The DOI matches its Crossref record; 227 of the 227 references it cites were found in a registry or an index.
Anxiety Disorders During Childhood and Adolescence: Origins and Treatment
Abstract
The present review summarizes our current knowledge of the development and management of anxiety in children and adolescents. Consideration is given to limitations of this knowledge and directions for future research. The review begins with coverage of the development and demographic correlates of anxiety in young people and then moves to systematic discussion of some of the key etiological factors, including genetics, temperament, parenting, and individual experiences. The second part of the review describes current treatment strategies and efficacy as well as factors thought to influence treatment outcome, including treatment features, child factors, and parent factors. The review concludes with brief coverage of some more recent developments in treatment including alternative models of delivery and prevention strategies.
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“Although it was once believed that rates of SAD peak in adolescence, prospective longitudinal studies are mixed in this regard and reveal elevation across both childhood and adolescence [38].”
In the citing paper
“have a major impact on their academic, social, and family functioning (Rapee et al., 2009 )”
From Child- and Parent-Report Measures of Behavioral Avoidance (CAMS/CAMP): Portuguese Validation in Clinical and Non-Clinical Samples. (2024) · cites this paper as Rapee et al., 2009
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Cites
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.6.593 · Cited by 20,391
Tripartite model of anxiety and depression: psychometric evidence and taxonomic implications
Clark, L. A., & Watson, D. (1991) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.100.3.316 · Cited by 4,601
Prevalence and development of psychiatric disorders in childhood and adolescence
Costello, E. J., Mustillo, S., Erkanli, A., Keeler, G., & Angold, A. (2003) · Archives of General Psychiatry · doi:10.1001/archpsyc.60.8.837 · Cited by 4,035
Hankin, B. L., Abramson, L. Y., Moffitt, T. E., Silva, P. A., McGee, R., & Angell, K. E. (1998) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.107.1.128 · Cited by 2,333
Gartstein, M. A., & Desmarais, E. (2016) · Sage eBooks · doi:10.4135/9781483340333.n409 · Cited by 2,185
Angold, A., Costello, E. J., & Erkanli, A. (1999) · Journal of Child Psychology and Psychiatry · doi:10.1111/1469-7610.00424 · Cited by 1,872
Pine, D. S., Cohen, P., Gurley, D., Brook, J., & Ma, Y. (1998) · Archives of General Psychiatry · doi:10.1001/archpsyc.55.1.56 · Cited by 1,753
SHAFFER, D., FISHER, P., DULCAN, M. K., DAVIES, M., PIACENTINI, J., SCHWAB-STONE, M. E., LAHEY, B. B., BOURDON, K., JENSEN, P. S., BIRD, H. R., et al. (1996) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199607000-00012 · Cited by 1,587
A Review and Meta-Analysis of the Genetic Epidemiology of Anxiety Disorders
Hettema, J. M., Neale, M. C., & Kendler, K. S. (2001) · American Journal of Psychiatry · doi:10.1176/appi.ajp.158.10.1568 · Cited by 1,563
Lewinsohn, P. M., Hops, H., Roberts, R. E., Seeley, J. R., & Andrews, J. A. (1993) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.102.1.133 · Cited by 1,547
Research works printed but not linked: 15
- 10.1037//0022-006X.64.2.333 · DOI · Paper page
- 10.1037//0022-006X.69.4.597 · DOI
- Berman S, 2000, J. Consult. Clin. Psychol., 64, 333
- 10.1037//0033-2909.124.1.3 · DOI · Paper page
- 10.1037//0021-843X.100.3.316 · DOI · Paper page
- 10.1037//0022-006X.67.1.145 · DOI
- Engfer A, 1993, Social Withdrawal, Inhibition, and Shyness in Children, 49
- James A, 2005, Cochrane Database Syst. Rev., 4, 1
- 10.1037//0022-006X.66.1.19 · DOI
- 10.1037//0022-006X.62.1.100 · DOI · Paper page
- 10.1037//0022-006X.65.3.366 · DOI · Paper page
- Kendall PC, 2006, Cognitive-Behavioral Therapy for Anxious Children: Therapist Manual
- 10.1037//0022-006X.60.6.904 · DOI
- Rapee RM, 2006, The Cool Kids® Child and Adolescent Anxiety Program Therapist Manual
- 10.1080/016502596385532 · DOI
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Sapotichne, B. (2015) · ScholarWorks @ The University of New Orleans (The University of New Orleans)
A Longitudinal Examination of Anxiety across Childhood and Adolescence
Zerr, A. A. (2012)
Alvaro, P. K. (2014) · Adelaide Research & Scholarship (AR&S) (University of Adelaide)
Faucher, J. (2016) · uO Research (University of Ottawa) · doi:10.20381/ruor-4933
“…thoughts (Leahy & Holland, 2000; Rapee, Gaston, & Abbott, 2009), particularly more about the impressions they are making, underestimating their social performance, and overestimating the visibility of their anxiety symptoms (Damer, Latimer, & Porter, 2010; Moscovitch, 2009; Rapee et al., 2009).”
Mikael Thastum, A., & Irene Lundkvist-houndoumadi, A. (2013)
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Riley, M. R. (2015) · ScholarWorks @ The University of New Orleans (The University of New Orleans)
Birrell, L. (2013) · Massey Research Online (Massey University)
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Baker, H. (2015) · cIRcle (University of British Columbia) · doi:10.14288/1.0167124
“Further, research exploring the development and presentation of GAD in children and youth is often inconsistent (Rapee et al., 2009).”
BackgroundNoel, M. E. (2012) · Library and Archives Canada (Government of Canada)
Rapee, R. M. (2013)
Self-citationFard, Z. G., Schneider, S. C., Hudson, J. L., Habibi, M., Pooravari, M., & Heidari, H. (2014)
Self-citationThe role of temperament in symptoms of depression and anxiety among children and adolescents
Zilber, I. (2015) · doi:10.7282/t34f1sms
“The strongest comorbid relationship between anxiety and other forms of psychopathology exists between anxiety and depression (Rapee et al., 2009).”
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ریاحی, م., Malekitabar, M., & Mohammad, K. (2015) · Annals of Military and Health Sciences Research
TROUBLES ANXIEUX CHEZ L'ENFANT ET L'ADOLESCENT NATURE, DEVELOPPEMENT, TRAITEMENT ET PREVENTION
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The Effectiveness of Animal-Assisted Interventions in Reducing Student Anxiety in School Settings
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Parent-Child and Sibling Relational Problems
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McKenzie, S. A. (2017) · ePrints Soton (University of Southampton)
Glazier, J. (2017) · Libraries and Cultural Resources (University of Calgary) · doi:10.11575/prism/26707
Hosan, N. E. (2017) · ERA: Education and Research Archive (University of Alberta) · doi:10.7939/r3z60cg2d
Leclerc, J. B., Rengade, C., & Clément, C. (2018) · Journal de Thérapie Comportementale et Cognitive · doi:10.1016/j.jtcc.2018.06.010
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Bechor, M. (2018) · FIU - Digital Commons (Florida International University) · doi:10.25148/etd.fidc006912
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Fliek (2020) · Research Publications (Maastricht University) · doi:10.26481/dis.20200124lf
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Xiao, B. (2020) · Carleton University's Institutional Repository (MacOdrum Library, Carleton University) · doi:10.22215/etd/2020-14083
Portuguese validation of the Separation Anxiety Scale for Children (SASC)
Sousa‐Rodrigues, M. F., Espada, J. P., Gonzálvez, M. T., & Orgilés, M. (2020) · Psychology in the Schools · doi:10.1002/pits.22428
Treating broad-based anxiety problems
Newall, C., Dodd, H. F., Hudson, J. L., & Rapee, R. M. (2013) · Cambridge University Press eBooks · doi:10.1017/cbo9781139344456.021
Self-citationBerg, M. (2021) · Linköping studies in behavioural science · doi:10.3384/diss.diva-173553
“Other common techniques to manage fear are relaxation, coping with thoughts, and attention focus training (Rapee et al., 2009).”
BackgroundAnxiety Disorder Symptoms in Chinese Preschool Children
Zhao, M. W. (2015)
Le mutisme sélectif : mieux comprendre pour mieux accompagner
Zebdi, R. (2021) · La Revue de Santé Scolaire et Universitaire · doi:10.1016/j.revssu.2021.03.008
Urao, Y., Yoshida, M., Sato, Y., & Shimizu, E. (2020) · Research Square · doi:10.21203/rs.3.rs-49225/v1
Cognitive behavioral therapy in children with anxiety disorders
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Zollman, J. W., Forbes, E. E., Cyranowski, J. M., Woods, B. K., & Morgan, J. K. (2021) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2021.100207
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Miller, M. (2014) · Scholar Commons (University of South Carolina)
A model of resilience in children at risk for the development of anxiety.
Schrock, M. D. (2012) · doi:10.18297/etd/1282 · Cited by 1
“Rothbart (2006) has suggested the temperament is open to environmental influence, and work by Calkins (1994) has supported the integral role of”
BackgroundCardamone-Breen, M. C., Jorm, A. F., Lawrence, K. A., Rapee, R. M., Mackinnon, A. J., & Yap, M. B. H. (2017) · doi:10.2196/preprints.9499
Self-citationKapfhammer, H. (2011) · Springer eBooks · doi:10.1007/978-3-642-03637-8_57
Bowker, J. C., Rubin, K. H., & Coplan, R. J. (2018) · Springer eBooks · doi:10.1007/978-3-319-33228-4_124 · Cited by 1
(2012) · Wiley eBooks · doi:10.1002/9781119977452.refs
GELLER, D. A., & Hammerness, P. G. (2011) · Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature · doi:10.3410/f.11695957.12773056
Lee, J. Y., Cui, L., & Sung, J. (2022) · THE KOREAN JOURNAL OF DEVELOPMENTAL PSYCHOLOGY · doi:10.35574/kjdp.2022.3.35.1.1
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Şahin, H., & ÇABUK, F. U. (2022) · International Journal of Educational Research Review · doi:10.24331/ijere.986376
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Törő, K., Takács, S., & Csikós, G. (2021) · European Journal of Natural Sciences and Medicine · doi:10.26417/931obr58v
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Batten, L. A. (2014) · Carleton University's Institutional Repository (MacOdrum Library, Carleton University) · doi:10.22215/etd/2014-10522
Gupta, S., & Mehta, M. (2015) · Springer eBooks · doi:10.1007/978-81-322-2241-5_10
(2016) · Elsevier eBooks · doi:10.1016/b978-3-437-21833-0.16001-2
Psychiatrie de l'enfant et de l'adolescent
Picard, C., & Lavergne, J. (2014) · De Boeck Supérieur eBooks · doi:10.3917/dbu.holze.2014.01.0045
Therapeutic Gaming for Adolescent Anxiety
Barnes, S., & Prescott, J. (2022) · IGI Global eBooks · doi:10.4018/978-1-6684-7589-8.ch037
Pishdar, S., Kalantari, S., Kalantari, S., Sheikhi, H. R., & Kuchaki, Z. (2024) · Cureus · doi:10.7759/cureus.55299
“Anxiety disorders are the most common form of emotional disturbance among children and adolescents, with a prevalence rate that varies from 5% to 10% [1,2].”
BackgroundParent-Only Treatment for Child Anxiety
Shimshoni, Y., Rebecca, G. E., & Lebowitz, E. R. (2024) · Advances in Psychiatry and Behavioral Health · doi:10.1016/j.ypsc.2024.05.002
Maternal Punitive Responses, Safety Behaviors, and Fear in Anxious Children
Conroy, H. E., Viana, A. G., Raines, E. M., Trent, E. S., Silva, K., Zvolensky, M. J., & Storch, E. A. (2024) · Journal of Child and Family Studies · doi:10.1007/s10826-024-02915-x
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Musami, U. B., Kareem, Y. A., Abdulmalik, J. O., Machina, B. K., Yerima, M. M., & Ibrahim, A. W. (2024) · Medicor Journal of Health Informatics and Health Policy · doi:10.61978/medicor.v2i1.210 · Cited by 1
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Arıkan, D. S. (2024) · Özgür Yayınları eBooks · doi:10.58830/ozgur.pub534.c2198
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Demir, B. K., & Öztürk, B. (2024) · Özgür Yayınları eBooks · doi:10.58830/ozgur.pub534.c2211 · Cited by 1
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Self-citationCao, H., Wang, S., Zhou, N., & Zhang, M. (2025) · Journal of Applied Developmental Psychology · doi:10.1016/j.appdev.2025.101761
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Schmidtendorf, S., Asbrand, J., Tuschen‐Caffier, B., & Heinrichs, N. (2025) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2025.102029
Bilodeau-Houle, A., Duplessis-Marcotte, F., Raymond, C., Primiani, R., & Marin, M. (2025) · Journal of Neural Transmission · doi:10.1007/s00702-025-02898-z
“…the proportion of boys and girls was well-balanced, a larger sample size would have allowed us to investigate the potential influence of children’s sex on the data, as girls present more depressive and anxiety symptoms than boys (Rapee et al. 2009; Roza et al. 2003; Schraedley et al. 1999).”
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Yürümez, E., Uytun, M. Ç., Efendi, G. Y., Ünlü, H. K., Aktaş, S., & Öztop, D. B. (2025) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0000000000001443
Türk, F., & Hamamcı, Z. (2025) · Journal of Rational-Emotive & Cognitive-Behavior Therapy · doi:10.1007/s10942-025-00635-9
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Sampaio, C. P., & Blanc, R. (2025) · La psychiatrie de l enfant · doi:10.3917/psye.682.0351
Chhetri, A., Bhandarı, S. S., Lasopa, S. O., & Dutta, S. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1759096
Metadata
- Authors
- Rapee, R. M., Schniering, C. A., & Hudson, J. L.
- Affiliations
- Macquarie University (AU)
- Venue
- Annual Review of Clinical Psychology
- Publisher
- Annual Reviews
- Published
- 2009-04-01
- Volume
- 5
- Issue
- 1
- Pages
- 311-341
- ISSN
- 1548-5943 (ISSN-L)
- 1548-5951
- OpenAlex
- W2167192006
- Cited by
- 821
- References
- 223
- Citations by year
- 2026: 18 · 2025: 40 · 2024: 30 · 2023: 38 · 2022: 33 · 2021: 56 · 2020: 49 · 2019: 39 · 2018: 47 · 2017: 79 · 2016: 48 · 2015: 71 · 2014: 79 · 2013: 64 · 2012: 54
- FWCI
- 5.95
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annual Review of Clinical Psychology (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
- childhood anxiety, adolescent anxiety, anxiety disorders, causes of anxiety, temperament, parenting, treatment outcomes, treatment efficacy, prevention
- MeSH terms
- Adolescent, Anxiety Disorders, Bibliotherapy, Child, Humans, Life Change Events, Parent-Child Relations, Risk Factors, Temperament, Cognitive Behavioral Therapy, Parenting, Treatment Outcome, Genetic Predisposition to Disease
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