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Doll Play Narratives About Starting School in Children of Socially Anxious Mothers, and Their Relation to Subsequent Child School-Based Anxiety

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Abstract

Child social anxiety is common, and predicts later emotional and academic impairment. Offspring of socially anxious mothers are at increased risk. It is important to establish whether individual vulnerability to disorder can be identified in young children. The responses of 4.5 year-old children of mothers with social phobia (N = 62) and non-anxious mothers (N = 60) were compared, two months before school entry, using a Doll Play (DP) procedure focused on the social challenge of starting school. DP responses were examined in relation to teacher reports of anxious-depressed symptoms and social worries at the end of the child’s first school term. The role of earlier child behavioral inhibition and attachment, assessed at 14 months, was also considered. Compared to children of non-anxious mothers, children of mothers with social phobia were significantly more likely to give anxiously negative responses in their school DP (OR = 2.57). In turn, negative DP predicted teacher reported anxious-depressed and social worry problems. There were no effects of infant behavioral inhibition or attachment. Vulnerability in young children at risk of anxiety can be identified using Doll Play narratives.

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Acknowledgements

The research was funded by ESRC and MRC grants to Lynne Murray and Peter Cooper. Laura Pass was supported by an ESRC studentship. We thank Liz White, Sarah Shildrick and Melanie Royal-Lawson for assistance with data collection and coding.

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Correspondence to Lynne Murray.

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Pass, L., Arteche, A., Cooper, P. et al. Doll Play Narratives About Starting School in Children of Socially Anxious Mothers, and Their Relation to Subsequent Child School-Based Anxiety. J Abnorm Child Psychol 40, 1375–1384 (2012). https://doi.org/10.1007/s10802-012-9645-4

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