
    Samuel H. Blumberg, Carroll E. Izard · 1986 · Journal of Personality and Social Psychology
30. The Relationship of Early Risk and Current Mediators to Depressive Symptomatology in Adolescence
    Helen Z. Reinherz, Geraldine Stewart-Berghauer, Bilgé Pakiz, Abbie K. Frost, Barbara A. Moeykens, William M. Holmes · 1989 · Journal of the American Academy of Child & Adolescent Psychiatry
31. Overanxious disorder: An examination of developmental differences
    Cyd C. Strauss, Cynthia A. Lease, Cynthia G. Last, Greta Francis · 1988 · Research on Child and Adolescent Psychopathology
32. Predicting the One-Year Course of Adolescent Major Depression
    Mark Sanford, Péter Szatmári, Miriam R. Spinner, Heather Munroe-Blum, Ellen Jamieson, Christine Ann Walsh, DEBBIE JONES · 1995 · Journal of the American Academy of Child & Adolescent Psychiatry
33. Identifying depression in children: A comparison of alternative selection criteria
    Alan E. Kazdin · 1989 · Research on Child and Adolescent Psychopathology
34. Assessment of childhood anxiety using structured interviews: Patterns of agreement among informants and association with maternal anxiety.
    Paul Joseph Frick, Persephanie Silverthorn, Clea C. Evans · 1994 · Psychological Assessment
35. Anxiety disorders in adolescence: Characteristics, prevalence, and comorbidities
    Duncan B. Clark, Melinda G. Smith, Bryan Neighbors, Lynne M. Skerlec, Jeff Randall · 1994 · Clinical Psychology Review
36. Studying the emergence of depression and depressive symptoms during adolescence
    Jeanne Brooks-gunn B, Anne C. Petersen · 1991 · Journal of Youth and Adolescence
37. Assessment of Childhood Depression, Anxiety, and Aggression: Convergent and Discriminant Validity of Self-, Parent-, Teacher-, and Peer-Report Measures
    Catherine C. Epkins, Andrew W. Meyers · 1994 · Journal of Personality Assessment
38. Anxiety and depressive disorders in psychiatrically disturbed children.
    Sandra G. Hershberg, Gabrielle A. Carlson, Dennis P. Cantwell, Michael A. Strober · 1982 · PubMed
39. Relation of depressive symptoms to the structure of self-knowledge in childhood.
    Augustus E. Jordan, David A. Cole · 1996 · Journal of Abnormal Psychology
40. Anxiety and depression in adults and children
    Kenneth D. Craig, Keith S. Dobson · 1995
41. Understanding and treating depression in anxious patients.
    Steven L. Dubovsky · 1990 · PubMed
42. Anxious depression : assessment and treatment
    Giorgio Racagni, Enrico Smeraldi · 1987 · Raven Press eBooks
43. Empirical Measurement of Overanxious Disorder in Boys 8 to 12 Years Old
    Richard E. Mattison, Stephen J. Bagnato · 1987 · Journal of the American Academy of Child & Adolescent Psychiatry
44. Peer ratings of depression, anxiety, and aggression in inpatient and elementary school children: Rating biases and influence of rater's self-reported depression, anxiety, and aggression
    Catherine C. Epkins · 1994 · Research on Child and Adolescent Psychopathology
45. The Relationship Between Anxiety and Depression in Children: Rating Scales and Clinical Variables *
    Chryssoula Stavrakaki, Beverley Vargo, Lal Boodoosingh, N. Roberts · 1987 · The Canadian Journal of Psychiatry
46. Stress, anxiety, and depression: Review of biological, diagnostic, and nosologic issues
    E. Friedman, D. Clark, S. Gershon · 1992 · Journal of Anxiety Disorders
47. Untitled work
    1987 · 10.1002/1097-4679(198707)43:4

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11. Prevention and Early Intervention of Anxiety Disorders in Inhibited Preschool Children.
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