Negative Life Events,Social Support,and Self-Efficacy in Anxious Adolescents

Abstract

Purpose

To examine the prevalence and correlates of anxiety in a community sample of adolescents. Knowing the prevalence and characteristics of anxious adolescents is valuable to improve anxiety prevention strategies and interventions.

Design

Cross-sectional data about anxiety were collected via a school survey from a community sample of Norwegian adolescents aged 12–17 (N = 1719).

Methods

Based on scores from the Spence Children’s Anxiety Scale, the adolescents were categorized as not anxious or anxious. Logistic regression analysis was performed to access the impact of each factor on the likelihood that participants would report an elevated level of anxiety.

Results

A total of 22% of the adolescents were categorized as anxious. Female gender, experienced negative life events, low social support, and low self-efficacy were associated with elevated level of anxiety.

Conclusions

The high prevalence of anxiety in adolescents demonstrates the importance of improved prevention interventions targeting anxious adolescents. We argue that addressing is the responsibility of not only the individual adolescents and their families but also schools, school health services, and policy makers. School-based interventions that increase social support and self-efficacy would probably be particularly beneficial for anxious adolescents.

Keywords

Anxiety adolescent negative life events self-efficacy social support

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References

Arendt

Hougaard

Thastum

(2014) Psychometric properties of the child and parent versions of Spence Children’s Anxiety Scale in a Danish community and clinical sample. Journal of Anxiety Disorders 28: 947–956.

Askeland

G. K.

Reedtz

(2015) Måleegenskaper ved den norske versjonen av resilience scale for adolescents (READ). PsykTestBarn 1(3): 1–12.

Aune

Stiles

T. C.

(2009) The effects of depression and stressful life events on the development and maintenance of syndromal social anxiety: Sex and age differences. Journal of Clinical Child and Adolescent Psychology 38(4): 501–512.

Balazs

Miklosi

Kereszteny

Hoven

C. W.

Carli

Wasserman

(2013) Adolescent subthreshold-depression and anxiety: Psychopathology, functional impairment and increased suicide risk. Journal of Child Psychology and Psychiatry 54(6): 670–677.

Bandura

(1993) Perceived self-efficacy in cognitive development and functioning. Educational Psychologist 28(2): 117–148.

Bandura, A. (2001). Social cognitive theory: an agentic perspective. Annual Review of Psychology, 52, 1–56.

Beck

(2011) Cognitive behavior therapy: Basics and beyond, 2nd ed. New York, NY: The Guilford Press.

Beesdo

Knappe

Pine

D. S.

(2009) Anxiety and anxiety disorders in children and adolescents: Developmental issues and implications for DSM-V. Psychiatric Clinics of North America Journal 32(3): 483–524.

Berkman

L. F.

Glass

Brissette

Seeman

T. E.

(2000) From social integration to health: Durkheim in the new millennium. Social Science & Medicine 51(6): 843–857.

10.

Buchanan

Bowen

(2008) In the context of adult support: The influence of peer support on the psychological well-being of middle-school students. Child and Adolescent Social Work Journal 25(5): 397–407.

11.

Bøe

Øverland

Lundervold

A. J.

Hysing

(2012) Socioeconomic status and children’s mental health: Results from the Bergen Child Study. Social Psychiatry and Psychiatric Epidemiology 47: 1557–1566.

12.

Cohen

Wills

T. A.

(1985) Stress, social support, and the buffering hypothesis. Psychological Bulletin 98(2): 310–357.

13.

Copeland

W. E.

Angold

Shanahan

Costello

E. J.

(2014) Longitudinal patterns of anxiety from childhood to adulthood: The Great Smoky Mountains study. Journal of the American Academy of Child and Adolescent Psychiatry 53(1): 21–33.

14.

DeSousa

D. A.

Pereira

A. S.

Petersen

C. S.

Manfro

G. G.

Salum

G. A.

Koller

S. H.

(2014) Psychometric properties of the Brazilian-Portuguese version of the Spence Children’s Anxiety Scale (SCAS): Self- and parent-report versions. J Anxiety Disord 28(5): 427–436.

15.

Dudley

Silove

Gale

(2012) Mental health and human rights, Oxford UK: Oxford University Press.

16.

Dupere

Leventhal

Vitaro

(2012) Neighborhood processes, self-efficacy, and adolescent mental health. Journal of Health and Social Behavior 53(2): 183–198.

17.

Dyregrov

(2008) Effective grief and bereavement support: The role of family, friends, colleagues, schools and support professionals, London, England: Jessica Kingsley Publishers.

18.

Ehlers

Clark

D. M.

(2000) A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy 38: 319–345.

19.

Fentz

H. N.

Hoffart

Jensen

M. B.

Arendt

O’Toole

M. S.

Rosenberg

N. K.

Hougaard

(2013) Mechanisms of change in cognitive behaviour therapy for panic disorder: The role of panic self-efficacy and catastrophic misinterpretations. Behaviour Research and Therapy 51(9): 579–587.

20.

Fitzpatrick

Bussey

(2014) The role of perceived friendship self-efficacy as a protective factor against the negative effects of social victimization. Social Development 23(1): 41–60.

21.

Gadermann

A. M.

Alonso

Vilagut

Zaslavsky

A. M.

Kessler

R. C.

(2012) Comorbidity and disease burden in the National Comorbidity Survey Replication (NCS-R). Depression and Anxiety 29(9): 797–806.

22.

Gallagher

M. W.

Payne

L. A.

White

K. S.

Shear

K. M.

Woods

S. W.

Gorman

J. M.

Barlow

D. H.

(2013) Mechanisms of change in cognitive behavioral therapy for panic disorder: The unique effects of self-efficacy and anxiety sensitivity. Behaviour Research and Therapy 51(11): 767–777.

23.

Hjemdal

Friborg

Stiles

T. C.

Martinussen

Rosenvinge

J. H.

(2006) A new scale for adolescent resilience: Grasping the central protective resources behind healthy development. Measurement and Evaluation in Counseling and Development 39(2): 84–96.

24.

Holly

L. E.

Little

Pina

A. A.

Caterino

L. C.

(2015) Assessment of anxiety symptoms in school children: A cross-sex and ethnic examination. Journal of Abnormal Child Psychology 43(2): 297–309.

25.

Institute for Health Metrics and Evaluation, I. (2016). Norway: State of the nation’s health: Findings from the global burden of disease. Retrieved from Seattle, WA. http://www.healthdata.org/sites/default/files/files/policy_report/2016/PolicyReport_IHME_GBD-Norway_2016.pdf.

26.

Judd

L. L.

Rapaport

M. H.

Paulus

M. P.

Brown

J. L.

(1994) Subsyndromal symptomatic depression: A new mood disorder? The Journal of Clinical Psychiatry 55(Suppl): 18–28.

27.

Kessler

R. C.

McLaughlin

K. A.

Green

J. G.

Gruber

M. J.

Sampson

N. A.

Zaslavsky

A. M.

Williams

D. R.

(2010) Childhood adversities and adult psychopathology in the WHO World Mental Health Surveys. The British Journal of Psychiatry 197(5): 378–385.

28.

Kinderman

Schwannauer

Pontin

Tai

(2013) Psychological processes mediate the impact of familial risk, social circumstances and life events on mental health. PLoS One 8(10): e76564, doi:10.1371.

29.

Landon

T. M.

Ehrenreich

J. T.

Pincus

D. B.

(2007) Self-efficacy: A comparison between clinically anxious and non-referred youth. Child Psychiatry and Human Development 38(1): 31–45.

30.

Leikanger

Ingul

J. M.

Larsson

(2012) Sex and age-related anxiety in a community sample of Norwegian adolescents. Scandinavian Journal of Psychology 53(2): 150–157.

31.

Leikanger

Larsson

(2012) One-year stability, change and incidence in anxiety symptoms among early adolescents in the general population. European Child & Adolescent Psychiatry 21(9): 493–501.

32.

Lyneham

H. J.

Sburlati

E. S.

Abbott

M. J.

Rapee

R. M.

Hudson

J. L.

Tolin

D. F.

Carlson

S. E.

(2013) Psychometric properties of the Child Anxiety Life Interference Scale (CALIS). Journal of Anxiety Disorders 27(7): 711–719.

33.

Major, E. F., Dalgard, O. S., Mathisen, K. S., Nord, E., Ose, S., Rognerud, M., & Aarø, L. E. (2011). Bedre føre var [Better safe than sorry]. Retrieved from Oslo: http://www.fhi.no.

34.

Mancini Bowen

G. L.

O’Neal

C. W.

Arnold

A. L.

(2015) Relationship provisions, self-efficacy and youth well-being in military families. Journal of Applied Developmental Psychology 40: 17–25.

35.

Merikangas

K. R.

J. P.

Burstein

Swanson

S. A.

Avenevoli

Cui

L. H.

Swendsen

(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 and Adolescent Psychiatry 49(10): 980–989.

36.

Micco

J. A.

Henin

Mick

Kim

Hopkins

C. A.

Biederman

Hirshfeld-Becker

D. R.

(2009) Anxiety and depressive disorders in offspring at high risk for anxiety: A meta-analysis. Journal of Anxiety Disorders 23(8): 1158–1164.

37.

Montgomery

(2011) Trauma, exile and mental health in young refugees. Acta Psychiatrica Scandinavica Suppl 440: 1–46.

38.

Muris

(2002) Relationships between self-efficacy and symptoms of anxiety disorders and depression in a normal adolescent sample. Personality and Individual Differences 32: 337–348.

39.

Nauta

M. H.

Scholing

Rapee

R. M.

Abbott

Spence

S. H.

Waters

(2004) A parent-report measure of children’s anxiety: Psychometric properties and comparison with child-report in a clinic and normal sample. Behaviour Research and Therapy 42(7): 813–839.

40.

Neuner

Mackensen

Krümpel

Manner

Friefeld

Nixdorf

Nowak-Göttl (2011) Health-related quality of life in children and adolescents with stroke, self- reports, and parent/proxies reports: Cross-sectional investigation. Pediatric Stroke 70: 70–78.

41.

Nordanger

D. O.

Breivik

Haugland

B. S.

Lehmann

Maehle

Braarud

H. C.

Hysing

(2014) Prior adversities predict posttraumatic stress reactions in adolescents following the Oslo Terror events 2011. European Journal of Psychotraumatology 5. . doi:10.3402.

42.

Olofsdotter

Sonnby

Vadlin

Furmark

Nilsson

K. W.

(2016) Assessing adolescent anxiety in general psychatric care: Diagnostic accuracy of the swedish self-report and parent versions of the spence children’s anxiety scale. Assessment 23(6): 747–757. doi:10.1177.

43.

Orgiles

Fernandez-Martinez

Guillen-Riquelme

Espada

J. P.

Essau

C. A.

(2016) A systematic review of the factor structure and reliability of the Spence children’s anxiety scale. Journal of Affective Disorders 190: 333–340.

44.

Pai

A. L.

Greenley

R. N.

Lewandowski

Drotar

Youngstrom

Peterson

C. C.

(2007) A meta-analytic review of the influence of pediatric cancer on parent and family functioning. Journal of Family Psychology 21(3): 407–415.

45.

Podsakoff

P. M.

MacKenzie

S. B.

Lee

J. Y.

Podsakoff

N. P.

(2003) Common method biases in behavioral research: A critical review of the literature and recommended remedies. Journal of Applied Psychology 88(5): 879–903.

46.

Rapee

R. M.

Schniering

C. A.

Hudson

J. L.

(2009) Anxiety disorders during childhood and adolescence: Origins and treatment. Annual Review of Clinical Psychology 5: 311–341.

47.

Reynolds

C. R.

Richmond

B. O.

(1979) Factor structure and construct validity of “what I think and feel”: The revised children’s manifest anxiety scale. Journal of Personality Assessment 43(3): 281–283.

48.

Rudy

B. M.

Davis

T. E.

Matthews

R. A.

(2012) The relationship among self-efficacy, negative self-referent cognitions, and social anxiety in children: A multiple mediator model. Behavior Therapy 43(3): 619–628.

49.

Sareen

Henriksen

C. A.

Bolton

S. L.

Afifi

T. O.

Stein

M. B.

Asmundson

G. J.

(2013) Adverse childhood experiences in relation to mood and anxiety disorders in a population-based sample of active military personnel. Psychological Medicine 43(1): 73–84.

50.

Scholz

Gutiérrez-Dona

Sud

Schwarzer

(2002) Is general self-efficacy a universal construct? Psychometric findings from 25 countries. European Journal of Psychological Assessment 18(3): 242–251.

51.

Schwarzer

Jerusalem

(1995) Generalized self-efficacy scale. In: Weinman

Wright

Johnston

(eds) Measures in health psychology: A user’s portfolio. Causal and control beliefs, Windsor, England: NFER-NELSON, pp. 35–37.

52.

Solberg

M. E.

Olweus

(2003) Prevalence estimation of school bullying with the Olweus Bully Victim Questionnaire. Aggressive Behavior 29(3): 239–268.

53.

Spence

S. H.

(1998) A measure of anxiety symptoms among children. Behaviour research and therapy 36: 545–566.

54.

Spence

S. H.

Barrett

P. M.

Turner

C. M.

(2003) Psychometric properties of the Spence Children’s Anxiety Scale with young adolescents. Journal of Anxiety Disorder 17(6): 605–625.

55.

Stiffman

A. R.

Stelk

Horwitz

S. M.

Evans

M. E.

Outlaw

F. H.

Atkins

(2010) A public health approach to children’s mental health services: Possible solutions to current service inadequacies. Administration and Policy in Mental Health and Mental Health 37(1–2): 120–124.

56.

Tabechnick

B. G.

Fidell

L. S.

(2013) Using multivariate statistics, 6th ed. Boston, MA: Pearson Education.

57.

Warner

L. M.

Gutierrez-Dona

Villegas Angulo

Schwarzer

(2015) Resource loss, self-efficacy, and family support predict posttraumatic stress symptoms: A 3-year study of earthquake survivors. Anxiety Stress Coping 28(3): 239–253.

58.

Whiteside

S. P.

Brown

A. M.

(2008) Exploring the utility of the Spence Children’s Anxiety Scales parent- and child-report forms in a North American sample. Journal of Anxiety Disorders 22(8): 1440–1446.

59.

WHO. (2014). Preventing suicide. A global imperative. Retrieved from Luxemburg: http://apps.who.int/iris/bitstream/10665/131056/1/9789241564779_eng.pdf?ua.