A detailed investigation of anxiety disorders in children of clinically anxious parents: a population-based study / Sigrid ELFSTRÖM in Journal of Child Psychology and Psychiatry, 67-6 (June 2026)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 67-6 (June 2026) . - p.919-928 Titre : A detailed investigation of anxiety disorders in children of clinically anxious parents: a population-based study Type de document : texte imprimé Auteurs : Sigrid ELFSTRÖM, Auteur ; Susanne WICKS, Auteur ; Christina DALMAN, Auteur ; Johan AHLEN, Auteur Article en page(s) : p.919-928 Langues : Anglais (eng) Mots-clés : Anxiety disorders  familial risk  offspring  cohort study  population-based study Index. décimale : PER Périodiques Résumé : Background We assessed the risk of anxiety disorders in children of clinically anxious parents, focusing on the influence of parent and child sex, parental care level, depressive comorbidity, and anxiety subtype, while controlling for socioeconomic factors and other parental psychiatric conditions. Methods We conducted a population-based study utilizing comprehensive healthcare data. A cohort of children (N?=?516,134), born in 1998?2015 and residing in Stockholm, Sweden, was followed until they were diagnosed with anxiety, moved, or turned 18. The primary and secondary exposures were parental specified and unspecified anxiety diagnoses, respectively. The outcome was child specified anxiety diagnosis. Associations were estimated using hazard ratios (HRs) with 95% confidence intervals (CIs). Results Among exposed children, 4.3% were diagnosed with specified anxiety disorders, compared to 3.0% of unexposed (HR: 1.44, 95% CI: 1.38, 1.51). Adjustment for socioeconomic factors and other parental psychiatric disorders attenuated the risk (HR: 1.27, 95% CI: 1.21, 1.34). The risk was higher when parental anxiety was recorded in specialized psychiatric care (HR: 1.69, 95% CI: 1.60, 1.79) than in primary care (HR: 1.24, 95% CI: 1.17, 1.32). Maternal anxiety was linked to a higher risk (HR: 1.49, 95% CI: 1.41, 1.56) than paternal (HR: 1.31, 95% CI: 1.21, 1.42). Children were most likely to develop the same anxiety disorder as their parents, in cases of social anxiety, specific phobia, and panic disorder. Parental unspecified anxiety diagnoses were not associated with an increase in risk (HR: 1.02, 95% CI: 0.98, 1.07). Conclusions Parental specified anxiety modestly increased the risk of child anxiety disorders. While the overall risk was lower than previously reported, it varied across diagnosis types and care levels. En ligne : https://doi.org/10.1111/jcpp.70085 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=587 [article] A detailed investigation of anxiety disorders in children of clinically anxious parents: a population-based study [texte imprimé] / Sigrid ELFSTRÖM, Auteur ; Susanne WICKS, Auteur ; Christina DALMAN, Auteur ; Johan AHLEN, Auteur . - p.919-928. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 67-6 (June 2026) . - p.919-928 Mots-clés : Anxiety disorders  familial risk  offspring  cohort study  population-based study Index. décimale : PER Périodiques Résumé : Background We assessed the risk of anxiety disorders in children of clinically anxious parents, focusing on the influence of parent and child sex, parental care level, depressive comorbidity, and anxiety subtype, while controlling for socioeconomic factors and other parental psychiatric conditions. Methods We conducted a population-based study utilizing comprehensive healthcare data. A cohort of children (N?=?516,134), born in 1998?2015 and residing in Stockholm, Sweden, was followed until they were diagnosed with anxiety, moved, or turned 18. The primary and secondary exposures were parental specified and unspecified anxiety diagnoses, respectively. The outcome was child specified anxiety diagnosis. Associations were estimated using hazard ratios (HRs) with 95% confidence intervals (CIs). Results Among exposed children, 4.3% were diagnosed with specified anxiety disorders, compared to 3.0% of unexposed (HR: 1.44, 95% CI: 1.38, 1.51). Adjustment for socioeconomic factors and other parental psychiatric disorders attenuated the risk (HR: 1.27, 95% CI: 1.21, 1.34). The risk was higher when parental anxiety was recorded in specialized psychiatric care (HR: 1.69, 95% CI: 1.60, 1.79) than in primary care (HR: 1.24, 95% CI: 1.17, 1.32). Maternal anxiety was linked to a higher risk (HR: 1.49, 95% CI: 1.41, 1.56) than paternal (HR: 1.31, 95% CI: 1.21, 1.42). Children were most likely to develop the same anxiety disorder as their parents, in cases of social anxiety, specific phobia, and panic disorder. Parental unspecified anxiety diagnoses were not associated with an increase in risk (HR: 1.02, 95% CI: 0.98, 1.07). Conclusions Parental specified anxiety modestly increased the risk of child anxiety disorders. While the overall risk was lower than previously reported, it varied across diagnosis types and care levels. En ligne : https://doi.org/10.1111/jcpp.70085 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=587

Dimension-specific symptom patterns in trajectories of broad anxiety: A longitudinal prospective study in school-aged children / Johan AHLEN in Development and Psychopathology, 32-1 (February 2020)  

Public ISBD [article]  inDevelopment and Psychopathology > 32-1 (February 2020) . - p.31-41 Titre : Dimension-specific symptom patterns in trajectories of broad anxiety: A longitudinal prospective study in school-aged children Type de document : texte imprimé Auteurs : Johan AHLEN, Auteur ; Ata GHADERI, Auteur Article en page(s) : p.31-41 Langues : Anglais (eng) Mots-clés : anxiety  developmental trajectories  normative challenges Index. décimale : PER Périodiques Résumé : Theories of maladaptive anxiety in children have suggested different developmental trajectories across age. Weems (2008) suggested that one subgroup of children demonstrates high and stable levels of broad anxiety, but shifting levels of dimension-specific symptoms in part due to related normative challenges. In a prospective longitudinal design, the current study examined patterns of dimension-specific anxiety symptoms in subgroups of children following different developmental trajectories of broad anxiety. A total of 300 children (150 girls, 150 boys) ages 8-11 at baseline, completed the Spence Children's Anxiety Scale four times over 3 years. Using latent class growth mixture modeling, we found evidence of three subgroups of children following different trajectories of broad anxiety across age: low-stable, moderate-increasing, and high-decreasing. Compared with other children, the subgroup with moderate and increasing levels of broad anxiety demonstrated an initially higher level of separation anxiety with larger improvement across time but, initially, similar levels of generalized and social anxiety with a larger increase across age. High broad anxiety was partly carried by different sets of dimension-specific symptoms at different ages, which suggests that children with high levels of broad anxiety across time may be more sensitive to normative challenges that happen in typical child development. En ligne : http://dx.doi.org/10.1017/s0954579418001384 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=415 [article] Dimension-specific symptom patterns in trajectories of broad anxiety: A longitudinal prospective study in school-aged children [texte imprimé] / Johan AHLEN, Auteur ; Ata GHADERI, Auteur . - p.31-41. Langues : Anglais (eng) in Development and Psychopathology > 32-1 (February 2020) . - p.31-41 Mots-clés : anxiety  developmental trajectories  normative challenges Index. décimale : PER Périodiques Résumé : Theories of maladaptive anxiety in children have suggested different developmental trajectories across age. Weems (2008) suggested that one subgroup of children demonstrates high and stable levels of broad anxiety, but shifting levels of dimension-specific symptoms in part due to related normative challenges. In a prospective longitudinal design, the current study examined patterns of dimension-specific anxiety symptoms in subgroups of children following different developmental trajectories of broad anxiety. A total of 300 children (150 girls, 150 boys) ages 8-11 at baseline, completed the Spence Children's Anxiety Scale four times over 3 years. Using latent class growth mixture modeling, we found evidence of three subgroups of children following different trajectories of broad anxiety across age: low-stable, moderate-increasing, and high-decreasing. Compared with other children, the subgroup with moderate and increasing levels of broad anxiety demonstrated an initially higher level of separation anxiety with larger improvement across time but, initially, similar levels of generalized and social anxiety with a larger increase across age. High broad anxiety was partly carried by different sets of dimension-specific symptoms at different ages, which suggests that children with high levels of broad anxiety across time may be more sensitive to normative challenges that happen in typical child development. En ligne : http://dx.doi.org/10.1017/s0954579418001384 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=415

Evaluating a program to prevent anxiety in children of anxious parents: a randomized controlled trial / Sigrid ELFSTRÖM in Journal of Child Psychology and Psychiatry, 66-9 (September 2025)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 66-9 (September 2025) . - p.1345-1356 Titre : Evaluating a program to prevent anxiety in children of anxious parents: a randomized controlled trial Type de document : texte imprimé Auteurs : Sigrid ELFSTRÖM, Auteur ; Anna ROSENGREN, Auteur ; Rebecca ANDERSSON, Auteur ; Johanna ENGELBREKTSSON, Auteur ; Albin ISAKSSON, Auteur ; Micaela MEREGALLI, Auteur ; Livia VAN LEUVEN, Auteur ; Maria LALOUNI, Auteur ; Lars-Göran ÖST, Auteur ; Ata GHADERI, Auteur ; Johan AHLEN, Auteur Article en page(s) : p.1345-1356 Langues : Anglais (eng) Mots-clés : Anxiety disorders  prevention  parenting  internet-based intervention  randomized controlled trial  public health Index. décimale : PER Périodiques Résumé : Background Pediatric anxiety disorders are prevalent, particularly among children with anxious parents. This trial evaluated a program for anxious parents aimed at preventing offspring anxiety disorders and symptoms over 12 months. Methods This parallel, randomized, controlled, open-label trial was conducted at Karolinska Institutet, Stockholm, Sweden. Inclusion criteria comprised heightened parental anxiety and the child (5 9 years old) not currently meeting criteria for an anxiety disorder. The program, Confident Parents?Brave Children (CPBC) involves six video conferencing group sessions. An external researcher randomly allocated (1:1) participants to CPBC or a self-help control. The primary outcome was change in clinical severity ratings (CSR) between pre- and 12-month assessments, assessed by the Anxiety Disorders Interview Schedule. Secondary outcomes included parent-rated child anxiety symptoms and parental self-efficacy. The study was preregistered at ClinicalTrials.gov (NCT04722731). Results The trial included 215 parents (91% female) and 277 children (48% girls, mean age 7.0). At the 12-month assessment, no statistically significant difference was found between conditions on the primary outcome (change in CSR), OR 0.67 (95% CI: 0.30, 1.48). No statistically significantly lower prevalence of anxiety disorder at the 12-month assessment was found in the CPBC group compared with the control group, OR 0.57 (95% CI: 0.24, 1.31). When stratifying by age, children 5 6 years in CPBC showed lower risk of increased CSR, OR 0.24 (95% CI: 0.08, 0.77), and anxiety diagnosis, OR 0.23 (95% CI: 0.05, 0.84), compared to controls. Regarding secondary outcomes, CPBC children exhibited larger decreases in anxiety symptoms than control children from pre- to the 12-month assessment, Cohen's d .35 (95% CI: 0.15, 0.55). Parents in both conditions showed increased parental self-efficacy over time, with no significant between-group effect. The 12-month assessment was completed by 204 parents (95%). Conclusions The CPBC may have potential for preventing anxiety in young children; however, further research is warranted. En ligne : https://doi.org/10.1111/jcpp.14151 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=566 [article] Evaluating a program to prevent anxiety in children of anxious parents: a randomized controlled trial [texte imprimé] / Sigrid ELFSTRÖM, Auteur ; Anna ROSENGREN, Auteur ; Rebecca ANDERSSON, Auteur ; Johanna ENGELBREKTSSON, Auteur ; Albin ISAKSSON, Auteur ; Micaela MEREGALLI, Auteur ; Livia VAN LEUVEN, Auteur ; Maria LALOUNI, Auteur ; Lars-Göran ÖST, Auteur ; Ata GHADERI, Auteur ; Johan AHLEN, Auteur . - p.1345-1356. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 66-9 (September 2025) . - p.1345-1356 Mots-clés : Anxiety disorders  prevention  parenting  internet-based intervention  randomized controlled trial  public health Index. décimale : PER Périodiques Résumé : Background Pediatric anxiety disorders are prevalent, particularly among children with anxious parents. This trial evaluated a program for anxious parents aimed at preventing offspring anxiety disorders and symptoms over 12 months. Methods This parallel, randomized, controlled, open-label trial was conducted at Karolinska Institutet, Stockholm, Sweden. Inclusion criteria comprised heightened parental anxiety and the child (5 9 years old) not currently meeting criteria for an anxiety disorder. The program, Confident Parents?Brave Children (CPBC) involves six video conferencing group sessions. An external researcher randomly allocated (1:1) participants to CPBC or a self-help control. The primary outcome was change in clinical severity ratings (CSR) between pre- and 12-month assessments, assessed by the Anxiety Disorders Interview Schedule. Secondary outcomes included parent-rated child anxiety symptoms and parental self-efficacy. The study was preregistered at ClinicalTrials.gov (NCT04722731). Results The trial included 215 parents (91% female) and 277 children (48% girls, mean age 7.0). At the 12-month assessment, no statistically significant difference was found between conditions on the primary outcome (change in CSR), OR 0.67 (95% CI: 0.30, 1.48). No statistically significantly lower prevalence of anxiety disorder at the 12-month assessment was found in the CPBC group compared with the control group, OR 0.57 (95% CI: 0.24, 1.31). When stratifying by age, children 5 6 years in CPBC showed lower risk of increased CSR, OR 0.24 (95% CI: 0.08, 0.77), and anxiety diagnosis, OR 0.23 (95% CI: 0.05, 0.84), compared to controls. Regarding secondary outcomes, CPBC children exhibited larger decreases in anxiety symptoms than control children from pre- to the 12-month assessment, Cohen's d .35 (95% CI: 0.15, 0.55). Parents in both conditions showed increased parental self-efficacy over time, with no significant between-group effect. The 12-month assessment was completed by 204 parents (95%). Conclusions The CPBC may have potential for preventing anxiety in young children; however, further research is warranted. En ligne : https://doi.org/10.1111/jcpp.14151 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=566

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