Worry In Children Research Articles

Perceptions of Asthma Quality of Life in Children and Parent Dyads in Two Rural Counties in West Virginia.

This study examines perceived quality of life (QOL) in a convenience sample of children (aged 7-11) with asthma and their parents from two schools in rural West Virginia. Forty-nine child-parent dyads representing 25 males and 24 females completed the study. The PedsQL™ 3.0 Asthma Module was utilized to separately measure child and parent perceptions of various dimensions of pediatric, asthma-specific, health-related QOL. Dimensions of the tool were scored separately and included symptoms, treatment, worry, and communication. The mean module dimension scores for children ranged from 63.27 to 80.47 and for parents, the range was from 61.26 to 79.79, with higher scores indicating higher QOL. Parents of male children perceived their son's QOL to be higher than that of female children in the symptoms and treatment dimensions. Strong relationships occurred between the child's worry and the other three dimensions as well as between the symptoms and the treatment dimensions. For the dyads, the only significant relationship was between the child and the adult treatment dimensions. With the well-documented burden of asthma in school-aged populations, information regarding the QOL of child and parent dyads will enhance school nurses' ability to improve health and educational outcomes in schools.

The Penn State Worry Questionnaire for Children: Age, Gender and Clinical Invariance.

The Penn State Worry Questionnaire for Children (PSWQ-C) is one of the most frequently used instruments to assess worry in children. The current study examines the measurement invariance of the PSWQ-C in a Romanian sample. Participants (n=759) were recruited from both community and clinical populations. Our findings have replicated the good psychometric properties of the PSWQ-C and of the short PSWQ-C (the original scale with the negative items deleted). Multigroup confirmatory factor analysis has supported measurement invariance (configural, metric, scalar) across gender, age and clinical diagnosis. Convergent validity with other assessment measures has also been established. Finally, the implications of the use of the PSWQ-C in the assessment of anxiety in children and adolescents are discussed.

Emotional Control Mediates the Association Between Dimensions of Perfectionism and Worry in Children.

Previous research has shown that perfectionism predicts for increased worry in children. Theoretically, children with high levels of perfectionism may show a decreased ability to control their emotions during times of perceived failure. Children may then worry as a maladaptive attempt to cope with intense emotions. The current study sought to test the mediating role of emotional control on the relation between perfectionism dimensions and worry in children. Participants were 66 parent-child dyads. Children were 7-13years (50% male; 77.3% Caucasian, 9.1% African American). Overall the model fit the data well. Results indicated that perfectionism domains predicted for emotional control deficits and increased worry. Emotional control also partially mediated the relation between perfectionism dimensions and worry. These results suggest that emotional control may be one mechanism through which perfectionism exerts its effect on worry and perfectionistic children may worry due to difficulty controlling their emotional responses.

Daily global stress is associated with nocturnal asthma awakenings in school-age children

Daily global stress is associated with nocturnal asthma awakenings in school-age children

Talking about epilepsy: Challenges parents face when communicating with their child about epilepsy and epilepsy-related issues.

The aim of this qualitative study was to explore the challenges that parents of children with epilepsy experienced when engaging in dialog with their child about epilepsy and epilepsy-related issues. Using a qualitative exploratory approach, interviews were conducted with 34 parents of children with epilepsy (aged 6-16 years), consisting of 27 mothers and 7 fathers. Data were transcribed verbatim and thematically analyzed. Findings revealed five main themes: normalizing epilepsy, the invisibility of epilepsy, information concealment, fear of misinforming the child, and difficulty in discussing particular epilepsy-related issues. Many of the communicative challenges experienced by parents impacted on their ability to engage openly in parent-child dialog about epilepsy in the home. Parents face specific challenges when choosing to communicate with their child about epilepsy, relating to creating a sense of normality, reducing fear of causing their child worry, and having a lack of epilepsy-related knowledge. Healthcare professionals who work closely with families living with epilepsy should remain mindful of the importance of discussing family communication surrounding epilepsy and the challenges parents of children with epilepsy face when talking about epilepsy within the home.

Working with Parents of Anxious Children: Therapeutic Strategies for Encouraging Communication, Coping and Change McCurry Christopher Working with Parents of Anxious Children: Therapeutic Strategies for Encouraging Communication, Coping and Change368pp £20 WW Norton & Company 9780393734010 0393734013

THE AIM of this book is to discuss the variety of strategies that can be used by parents to ease the worries of children with specific anxiety issues.

The development of worry throughout childhood: Avon Longitudinal Study of Parents and Children data

Anxiety is a normal part of childhood and adolescence; however, longitudinal research investigating the development of worrisome thoughts throughout childhood is lacking. This study investigated mothers' perspectives on their child's normal development of worry as the cognitive component of anxiety and its impact on child functioning in a longitudinal population-based cohort. The data for this study were extracted from the Avon Longitudinal Study of Parents and Children. Mothers (N = 2,227) reported on their child's worry content, frequency, control, emotional disruption, and interference when their child was 7, 10, and 13 years old using the parent component of the Development and Well-being Assessment. At age 10 and 13, pubertal status was assessed using children's self-report of pubic hair developmental progress. Mothers reported a peak of worrisome thoughts at 10. Emotional disruption was highest at 10, and the highest level of interference in daily life was observed at 13, especially for girls. Advanced pubertal status and worry frequency were positively associated for boys at 10 and girls at 13. Advanced puberty at 10 was also associated with overall higher worry frequency and emotional disruption. Findings are discussed within a developmental framework outlining the normal development of worrisome thoughts, associated distress, and interference throughout early adolescence. Increased knowledge of normative worry could be informative to further our understanding of adolescence as a vulnerable period for the development of mental health problems, such as generalized anxiety disorder. What is already known on this subject? Worrying is a normal part of childhood, making distinguishing between normal and pathological worrying challenging. Worry content remains consistent between age 4 and 7, but only for boys. The complexity and elaboration of worrisome thoughts increase from 8 years onwards. What does this study add? Worry frequency peaks at 10 and a low ability to control those worries can be observed at this age. The highest level of interference in performing daily activities due to worries is observed at age 13. Child sex and pubertal status play a role in understanding how normal worry patterns develop from age 10 onwards.

Investigation of the cognitive variables associated with worry in children with Generalised Anxiety Disorder and their parents

BackgroundIntolerance of uncertainty (IU), negative beliefs about worry (NBW), positive beliefs about worry (PBW), negative problem orientation (NPO) and cognitive avoidance (CA) have been found to be integral in the conceptualisation of Generalised Anxiety Disorder (GAD) in adults, yet they have rarely been investigated in children with GAD. This study sought to determine (a) whether IU, NBW, PBW, NPO and CA differ between children diagnosed with GAD and non-anxious children and (b) to examine whether IU, NBW, PBW, NPO and CA differ between parents of children diagnosed with GAD and parents of children without an anxiety disorder. MethodsParticipants were 50 children (aged 7–12 years), plus one of their parents. The 25 GAD children and 25 non-anxious children were matched on age and gender. Parents and children completed clinical diagnostic interviews, as well as a battery of questionnaires measuring worry, IU, NBW, PBW, NPO and CA. ResultsChildren with GAD endorsed significantly higher levels of worry, IU, NBW, NPO and CA, but not PBW compared to non-anxious children. Parents of children with GAD did not differ from parents of non-anxious children on any of the variables. LimitationsThe study was limited by it's use of modified adult measures for some variables and a lack of heterogeneity in the sample. ConclusionsThe cognitive variables of IU, NBW, NPO and CA may also be important in the conceptualisation and treatment of GAD in children as they are in adults.

"I should be doing more for my parent:" Chinese adult children's worry about performance in providing care for their oldest-old parents.

In China, as is the case in most of the world, family is the largest source of support for frail older adults. Confucian filial piety expectations hold children-in particular sons-responsible for the care of aging parents in China. During the course of caregiving, in addition to positive feelings, the caregiver may feel overwhelmed, entrapped, and worried about their performance, which can have negative health consequences. The purpose of this exploratory study is to examine one dimension of caregiver burden "worry about performance" (WaP) and investigate whether variables inspired by Pearlin's Stress Process Model help to explain the variation of WaP, so that at-risk caregivers can be identified and supported. Multiple regression was used to analyze CLHLS data from 895 Chinese adult children providing care for their oldest old parent in eight coastal provinces in China. WaP was measured by two items from the Zarit Burden Inventory. Independent variables representing concepts from Pearlin's Stress Process Model and control variables were included in the models. Compared to a model of control variables only, using independent variables inspired by Pearlin's Stress Process Model increased the ability to explain the variation in WaP by three fold to 14%. The following variables increased WaP: parent's IADL level, the amount of time spent caregiving, being a daughter, reporting an emotionally close relationship with the parent, sharing a residence with the parent. Despite not being able to fully operationalize Pearlin's Model with this dataset, analyzing variables that represent concepts from the model was useful in increasing the ability to explain the variation in WaP. Results suggest that caregiver support directed at daughters may be particularly beneficial.

Emotional reactivity and executive control: A pathway of risk for the development of childhood worry

Though risk factors associated with the development of anxiety have been examined, less is known about childhood worry. Current literature suggests that adult worriers may be more likely to avoid increases in negative affect (emotional contrast avoidance), and less likely to effectively regulate their emotions. The current study tested a mediational model to examine the role of emotional and attentional control in the relation between emotional reactivity and child worry. Participants were 99 children between 7 and 10 years old, and their parents, from a community sample. Parents completed measures of child temperament and executive function, and children completed a measure of worry. Overall the data supported the study hypotheses. Child temperaments rated as low in soothability were significantly related to higher worry symptoms. Attentional shift and emotional control acted as serial mediators in the relation between temperament and worry, and fully mediated the relation. These findings suggest a model for the development of childhood worry that combines emotional contrast avoidance and emotional dysregulation.

Relating Worry and Executive Functioning During Childhood: The Moderating Role of Age.

The associations between worry and executive functioning across development have not been previously explored. Examining the interrelationships between these variables in childhood may further elucidate the cognitive nature of worry as well as its developmental course. Hypotheses predicted that difficulties with executive functioning would correlate with child worry; based on extant literature, age-related hypotheses were proposed for particular aspects of executive functioning. Children (N=130) participated in the present study. Difficulties with executive functioning and child worry were assessed. Results demonstrated that each executive functioning subscale correlated with worry. The relations between worry and several facets of executive functioning were no longer significant at older ages, while the relations between worry and the facets of inhibition, shifting, and emotional control did not demonstrate age-related interaction effects. Overall, the findings suggest that worry is associated with executive functioning at young ages and that this association takes distinct forms during different childhood stages.

Family dynamics and psychosocial functioning in children with SCI/D from Colombia, South America

Objective: The purpose of this study was to examine the connections between family dynamics and the psychosocial functioning of children with spinal cord injuries and disorders (SCI/D).Design: Cross-sectional.Setting: Participants were recruited from communities in Neiva, Colombia.Participants: Thirty children with SCI/D and their primary caregiver participated. Children were between 8 and 17 years of age, and had sustained their injury at least six months prior to data collection.Interventions: NA.Outcome measures: Participating children completed measures assessing their own psychosocial functioning (Children's Depression Inventory, Revised Children's Manifest Anxiety Scale-2, Pediatric Quality of Life Inventory), and their primary caregiver completed measures of family dynamics (Family Adaptability and Cohesion Evaluation Scale- Fourth Edition, Family Communication Scale, Family Assessment Device- General Functioning, Family Satisfaction Scale, Relationship-Focused Coping Scale).Results: A correlation matrix showed a number of significant bivariate correlations between child and family variables, and three multiple regressions showed that family satisfaction, empathy, and flexibility significantly explained 27% of the variance in child worry; family satisfaction and communication explained 18% of the variance in child social anxiety; and family cohesion and communication explained 23% of the variance in child emotional functioning.Conclusions: These findings highlight the importance of rehabilitation professionals considering the association between family dynamics and the psychosocial functioning of children with SCI/D when working with this population.

Worry in Children

Worry in adults has been conceptualized as a thinking process involving problem-solving attempts about anticipated negative outcomes. This process is related to, though distinct from, fear. Previous research suggested that compared to adults, children’s experience of worry is less strongly associated with thinking and more closely related to fear. The present study further explored children’s worrying. Ninety-three 7- to 12-year-olds rated how much they worry, fear and think about the same list of negative outcomes, and reported on their positive beliefs about worrying. Children associated worrying more strongly with fear than with thinking. However, this relationship was moderated by age. Older children reported that worry was more closely related to thinking and less closely related to fear. Furthermore, children who reported more thinking, rather than fear, about negative outcomes were also more likely to report that worrying had beneficial effects. Results suggest important changes in the nature of worrying during late childhood.

Functional and psychosocial impact of strabismus on Singaporean children

To quantify the effects of strabismus in Singaporean children using the Intermittent Exotropia Questionnaire (IXTQ) and the Adult Strabismus 20 Questionnaire (AS20). Consecutive strabismus patients 5-16 years of age were recruited along with an equal number of age-matched controls with eye conditions other than strabismus and amblyopia (group A) and controls with no known eye conditions (group B). All children completed the IXTQ; those 8-16 years of age also completed the AS20 questionnaire. Parents completed the parental proxy IXTQ (pp-IXTQ) and AS20 (pp-AS20) and a parental IXTQ (PIXT). A total of 60 patients and 60 age-matched controls in each group were included. Children with strabismus had lower IXTQ (70.1 ± 19.0) and AS20 (80.0 ± 13.8) scores than those in group B (IXTQ, 90.3 ± 11.8 [P < 0.001]; AS20, 90.0 ± 10.9 [P < 0.001]) and group A (IXTQ, 80.6 ± 14.9 [P = 0.001]; AS20, 81.6 ± 18.3 [P = 0.691]). Among children with strabismus, child IXTQ scores were significantly lower than parental proxy scores (70.1 ± 19.0 vs 76.4 ± 15.8 [P = 0.026]), but there was no difference in control group scores or with AS20 scores. Item-level analysis suggested that children's worry focused on what others thought about them and their ability to make friends, whereas parents were more concerned about eyesight and whether surgery was required. The IXTQ and AS20 were better at differentiating between children with strabismus and those with no eye condition than between children with strabismus and other eye conditions. Parental proxies were accurate in predicting child scores but parents were more likely to underestimate the psychosocial effects of their children's strabismus.

Comparing the Level of Solitary and Ostracize Worry between Orphanage Children and Non-orphanage Children According to Children's Apperception Test

The goal of this research is to compare the level of solitary and ostracize worry between orphanage children and non-orphanage children according to children's apperception test. This is a causal-comparative study and the population consist the whole boys and girls students aged 7 to 10 years, that have been chosen from two schools and all the children (boys and girls) who lived at least one year at a boarding orphanage centre in Tehran. The sample includes 50 children between the age of 7–10, that 23 of them were in orphanage group and 27 child's in non-orphanage group. The research is based on children apperception test. Statistics analysis has been done based on Chi-square and the results show that (P >0/05) frequency of solitary worry in orphanage children is more than regular children, but the frequency of ostracize worry, in regular children is more.

Percepção de mães e adolescentes sobre a violência intrafamiliar por meio da construção do genograma

Violence is a phenomenon that reflects and crosses social and interpersonal relationships and can be passed across generations. The present study aimed to explore the perceptions of domestic violence from the point of view of three mothers and their teenage children through the construction of genograms. Results showed that there was intergenerational reproduction of violence, verified through relational disorders between parents as well as in the relationships that the mother has established throughout her life, which, in turn, perpetuated with their children, who were viewers and victims of this phenomenon. It is noteworthy that although the intergenerationality of violence was implied in the speech of all participants, the same did not occur in the graphical representation of teenagers’ genograms, suggesting that children worry about this phenomenon only in the current family. Key words: domestic violence, intergenerationality, genogram.

Get ready for ‘big school’

The step up to primary school can be daunting for children – and their parents. Karen Hart offers ideas to make the process as smooth as possible for all, keeping in mind the changes children worry about most.

Psychological interventions helping pediatric oncology patients cope with medical procedures: A nurse-centered approach

Purpose of the researchThis study explored whether psychological interventions are currently used by pediatric oncology nurses to help children cope with their treatment and, if so, which interventions were considered by oncology nurses to be the most effective. Methods and sampleA web-based survey was developed to assess pediatric oncology nurses' impressions of psychological care for pediatric patients during their medical treatment. A sample of 88 pediatric oncologic nurses from twelve leading pediatric oncology departments in the US participated in the survey. The closed questions were analyzed through quantitative methods with statistics. The open questions were examined through qualitative methods with report narratives and discourse analysis. Key resultsPediatric oncology nurses identified three psychological interventions to reduce suffering: educating children by explaining the procedure; providing emotional support to children by listening, answering children's worries, or holding their hands; and distracting children through passive and active forms. The survey further showed that nurses spent on average 3 h per day providing emotional support, would be willing to be trained in additional interventions (93%), and could devote at least 10 min per treatment to provide support (77%). ConclusionsThis work demonstrates the central role nurses play as emotional support caregivers. Since nurses would be willing to provide emotional support during treatments, training may be an approach to incorporate the use of psychological interventions.

Reducing children's social anxiety symptoms: Exploring a novel parent-administered cognitive bias modification training intervention

Social fears and worries in children are common and impairing. Yet, questions have been raised over the efficacy, suitability and accessibility of current frontline treatments. Here, we present data on the effectiveness of a novel parent-administered Cognitive Bias Modification of Interpretations (CBM-I) training tool. CBM-I capitalises on findings demonstrating an association between anxiety symptoms and biased interpretations, the tendency to interpret ambiguous situations negatively. Through CBM-I training, participants are exposed to benign resolutions, and reinforced for selecting these. In adults and adolescents, CBM-I training is effective at reducing symptoms and mood reactivity. In the present study, we developed a novel, child-appropriate form of CBM-I training, by presenting training materials within bedtime stories, read by a parent to the child across three consecutive evenings. Compared to a test-retest control group (n = 17), children receiving CBM-I (n = 19) reported greater endorsement of benign interpretations of ambiguous situations post-training (compared to pre-training). These participants (but not the test-retest control group) also showed a significant reduction in social anxiety symptoms. Pending replication and extensions to a clinical sample, these data may implicate a cost-effective, mechanism-driven and developmentally-appropriate resource for targeting social anxiety problems in children.

Searching for Danger: On the Link Between Worry and Threat-Related Confirmation Bias in Children

The present study examined the relationship between worry and threat-related confirmation bias in children. Forty non-clinical children aged 10–12 years completed the child version of the Penn State Worry Questionnaire as a cognitive index of anxiety proneness, and then were administered a modified version of the Wason Selection Task to assess verifying and falsifying reasoning strategies in response to conditional danger rules. Results demonstrated that children with high levels of worry displayed a stronger tendency towards verification and a weaker inclination towards falsification than children with low levels of worry. This finding indicates that confirmation bias occurs in individuals with a general vulnerability to anxiety, and fits well with current theoretical models in which cognitive distortions are viewed as risk factors predisposing to the development of fear and anxiety problems.