Skittish, shielded, and scared: relations among behavioral inhibition, overprotective parenting, and anxiety in native and non-native Dutch preschool children

J Anxiety Disord. 2013 Oct;27(7):703-10. doi: 10.1016/j.janxdis.2013.09.006. Epub 2013 Sep 25.

Abstract

This study examined behavioral inhibition and overprotective parenting as correlates and predictors of anxiety disorder symptoms in preschoolers with a multi-cultural background (N=168). Parents of 3- to 6-year-old children completed a set of questionnaires twice, 12 months apart. Parents were also interviewed with the Anxiety Disorders Interview Schedule for DSM-IV at the 12-month point to assess the clinical severity of children's anxiety symptoms. Behavioral inhibition consistently emerged as a significant concurrent correlate of anxiety symptoms and this was particularly true for social anxiety symptoms. Overprotective parenting also emerged as a significant correlate of anxiety, but only in the case of non-social anxiety symptoms and mainly in non-native Dutch children. Prospective analyses revealed that behavioral inhibition was a significant predictor of social anxiety symptoms, while overprotective parenting did not explain significant variance in the development of children's anxiety over time. The support for an interactive effect of behavioral inhibition and overprotective parenting was unconvincing. Finally, it was found that children who exhibited stable high levels of behavioral inhibition throughout the study ran the greatest risk for developing an anxiety disorder.

Keywords: Anxiety disorders; Anxiety symptoms; Behavioral inhibition; Multi-ethnic population; Overprotective parenting; Preschool children.

MeSH terms

  • Anxiety / epidemiology*
  • Anxiety Disorders / epidemiology
  • Child
  • Child, Preschool
  • Cross-Sectional Studies
  • Diagnostic and Statistical Manual of Mental Disorders
  • Female
  • Humans
  • Inhibition, Psychological*
  • Male
  • Netherlands / epidemiology
  • Parenting*
  • Parents
  • Prospective Studies
  • Surveys and Questionnaires