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Nimphy CA, Mitrou V, Elzinga BM, Van der Does W, Aktar E. The Role of Parental Verbal Threat Information in Children's Fear Acquisition: A Systematic Review and Meta-analysis. Clin Child Fam Psychol Rev 2024; 27:714-731. [PMID: 38789695 PMCID: PMC11486780 DOI: 10.1007/s10567-024-00485-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/21/2024] [Indexed: 05/26/2024]
Abstract
Children can acquire fears of novel stimuli as a result of listening to parental verbal threat information about these stimuli (i.e., instructional learning). While empirical studies have shown that learning via parental information occurs, the effect size of parental verbal threat information on child fear of a novel stimulus has not yet been measured in a meta-analysis. We conducted a systematic review and meta analysis to assess the effect of parents' verbal statements on their children's fear acquisition. Additionally, we explored potential moderators of this effect, namely, parent and child anxiety levels, as well as child age. WebOfScience, Pubmed, Medline, and PsycINFO were used to identify eligible studies that assessed children's (30 months to 18 years old) fear of novel stimuli after being exposed to parental verbal threat information. We selected 17 studies for the meta-analysis and 18 for the systematic review. The meta-analysis revealed a significant causal effect of parental verbal threat information on children's fear reaction towards novel stimuli [g = 1.26]. No evidence was found for a moderation of verbal learning effects, neither by child or parent anxiety levels nor by child age. The effect of parents' verbal threat information on children's fear of novel stimuli is large and not dependent on anxiety levels or child age.
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Affiliation(s)
- Cosima Anna Nimphy
- Department of Clinical Psychology, Leiden University, Leiden, The Netherlands.
| | - Vasiliki Mitrou
- Department of Clinical Psychology, Leiden University, Leiden, The Netherlands
| | - Bernet M Elzinga
- Department of Clinical Psychology, Leiden University, Leiden, The Netherlands
- Leiden Institute for Brain and Cognition (LIBC), Leiden, The Netherlands
| | - Willem Van der Does
- Department of Clinical Psychology, Leiden University, Leiden, The Netherlands
- Leiden University Treatment Center (LUBEC), Leiden, The Netherlands
| | - Evin Aktar
- Department of Clinical Psychology, Leiden University, Leiden, The Netherlands
- Leiden Institute for Brain and Cognition (LIBC), Leiden, The Netherlands
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Aktar E, Pérez-Edgar K. Family risk factors in the acquisition of anxiety: Behavioral inhibition and Social Fear Learning from Parents. ADVANCES IN PSYCHIATRY AND BEHAVIORAL HEALTH 2024; 4:225-233. [PMID: 39629334 PMCID: PMC11611299 DOI: 10.1016/j.ypsc.2024.05.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/07/2024]
Abstract
Anxiety runs in families, likely reflecting shared genetic risk and shared exposure to signals of threat and fear messaging. Children begin to internalize these signals from the earliest months of life, providing a causal or treatment mechanism that is tractable to intervention. The data suggest that while temperamentally fearful children differentially respond to parental verbal and nonverbal signaling, the impact may be more powerful prior to early childhood.
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Affiliation(s)
- Evin Aktar
- Assistant Professor, Department of Psychology, Leiden University, Leiden, Netherlands
| | - Koraly Pérez-Edgar
- McCourtney Professor of Child Studies, Department of Psychology, The Pennsylvania State University, University Park, Pennsylvania
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Nimphy CA, Elzinga BM, Van der Does W, Van Bockstaele B, Pérez-Edgar K, Westenberg M, Aktar E. "Nobody Here Likes Her"-The Impact of Parental Verbal Threat Information on Children's Fear of Strangers. Dev Psychobiol 2024; 66:e22526. [PMID: 38979744 DOI: 10.1002/dev.22526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Revised: 05/03/2024] [Accepted: 06/17/2024] [Indexed: 07/10/2024]
Abstract
Parental verbal threat (vs. safety) information about strangers may induce fears of these strangers in adolescents. In this multi-method experimental study, utilizing a within-subject design, parents provided standardized verbal threat or safety information to their offspring (N = 77, Mage = 11.62 years, 42 girls) regarding two strangers in the lab. We also explored whether the impact of parental verbal threat information differs depending on the social anxiety levels of parents or fearful temperaments of adolescents. Adolescent's fear of strangers during social interaction tasks was assessed using cognitive (fear beliefs, attention bias), behavioral (observed avoidance and anxiety), and physiological (heart rate) indices. We also explored whether the impact of parental verbal threat information differs depending on the social anxiety levels of parents or fearful temperaments of adolescents. The findings suggest that a single exposure to parental verbal threat (vs. safety) information increased adolescent's self-reported fears about the strangers but did not increase their fearful behaviors, heart rate, or attentional bias. Furthermore, adolescents of parents with higher social anxiety levels or adolescents with fearful temperaments were not more strongly impacted by parental verbal threat information. Longitudinal research and studies investigating parents' naturalistic verbal expressions of threat are needed to expand our understanding of this potential verbal fear-learning pathway.
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Affiliation(s)
- Cosima A Nimphy
- Department of Clinical Psychology, Institute of Psychology, Leiden University, Leiden, The Netherlands
| | - Bernet M Elzinga
- Department of Clinical Psychology, Institute of Psychology, Leiden University, Leiden, The Netherlands
- Leiden Institute for Brain and Cognition (LIBC), Leiden University, Leiden, The Netherlands
| | - Willem Van der Does
- Department of Clinical Psychology, Institute of Psychology, Leiden University, Leiden, The Netherlands
- Leiden University Treatment Center (LUBEC), Leiden, The Netherlands
| | - Bram Van Bockstaele
- Research Institute of Child Development and Education, University of Amsterdam, Amsterdam, The Netherlands
- Centre for the Advancement of Research on Emotion, School of Psychological Science, University of Western Australia, Crawley, Australia
| | - Koraly Pérez-Edgar
- Department of Psychology, Child Study Center, The Pennsylvania State University, University Park, Pennsylvania, USA
| | - Michiel Westenberg
- Department of Developmental Psychology, Institute of Psychology, Leiden, The Netherlands
| | - Evin Aktar
- Department of Clinical Psychology, Institute of Psychology, Leiden University, Leiden, The Netherlands
- Leiden Institute for Brain and Cognition (LIBC), Leiden University, Leiden, The Netherlands
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Michalska KJ, Moroney E, Lee SS. Introduction to the special issue on threat and safety learning. Dev Psychobiol 2024; 66:e22446. [PMID: 38131240 DOI: 10.1002/dev.22446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2023] [Accepted: 11/06/2023] [Indexed: 12/23/2023]
Affiliation(s)
- Kalina J Michalska
- Department of Psychology, University of California, Riverside, California, USA
| | - Elizabeth Moroney
- Department of Child and Adolescent Psychiatry, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA
- Department of Psychiatry and Behavioral Sciences, Northwestern University, Chicago, Illinois, USA
| | - Steve S Lee
- Department of Psychology, University of California, Los Angeles, California, USA
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