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Heterogeneity in development of adolescent anxiety disorder symptoms in an 8-year longitudinal community study

Published online by Cambridge University Press:  15 November 2013

Stefanie A. Nelemans*
Affiliation:
Utrecht University
William W. Hale III
Affiliation:
Utrecht University
Susan J. T. Branje
Affiliation:
Utrecht University
Quinten A. W. Raaijmakers
Affiliation:
Utrecht University
Tom Frijns
Affiliation:
Utrecht University
Pol A. C. van Lier
Affiliation:
VU University Amsterdam
Wim H. J. Meeus
Affiliation:
Utrecht University
*
Address correspondence and reprint requests to: Stefanie A. Nelemans, Research Centre Adolescent Development, Utrecht University, PO Box 80.140, 3508 TC Utrecht, The Netherlands; E-mail: s.a.nelemans@uu.nl.

Abstract

In this study, we prospectively examined developmental trajectories of five anxiety disorder symptom dimensions (generalized anxiety disorder, panic disorder, school anxiety, separation anxiety disorder, and social anxiety disorder) from early to late adolescence in a community sample of 239 adolescents, assessed annually over 8 years. Latent growth modeling indicated different developmental trajectories from early into late adolescence for the different anxiety disorder symptoms, with some symptoms decreasing and other symptoms increasing over time. Sex differences in developmental trajectories were found for some symptoms, but not all. Furthermore, latent class growth analysis identified a normal developmental profile (including a majority of adolescents reporting persistent low anxiety disorder symptoms over 8 years) and an at-risk developmental profile (including a minority of adolescents reporting persistent high anxiety disorder symptoms over 8 years) for all of the anxiety disorder symptom dimensions except panic disorder. Additional analyses longitudinally supported the validity of these normal and at-risk developmental profiles and suggested differential associations between different anxiety disorder symptom dimensions and developmental trajectories of substance use, parenting, and identity development. Taken together, our results emphasize the importance of examining separate dimensions of anxiety disorder symptoms in contrast to a using a global, one-dimensional approach to anxiety.

Type
Regular Articles
Copyright
Copyright © Cambridge University Press 2013 

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References

Baumrind, D. (1991). Parenting styles and adolescent development. In Lerner, R. M., Petersen, A. C., & Brooks-Gunn, J. (Eds.), Encyclopedia of adolescence (Vol. 2, pp. 746758). New York: Garland.Google Scholar
Bernstein, G. A., & Victor, A. M. (2008). Childhood anxiety disorder. In Fatemi, S. H. & Clayton, P. J. (Eds.), The medical basis of psychiatry (pp. 375390). New York: Springer.Google Scholar
Birmaher, B., Brent, D., Chiappetta, L., Bridge, J., Monga, S., & Baugher, M. (1999). Psychometric properties of the Screen for Child Anxiety Related Emotional Disorders (SCARED): A replication study. Journal of the American Academy of Child & Adolescent Psychiatry, 38, 12301236. doi:10.1097/00004583-199910000-00011CrossRefGoogle ScholarPubMed
Birmaher, B., Khetarpal, S., Brent, D., Cully, M., Balach, L., Kaufman, J., et al. (1997). The Screen for Child Anxiety Related Emotional Disorders (SCARED): Scale construction and psychometric characteristics. Journal of the American Academy of Child & Adolescent Psychiatry, 36, 545553. doi:10.1097/00004583-199704000-00018Google Scholar
Bögels, S. M., & Brechman-Toussaint, M. L. (2006). Family issues in child anxiety: Attachment, family functioning, parental rearing and beliefs. Clinical Psychology Review, 26, 834856. doi:10.1016/j.cpr.2005.08.001CrossRefGoogle ScholarPubMed
Bosquet, M., & Egeland, B. (2006). The development and maintenance of anxiety symptoms from infancy through adolescence in a longitudinal sample. Development and Psychopathology, 18, 517550. doi:10.1017/S0954579406060275CrossRefGoogle Scholar
Branje, S. J. T., Hale, W. W. III, & Meeus, W. H. J. (2008). Reciprocal development of parent–adolescent support and adolescent problem behaviors. In Kerr, M., Stattin, H., & Engels, R. C. M. E. (Eds.), What can parents do? New insights into the role of parents in adolescent problem behavior (pp. 135163). Hoboken, NJ: Wiley.Google Scholar
Branje, S. J. T., Van Lieshout, C. F. M., & Van Aken, M. A. G. (2004). Relations between Big Five personality characteristics and perceived support in adolescents’ families. Journal of Personality and Social Psychology, 86, 615628. doi:10.1037/0022-3514.86.4.615Google Scholar
Buckner, J. D., Schmidt, N. B., Bobadilla, L., & Taylor, J. (2006). Social anxiety and problematic cannabis use: Evaluating the moderating role of stress reactivity and perceived coping. Behaviour Research and Therapy, 44, 10071015. doi:10.1016/j.brat.2005.08.002Google Scholar
Buckner, J. D., Schmidt, N. B., Lang, A. R., Small, J. W., Schlauch, R. C., & Lewinsohn, P. M. (2008). Specificity of social anxiety disorder as a risk factor for alcohol and cannabis dependence. Journal of Psychiatric Research, 42, 230239. doi:10.1016/j.jpsychires.2007.01.002Google Scholar
Cicchetti, D., & Rogosch, F. A. (1996). Equifinality and multifinality in developmental psychopathology. Development and Psychopathology, 8, 597600. doi:10.1017/S0954579400007318CrossRefGoogle Scholar
Cicchetti, D., & Rogosch, F. A. (2002). A developmental psychopathology perspective on adolescence. Journal of Consulting and Clinical Psychology, 70, 620. doi:10.1037/0022-006X.70.1.6Google Scholar
Colman, I., Ploubidis, G. B., Wadsworth, M. E. J., Jones, P. B., & Croudace, T. J. (2007). A longitudinal typology of symptoms of depression and anxiety over the life course. Biological Psychiatry, 62, 12651271. doi:10.1016/j.biopsych.2007.05.012Google Scholar
Cosi, S., Canals, J., Hernández-Martinez, C., & Vigil-Colet, A. (2010). Parent–child agreement in SCARED and its relationship to anxiety symptoms. Journal of Anxiety Disorders, 24, 129133. doi:10.1016/j.janxdis.2009.09.008Google Scholar
Côté, S. M., Boivin, M., Liu, X., Nagin, D. S., Zoccolillo, M., & Tremblay, R. E. (2009). Depression and anxiety symptoms: Onset, developmental course and risk factors during early childhood. Journal of Child Psychology and Psychiatry, 50, 12011208. doi:10.1111/j.1469-7610.2009.02099.xGoogle Scholar
Crocetti, E., Klimstra, T. A., Keijsers, L., Hale, W. W. III, & Meeus, W. H. J. (2009). Anxiety trajectories and identity development in adolescence: A five-wave longitudinal study. Journal of Youth and Adolescence, 38, 839849. doi:10.1007/s10964-008-9302-yCrossRefGoogle ScholarPubMed
Crocetti, E., Rubini, M., & Meeus, W. H. J. (2008). Capturing the dynamics of identity formation in various ethnic groups: Development and validation of a three-dimensional model. Journal of Adolescence, 31, 207222. doi:10.1016/j.adolescence.2007.09.002CrossRefGoogle ScholarPubMed
Crocetti, E., Schwartz, S. J., Fermani, A., & Meeus, W. H. J. (2010). The Utrecht-Management of Identity Commitments Scale (U-MICS): Italian validation and cross-national comparisons. European Journal of Psychological Assessment, 26, 172186. doi:10.1027/1015-5759/a000024CrossRefGoogle Scholar
De Goede, I. H. A., Branje, S. J. T., & Meeus, W. H. J. (2009). Developmental changes in adolescents’ perceptions of relationships with their parents. Journal of Youth and Adolescence, 38, 7588. doi:10.1007/s10964-008-9286-7Google Scholar
Duchesne, S., Larose, S., Vitaro, F., & Tremblay, R. E. (2010). Trajectories of anxiety in a population sample of children: Clarifying the role of children's behavioral characteristics and maternal parenting. Development and Psychopathology, 22, 361373. doi:10.1017/ S0954579410000118Google Scholar
Egger, H. L., Costello, E. J., & Angold, A. (2003). School refusal and psychiatric disorders: A community study. Journal of the American Academy of Child & Adolescent Psychiatry, 42, 797807. doi:10.1097/01.CHI.0000046865.56865.79CrossRefGoogle ScholarPubMed
Engels, R. C. M. E., & Ter Bogt, T. (2001). Influences of risk behaviors on the quality of peer relations in adolescence. Journal of Youth and Adolescence, 30, 675695. doi:10.1023/A:1012277427883Google Scholar
Feng, X., Shaw, D. S., & Silk, J. S. (2008). Developmental trajectories of anxiety symptoms among boys across early and middle childhood. Journal of Abnormal Psychology, 117, 3247. doi:10.1037/0021-843X.117.1.32Google Scholar
Fergusson, D. M., Boden, J. M., & Horwood, L. J. (2006). Cannabis use and other illicit drug use: Testing the cannabis gateway hypothesis. Addiction, 101, 556569. doi:10.1111/j.1360-0443.2005.01322.xGoogle Scholar
Fremont, W. P. (2003). School refusal in children and adolescents. American Family Physician, 68, 15551560, 1563.Google ScholarPubMed
Furman, W., & Buhrmester, D. (1985). Children's perceptions of the personal relationships in their social networks. Developmental Psychology, 21, 10161024. doi:10.1037/0012-1649.21.6.1016Google Scholar
Griffith-Lendering, M. F. H., Huijbregts, S. C. J., Huizink, A. C., Ormel, H., Verhulst, F. C., Vollebergh, W. A. M., et al. (2011). Social skills as precursors of cannabis use in young adolescents: A TRAILS study. Journal of Clinical Child and Adolescent Psychology, 40, 706714. doi:10.1080/15374416.2011.597085Google Scholar
Hale, W. W. III, Crocetti, E., Raaijmakers, Q. A. W., & Meeus, W. H. J. (2011). A meta-analysis of the cross-cultural psychometric properties of the Screen for Child Anxiety Related Emotional Disorders (SCARED). Journal of Child Psychology and Psychiatry, 52, 8090. doi:10.1111/j.1469-7610.2010.02285.xGoogle Scholar
Hale, W. W. III, Klimstra, T. A., & Meeus, W. H. J. (2010). Is the generalized anxiety disorder symptom of worry just another form of neuroticism? A 5-year longitudinal study of adolescents from the general population. Journal of Clinical Psychiatry, 71, 942948. doi:10.4088/JCP.09m05506bluGoogle Scholar
Hale, W. W. III, Raaijmakers, Q. A. W., Muris, P., & Meeus, W. H. J. (2005). Psychometric properties of the Screen for Child Anxiety Related Emotional Disorders (SCARED) in the general adolescent population. Journal of the American Academy of Child & Adolescent Psychiatry, 44, 283290. doi:10.1097/00004583-200503000-00013Google Scholar
Hale, W. W. III, Raaijmakers, Q. A. W., Muris, P., Van Hoof, A., & Meeus, W. H. J. (2008). Developmental trajectories of adolescent anxiety disorder symptoms: A 5-year prospective community study. Journal of the American Academy of Child & Adolescent Psychiatry, 47, 556564. doi:10.1097/CHI.0b013e3181676583CrossRefGoogle ScholarPubMed
Jung, T., & Wickrama, K. A. S. (2008). An introduction to latent class growth analysis and growth mixture modeling. Social and Personality Psychology Compass, 2, 302317. doi:10.1111/j.1751-9004.2007.00054.xGoogle Scholar
Jylhä, P., & Isometsä, E. (2006). The relationship of neuroticism and extraversion to symptoms of anxiety and depression in the general population. Depression and Anxiety, 23, 281289. doi:10.1002/da.20167Google Scholar
Kearney, C. A. (2008). School absenteeism and school refusal behavior in youth: A contemporary review. Clinical Psychology Review, 28, 451471. doi:10.1016/j.cpr.2007.07.012Google Scholar
Khantzian, E. J. (1997). The self-medication hypothesis of substance use disorders: A reconsideration and recent applications. Harvard Review of Psychiatry, 4, 231244. doi:10.3109/10673229709030550CrossRefGoogle ScholarPubMed
King, N. J., & Bernstein, G. A. (2001). School refusal in children and adolescents: A review of the past 10 years. Journal of the American Academy of Child & Adolescent Psychiatry, 40, 197205. doi:10.1097/00004583-200102000-00014CrossRefGoogle ScholarPubMed
Kingery, J. N., Erdley, C. A., Marshall, K. C., Whitaker, K. G., & Reuter, T. R. (2010). Peer experiences of anxious and socially withdrawn youth: An integrative review of the developmental and clinical literature. Clinical Child and Family Psychology Review, 13, 91128. doi:10.1007/s10567-009-0063-2Google Scholar
Klimstra, T. A., Hale, W. W. III, Raaijmakers, Q. A. W., Branje, S. J. T., & Meeus, W. H. J. (2009). Maturation of personality in adolescence. Journal of Personality and Social Psychology, 96, 898912. doi:10.1037/a0014746Google Scholar
Kline, R. B. (2005). Principles and practice of structural equation modeling (2nd ed.). New York: Guilford Press.Google Scholar
Kosterman, R., Hawkins, J. D., Guo, J., Catalano, R. F., & Abbott, R. D. (2000). The dynamics of alcohol and marijuana initiation: Patterns and predictors of first use in adolescence. American Journal of Public Health, 90, 360366. doi:10.2105/AJPH.90.3.360Google Scholar
Lewinsohn, P. M., Lewinsohn, M., Gotlib, I. H., Seeley, J. R., & Allen, N. B. (1998). Gender differences in anxiety disorders and anxiety symptoms in adolescents. Journal of Abnormal Psychology, 107, 109117. doi:10.1037/0021-843X.107.1.109Google Scholar
Lo, Y., Mendell, N. R., & Rubin, D. B. (2001). Testing the number of components in a normal mixture. Biometrika, 88, 767778. doi:10.1093/biomet/88.3.767Google Scholar
McLean, C. P., & Anderson, E. R. (2009). Brave men and timid women? A review of the gender differences in fear and anxiety. Clinical Psychology Review, 29, 496505. doi:10.1016/j.cpr.2009.05.003CrossRefGoogle ScholarPubMed
McLeod, B. D., Wood, J. J., & Weisz, J. R. (2007). Examining the association between parenting and childhood anxiety: A meta-analysis. Clinical Psychology Review, 27, 155172. doi:10.1016/j.cpr.2006.09.002CrossRefGoogle ScholarPubMed
Meeus, W. H. J. (2001). A three-dimensional measure of identity: The Utrecht Management of Identity Commitments Scale (U-MICS). Unpublished manuscript. Utrecht University, Department of Adolescent Development.Google Scholar
Meeus, W. H. J., Akse, J., Branje, S. J. T., Ter Bogt, T. F. M., Crommelin, P. M., Delsing, M. J. M. H., et al. (2005). Codebook of the research project CONflict And Management Of RElationships (CONAMORE). Unpublished manuscript, Utrecht University, Department of Adolescent Development.Google Scholar
Meeus, W. H. J., Van de Schoot, R., Klimstra, T. A., & Branje, S. J. T. (2011). Personality types in adolescence: Change and stability and links with adjustment and relationships. A five-wave longitudinal study. Developmental Psychology, 47, 11811195. doi:10.1037/a0023816Google Scholar
Merikangas, K. R., He, J. -P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., et al. (2010). Lifetime prevalence of mental disorders in U.S. adolescents: Results from the national comorbidity survey replication–adolescent supplement (NCS-A). Journal of the American Academy of Child & Adolescent Psychiatry, 49, 980989. doi:10.1016/j.jaac.2010.05.017Google Scholar
Muris, P., De Jong, P. J., & Engelen, S. (2004). Relationships between neuroticism, attentional control, and anxiety disorders symptoms in non-clinical children. Personality and Individual Differences, 37, 789797. doi:10.1016/j.paid.2003.10.007Google Scholar
Muris, P., Merckelbach, H., Meesters, C., & Van Den Brand, K. (2002). Cognitive development and worry in normal children. Cognitive Therapy and Research, 26, 775787. doi:10.1023/A:1021241517274Google Scholar
Muthén, L. K., & Muthén, B. O. (1998–2010). Mplus user's guide (6th ed.). Los Angeles: Author.Google Scholar
Myers, M. G., Tomlinson, K., Aarons, G. A., & Stein, M. B. (2003). Social anxiety, negative affectivity, and substance use among high school students. Psychology of Addictive Behaviors, 17, 277283. doi:10.1037/0893-164X.17.4.277Google Scholar
Nagin, D. S. (2005). Group based modeling of development. Cambridge, MA: Harvard University Press.CrossRefGoogle Scholar
Nandi, A., Beard, J. R., & Galea, S. (2009). Epidemiologic heterogeneity of common mood and anxiety disorders over the lifecourse in the general population: A systematic review. BMC Psychiatry, 9, article 31. doi:10.1186/1471-244X-9-31CrossRefGoogle ScholarPubMed
Oetting, E. R., & Beauvais, F. (1986). Peer cluster theory: Drugs and the adolescent. Journal of Counseling and Development, 65, 1722.CrossRefGoogle Scholar
Poikolainen, K., Tuulio-Henriksson, A., Aalto-Setälä, T., Marttunen, M., Anttila, T., & Lönnqvist, J. (2001). Correlates of initiation to cannabis use: A 5-year follow-up of 15–19-year-old adolescents. Drug and Alcohol Dependence, 62, 175180. doi:10.1016/S0376-8716(00)00176-9Google Scholar
Reed, V., & Wittchen, H.-U. (1998). DSM-IV panic attacks and panic disorder in a community sample of adolescents and young adults: How specific are panic attacks? Journal of Psychiatric Research, 32, 335345. doi:10.1016/S0022-3956(98)00014-4Google Scholar
Reinecke, J. (2006). Longitudinal analysis of adolescents’ deviant and delinquent behavior: Applications of latent class growth curves and growth mixture models. Methodology, 2, 100112. doi:10.1027/1614-2241.2.3.100Google Scholar
Satorra, A., & Bentler, P. M. (2001). A scaled difference chi-square test statistic for moment structure analysis. Psychometrika, 66, 507514.CrossRefGoogle Scholar
Sclove, L. (1987). Application of model-selection criteria to some problems in multivariate analysis. Psychometrika, 52, 333343. doi:10.1007/BF0229436Google Scholar
Shanahan, L., McHale, S. M., Crouter, A. C., & Osgood, D. W. (2007). Warmth with mothers and fathers from middle childhood to late adolescence: Within- and between-families comparisons. Developmental Psychology, 43, 551563. doi:10.1037/0012-1649.43.3.551Google Scholar
Shedler, J., & Block, J. (1990). Adolescent drug use and psychological health: A longitudinal inquiry. American Psychologist, 45, 612630. doi:10.1037/0003-066X.45.5.612Google Scholar
Siebenbruner, J., Englund, M. M., Egeland, B., & Hudson, K. (2006). Developmental antecedents of late adolescence substance use patterns. Development and Psychopathology, 18, 551571. doi:10.10170S0954579406060287CrossRefGoogle ScholarPubMed
Stallings, P., & March, J. (1995). Assessment. In March, J. (Ed.), Anxiety disorders in children and adolescents (pp. 125147). New York: Guilford Press.Google Scholar
Steinberg, L. (2004). Risk taking in adolescence: What changes, and why? Annals of the New York Academy of Sciences, 1021, 5158. doi:10.1196/annals.1308.005Google Scholar
Steinberg, L. (2007). Risk taking in adolescence: New perspectives from brain and behavioral science. Current Directions in Psychological Science, 16, 5559. doi:10.1111/j.1467-8721.2007.00475.xCrossRefGoogle Scholar
Tabachnick, B. G., & Fidell, L. S. (2007). Survival/failure analysis. In Tabachnick, B. G. & Fidell, L. S. (Eds.), Using multivariate statistics (5th ed., pp. 506566). Boston: Pearson Education/Allyn & Bacon.Google Scholar
Van Laar, M. W., Cruts, A. A. N., Van Ooyen-Houben, M. M. J., Meijer, R. F., Croes, E. A., Brunt, T., et al. (2011). Nationale drug monitor: Jaarbericht 2010. Utrecht: Trimbos-instituut.Google Scholar
Van Oort, F. V. A., Greaves-Lord, K., Verhulst, F. C., Ormel, J., & Huizink, A. C. (2009). The developmental course of anxiety symptoms during adolescence: The TRAILS study. Journal of Child Psychology and Psychiatry, 50, 12091217. doi:10.1111/j.1469-7610.2009.02092.xGoogle Scholar
Vermulst, A. A., & Gerris, J. R. M. (2005). QBF: Quick Big Five persoonlijkheidstest handleiding [Quick Big Five personality test manual]. Leeuwarden, Netherlands: LDC Publications.Google Scholar
Warren, S. L., & Sroufe, L. A. (2004). Developmental issues. In Ollendick, T. H. & March, J. S. (Eds.), Phobic and anxiety disorders in children and adolescents: A clinician's guide to effective psychosocial and pharmacological interventions (pp. 92115). New York: Oxford University Press.Google Scholar
Watson, D. (1999). Dimensions underlying the anxiety disorders: A hierarchical perspective. Current Opinion in Psychiatry, 12, 181186. doi:10.1097/00001504-199903000-00007CrossRefGoogle Scholar
Weems, C. F. (2008). Developmental trajectories of childhood anxiety: Identifying continuity and change in anxious emotion. Developmental Review, 28, 488502. doi:10.1016/j.dr.2008.01.001Google Scholar
Weems, C. F., & Costa, N. M. (2005). Developmental differences in the expression of childhood anxiety symptoms and fears. Journal of the American Academy of Child & Adolescent Psychiatry, 44, 656663. doi:10.1097/01.chi.0000162583.25829.4bGoogle Scholar
Weinstock, L. M., & Whisman, M. A. (2006). Neuroticism as a common feature of the depressive and anxiety disorders: A test of the revised integrative hierarchical model in a national sample. Journal of Abnormal Psychology, 115, 6874. doi:10.1037/0021-843X.115.1.68Google Scholar
Westenberg, P. M., Drewes, M. J., Siebelink, B. M., & Treffers, P. D. A. (2004). A developmental analysis of self-reported fears in late childhood through mid-adolescence: Social–evaluative fears on the rise? Journal of Child Psychology and Psychiatry, 45, 481495. doi:10.1111/j.1469-7610.2004.00239.xGoogle Scholar
Westenberg, P. M., Gullone, E., Bokhorst, C. L., Heyne, D. A., & King, N. J. (2007). Social evaluation fear in childhood and adolescence: Normative developmental course and continuity of individual differences. British Journal of Developmental Psychology, 25, 471483. doi:10.1348/026151006X173099CrossRefGoogle Scholar
Westenberg, P. M., Siebelink, B. M., & Treffers, P. D. A. (2001). Psychosocial developmental theory in relation to anxiety and its disorders. In Silverman, W. K. & Treffers, P. D. A. (Eds.), Anxiety disorders in children and adolescents: Research, assessment and intervention (pp. 7289). Cambridge: Cambridge University Press.Google Scholar