1991
DOI: 10.1007/bf01319936
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The nature and treatment of childhood anxiety

Abstract: Several issues pertinent to childhood anxiety and related disorders are reviewed. These include the reliability and validity of existing classification systems, the diversity and shortcomings of behavioral assessment techniques, and the nature and efficacy of intervention strategies with this population. Particular attention is paid to the need to interface taxonomic, assessment, and treatment methods. A functional model of assessing and treating children and adolescents with school refusal behavior is present… Show more

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Cited by 4 publications
(4 citation statements)
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References 82 publications
(84 reference statements)
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“…) Although widely used with school refusers, self-report measures of fear and anxiety are not unproblematic. It has been suggested that their construct validity has yet to be demonstrated (Silverman & Kearney, 1991) and as such they may be better described as measures of '' negative affectivity '' (Watson & Clark, 1984). King et al (1995) also include depression within this superordinate construct, although they argue that comorbidity is not always present and thus anxiety, fear, and depression should continue as distinct constructs.…”
Section: Self-report Scalesmentioning
confidence: 99%
See 1 more Smart Citation
“…) Although widely used with school refusers, self-report measures of fear and anxiety are not unproblematic. It has been suggested that their construct validity has yet to be demonstrated (Silverman & Kearney, 1991) and as such they may be better described as measures of '' negative affectivity '' (Watson & Clark, 1984). King et al (1995) also include depression within this superordinate construct, although they argue that comorbidity is not always present and thus anxiety, fear, and depression should continue as distinct constructs.…”
Section: Self-report Scalesmentioning
confidence: 99%
“…Despite their popularity, measures of childhood anxiety have yet to demonstrate significant clinical utility in devising effective treatment programmes (Silverman & Kearney, 1991) and measures that focus specifically upon the refusal context may provide to be more valuable. In line with their functional, rather than symptomatic, model of school refusal, Kearney and Silverman (1993) have devised the School Refusal Assessment Scale (SRAS).…”
Section: The Relationship Between Assessment and Treatmentmentioning
confidence: 99%
“…In an age when randomized control trials, which remain our gold standard, take more than 5 years to yield usable results, and the grant support for such work has decreased substantially, it is unlikely that research can be conducted to reflect every iteration of comorbidity within and between families of young children with DBDs will be feasible. There are, however, recommendations for more idiographic, functional models of assessment that may lend themselves quite well to further understanding for whom the potential cascading effects of BPT may be most beneficial (O’Brian, Haynes, & Kaholokula, 2016; Silverman & Kearney, 1991). In particular, the extent to which parent and/or child behavior, as well as parent-child interactions, are functioning to maintain and/or exacerbate internalizing symptomatology in children and/or depression in caregivers, as well as DBDs, may predict which families will be most likely to benefit from the secondary effects of BPT.…”
Section: Summary Future Directions and Clinical Implicationsmentioning
confidence: 99%
“…These four factors were the lime light of the research. The SRAS is 21 Nurture: Volume 9, Issue 1, 19-28, 2015 Online ISSN: 1994-1633/ Print ISSN: 1994- predicted on clinical and analysis proof that youngsters refuse or have problem in attending school for variety of various reasons related to negative and positive reinforcement (Silverman & Kearney, 1991). Permission was taken to use this scale by British Journal of Psychopathology.…”
Section: Instrumentmentioning
confidence: 99%