Behavioral Inhibition as a Risk Factor for the Development of Childhood Anxiety Disorders: A Longitudinal Study

This longitudinal study examined the additive and interactive effects of behavioral inhibition and a wide range of other vulnerability factors in the development of anxiety problems in youths. A sample of 261 children, aged 5 to 8 years, 124 behaviorally inhibited and 137 control children, were followed during a 3-year period. Assessments took place on three occasions to measure children’s level of behavioral inhibition, anxiety disorder symptoms, other psychopathological symptoms, and a number of other vulnerability factors such as insecure attachment, negative parenting styles, adverse life events, and parental anxiety. Results obtained with Structural Equation Modeling indicated that behavioral inhibition primarily acted as a specific risk factor for the development of social anxiety symptoms. Furthermore, the longitudinal model showed additive as well as interactive effects for various vulnerability factors on the development of anxiety symptoms. That is, main effects of anxious rearing and parental trait anxiety were found, whereas behavioral inhibition and attachment had an interactive effect on anxiety symptomatology. Moreover, behavioral inhibition itself was also influenced by some of the vulnerability factors. These results provide support for dynamic, multifactorial models for the etiology of child anxiety problems

Using the FRIENDS Programs to Promote Resilience in Cross-Cultural Populations

Childhood and adolescence is a time of rapid biological, psychological, and social growth. Prevalence rates around the world currently estimate approximately one in five adolescents experience mental health difficulties. As factors are increasingly implicated in the etiology of behavioral and emotional difficulties, clinicians and researchers have identified the need for resilience-enhancing prevention programs. The current authors redefine resilience as not only being able to navigate towards and negotiate for resources in the face of adversity, but also to embrace positive life challenges. This chapter discusses protective and risk factors of emotional well-being in youths to provide a framework for the development of resilience-building programs. A brief review of resilience enhancement in youths is provided as well as introduction to the FRIENDS protocol, four socio-emotional skills programs. The FRIENDS programs are robustly supported and the only program endorsed by the World Health Organization for the prevention and treatment of anxiety and depression in children and youth (Prevention of mental disorders: Effective interventions and policy options, Geneva, Switzerland, 2004). Description of the FRIENDS programs, research evaluating intervention outcomes, and strategies to adapt techniques for use in diverse youth populations are also included. Lastly, recent innovations in conceptualization, research, assessment, and treatment of resilience as well as future directions for research are discussed