The social problem-solving skills of anxious-withdrawn children

Age-related differences in behavioral problems between shy adults and shy children

Although both concurrent and longitudinal relations between shyness and behavioral problems are well-established in childhood, there is relatively less work exploring these associations in emerging adulthood. In addition, age-related differences in the strength of these relations in child and adult samples have not been fully explored within the same study. We collected measures of shyness, internalizing and externalizing behaviors, and social problems in a sample of 94 typically developing 6-year-old children (50 female; Mage = 78.3 months, SD = 3.1 months) and 775 undergraduate students (633 female, Mage = 18.2 years, SD = 0.9 years) from parent-reported and self-reported questionnaires, respectively. Shyness interacted with age in predicting internalizing behaviors and social problems, but not externalizing behaviors. Specifically, shyness was concurrently and positively related to internalizing and social problems in young adulthood, but this relation was not found in childhood. Findings are discussed in terms of developmental consequences of shyness across the lifespan and limitations of relying on ratings from different informants when examining age-related differences.

Reciprocal longitudinal effects among Korean young adolescent' negative peer relationships, social withdrawal, and smartphone dependence

The research should consider the complex dynamics of social interaction to better understand smartphone dependence among adolescents. In social situations, adolescents can choose to interact with their peers or use their smartphones, and smartphone dependence can drive adolescents far away from interaction with their peers. Adolescents, conversely, may use smartphones to avoid peer interaction because they have experienced social withdrawal or negative peer relationships. Previous research has not discussed enough what precedes or follows in longitudinal relationships. This study aims to examine the reciprocal longitudinal effects between adolescents' negative peer relationships, social withdrawal, and smartphone dependence. The analysis used longitudinal panel data collected yearly between 2018 and 2020 from the Korean Children and Youth Panel Survey (KCYPS) sampled from adolescents in the Republic of Korea and employed autoregressive cross-lagged modeling on 2230 participants. The reciprocal longitudinal relationships differed depending on the sub-factors of smartphone dependence. For instance, the sub-factor of smartphone dependence, including virtual life orientation and withdrawal, had reciprocal longitudinal relationships with negative peer relationships. The other sub-factor of smartphone dependence, including daily life disturbance and tolerance, influenced negative peer relationships consistently, but the converse path did not. In addition, social withdrawal longitudinally affected negative peer relationships the following year. However, the reciprocal longitudinal relationships between social withdrawal and smartphone dependence were not significant in any path in this research. This research provides practical implications for intervention to reduce smartphone dependence among young adolescents.

Developmental patterns of children's shyness: Relations with physiological, emotional, and regulatory responses to being treated unfairly

The dysregulation of social fear has been widely studied in children's shyness, but we know little about how shy children regulate during unfair treatment. We first characterized developmental patterns of children's shyness (N = 304, ngirls  = 153; 74% White, 26% Other) across 2 (Mage  = 2.07), 3 (Mage  = 3.08), 4 (Mage  = 4.08), and 6 (Mage  = 6.58) years of age. Data collection occurred from 2007 to 2014. At age 6, the high stable group had higher cardiac vagal withdrawal and lower expressed sadness and approach-related regulatory strategy than the low stable group when being treated unfairly. Although shy children may be more physiologically impacted by being treated unfairly, they may mask their sadness to signal appeasement.

Comparison of behaviorally inhibited and typically developing children's play behaviors in the preschool classroom

Introduction

Behavioral inhibition (BI) is a temperamental trait characterized by a bias to respond with patterns of fearful or anxious behavior when faced with unfamiliar situations, objects, or people. It has been suggested that children who are inhibited may experience early peer difficulties. However, researchers have yet to systematically compare BI versus typically developing children's observed asocial and social behavior in familiar, naturalistic settings.

Method

We compared the in-school behaviors of 130 (M = 54 months, 52% female) highly inhibited preschoolers (identified using the parent-reported Behavioral Inhibition Questionnaire) to 145 (M = 53 months, 52% female) typically developing preschoolers. Both samples were observed on at least two different days for approximately 60 min. Observers used the Play Observation Scale to code children's behavior in 10-s blocks during free play. Teachers completed two measures of children's behavior in the classroom.

Results

Regression models with robust standard errors controlling for child sex, age, and weekly hours in school revealed that preschoolers identified as BI engaged in significantly more observed reticent and solitary behavior, and less social play and teacher interaction than the typically developing sample. Children with BI also initiated social interaction with their peers and teachers less often than their counterparts who were not inhibited. Teachers reported that children identified as BI were more asocial and less prosocial than their non-BI counterparts.

Discussion

Significantly, the findings indicated that inhibited children displayed more solitude in the context of familiar peers. Previous observational studies have indicated behavioral differences between BI and unfamiliar typical age-mates in novel laboratory settings. Children identified as BI did not receive fewer bids for social interaction than their typically developing peers, thereby suggesting that children who are inhibited have difficulty capitalizing on opportunities to engage in social interaction with familiar peers. These findings highlight the need for early intervention for children with BI to promote social engagement, given that the frequent expression of solitude in preschool has predicted such negative outcomes as peer rejection, negative self-regard, and anxiety during the elementary and middle school years.

Effects of Maternal Overprotection on Social Competence in Young Children: The Mediating Role of Young Children’s Anxiety

Objectives: This study aimed to examine the direct and indirect effects of maternal overprotection on the development of young children’s social competence through their anxiety. In this study, maternal overprotection was defined as anxiously shielding their young children from having negative experiences and maintaining developmentally inappropriate intrusive and permissive parenting for their children.Methods: Participants were 183 mothers and 18 teachers with young children aged from four to six years. Mothers rated themselves on the degree of their overprotecting behaviors measured by a maternal overprotection scale for young children (Y. S. Chung & Park, 2021). Teachers rated young children’s anxiety and social competence. Data were analyzed using descriptive statistics, correlation analysis, and a structural equation model. Bootstrapping method was applied to examine the significance of the mediating effects.Results: First, there were significant correlations between maternal overprotection, young children’s anxiety and social competence. Second, structural equation modeling supported the hypothesized relations among maternal overprotection, young children’s anxiety and social competence after controlling with young children’s gender, maternal academic background, and monthly household income. And the level of young children’s anxiety mediated the relationship between overprotective parenting and young children’s social competence.Conclusion: This study showed that mother’s overprotective parenting was associated with varying levels of young children’s anxiety and social competence. Additionally the maternal overprotection linked with children’s social competence indirectly through their anxiety. These findings offer basic knowledge applicable to parent education and the for the development of program for improving parenting behaviors. The limitations and other implications of this study are also discussed.

Perspectives on Social Withdrawal in Childhood: Past, Present, and Prospects

In this article, we provide definitional clarity for the construct of social withdrawal as it was originally construed, and review the original theoretical and conceptual bases that led to the first research program dedicated to the developmental study of social withdrawal (the Waterloo Longitudinal Project). We also describe correlates (e.g., social and social-cognitive incompetence), precursors (e.g., dispositional characteristics, parenting, insecure attachment), and consequences (e.g., peer rejection and victimization, negative self-regard, anxiety) of social withdrawal, and discuss how the study of this type of withdrawal led to a novel intervention that targets risk factors that predict social withdrawal and its negative consequences.

Chinese American children's temperamental shyness and responses to peer victimization as moderated by maternal praise

This study examined the relations between Chinese American children's temperamental shyness and their assertive and submissive responses to peer victimization. The mediating role of children's anxious-withdrawn behavior in the association between their temperamental shyness and responses to peer victimization in school settings was assessed, as well as the moderating effect of observed maternal praise. Mothers of 153 Chinese American children (46.4% boys; Mage = 4.40 years, SDage = 0.79 years) reported on their children's temperamental shyness, and teachers rated children's display of anxious-withdrawn behavior and responses to peer victimization. Mothers' use of praise during their interactions with children in a free-play session was observed. Results showed that children's display of anxious-withdrawn behavior played a mediating role in the associations between their temperamental shyness and responses to peer victimization. Moreover, maternal praise moderated the relation between children's temperamental shyness and anxious-withdrawn behavior, such that more temperamentally shy children with mothers who used to praise more frequently displayed less anxious-withdrawn behavior, which, in turn, was associated with more assertiveness and less submissiveness in response to peer victimization. These findings highlight the importance of maternal praise in reducing children's display of anxious-withdrawn behavior, which in turn facilitates their capacity to cope with peer victimization. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Überprüfung der Konstrukt-‍, Kriteriumsvalidität und Messinvarianz eines Instruments zur Messung von sozialer Unsicherheit

Zusammenfassung. Soziale Unsicherheit bei Kindern zeichnet sich durch ein subjektives Unwohlsein in sozialen Situationen und die Sorge vor einer negativen Bewertung durch andere aus. Falls möglich, werden soziale Situationen vermieden oder auf ein Minimum beschränkt. Aufgrund der Unzuverlässigkeit von Fremdurteilen durch Erziehungsberechtigte oder Lehrkräfte haben Selbstbeurteilungsfragebögen in der Diagnostik von sozialer Unsicherheit einen besonderen Stellenwert. Die Social Anxiety Scale for Children (SASC-R-D; Melfsen & Florin, 1997 ) ist hierbei ein häufig eingesetztes Instrument, deren Validität bisher aber unzureichend untersucht wurde. Die vorliegende Studie untersucht daher anhand von Daten von 997 Kindern die Konstrukt- und Kriteriumsvalidität sowie Messinvarianz über das Geschlecht der Skala. Die Ergebnisse legen nah, dass es sich um ein valides Instrument handelt, wobei die differenzielle Nützlichkeit der einzelnen Subskalen fragwürdig bleibt. Die Ergebnisse und ihre Implikationen für die praktische Verwendung des Fragebogens werden diskutiert.

Multidimensional Emotion Regulation Moderates the Relation Between Behavioral Inhibition at Age 2 and Social Reticence with Unfamiliar Peers at Age 4

Behavioral inhibition (BI), a temperament trait characterized by fear and wariness in novel situations, has been identified as a risk factor for later social reticence and avoidance of peer interactions. However, the ability to regulate fearful responses to novelty may disrupt the link between BI and socially reticent behavior. The present study examined how and whether both behaviorally-manifested and physiological indices of emotion regulation moderate the relation between BI and later social reticence. Participants in this study included 88 children followed longitudinally from ages 2 to 4. At age 2, children completed the BI Paradigm in which children's responses to novel objects and adults were observed. At age 4, children's baseline respiratory sinus arrhythmia (RSA) was assessed and mothers reported on children's negative emotionality and soothability. Social reticence at age 4 was observed during a free play session with 3 unfamiliar peers. Results from saturated path models revealed a significant two-way interaction between BI and baseline RSA and a three-way interaction between BI, negative emotionality, and baseline RSA when predicting socially reticent behavior at age 4. At high levels of baseline RSA and high levels of negative emotionality, the association between BI and social reticence was negative. The relation between BI and later social reticence was only positive and significant at low levels of baseline RSA combined with high levels of negative emotionality. The results suggest that either strong physiological regulation or low negative emotionality seems sufficient to buffer inhibited young children against later social reticence.

Longitudinal Pathways From Shyness in Early Childhood to Personality in Adolescence: Do Peers Matter?

Temperamental shyness in childhood is theorized to be an important contributor for adolescent personality. However, empirical evidence for such pathways is scarce. Using longitudinal data (N = 939 children, 51% boys) across 17 years, the aim of this study was to examine how shyness development throughout childhood predicted personality traits in adolescence, and the role of peers in these associations. Results from piecewise latent growth curve modeling showed early shyness levels to predict lower emotional stability and openness in adolescence, whereas early shyness levels and growth across childhood predicted lower extraversion. Peer problems in early adolescence accounted for these associations. This study is the first to demonstrate the role of childhood shyness and peer relations for adolescents' personality development.

Continued Bullying Victimization from Childhood to Young Adulthood: a Longitudinal Study of Mediating and Protective Factors

Bullying in schools has severe consequences for victims' adjustment. It is unclear, however, whether victims of school bullying continue to be victimized in other contexts during adulthood. Mediating processes through which peer victimization in school increases the risk of revictimization in adulthood, as well as protective factors, also need to be explored. This study examined 1) the longitudinal association between peer victimization in school and victimization at work during young adulthood, 2) the predictive link of reactive and proactive aggression and anxious-withdrawn behavior in childhood with victimization in school and at the workplace, 3) the potential mediating role of depression symptoms, and 4) the potential protective effect of friendship support. The study included 251 participants (61% females) followed from age 12 to age 22. Participants reported about their victimization in school from ages 12 to 17 and their workplace victimization at age 22. They also reported about their depression-related thoughts and feelings and about friendship support. Teachers rated reactive and proactive aggression and anxiety-withdrawal at age 12. Structural equation modeling revealed that anxiety-withdrawal at age 12 predicted peer victimization in school, which in turn predicted later victimization at work. The latter association was partially mediated by increased depression symptoms. However, friendship support counteracted (via a main effect) the link between school victimization and subsequent depression symptoms. Bullying victims may benefit from interventions aimed at reducing depression symptoms and fostering social skills to establish supportive friendships to help avoid the generation of new interpersonal stress such as workplace victimization in adulthood.

Early-childhood social reticence predicts SCR-BOLD coupling during fear extinction recall in preadolescent youth

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Threat circuit function may develop differently in children with different temperamental profiles, such as high vs. low social reticence.

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We relate individual differences in longitudinally assessed, observed socially reticent behavior to brain-physiology interactions during extinction recall.

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Childhood social reticence predicts a distinct pattern of hemodynamic-autonomic covariation when recalling extinguished threat and safety cues.

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Covariation patterns indicated that socially reticent youth had difficulty tracking safety as a function of stimulus resemblance to the safe stimulus.

Social Reticence (SR) is a temperament construct identified in early childhood that is expressed as shy, anxiously avoidant behavior and, particularly when stable, robustly associated with risk for anxiety disorders. Threat circuit function may develop differently for children high on SR than low on SR. We compared brain function and behavior during extinction recall in a sample of 11-to-15-year-old children characterized in early childhood on a continuum of SR. Three weeks after undergoing fear conditioning and extinction, participants completed a functional magnetic resonance imaging extinction recall task assessing memory and threat differentiation for conditioned stimuli. Whereas self-report and psychophysiological measures of differential conditioning, extinction, and extinction recall were largely similar across participants, SR-related differences in brain function emerged during extinction recall. Specifically, childhood SR was associated with a distinct pattern of hemodynamic-autonomic covariation in the brain when recalling extinguished threat and safety cues. SR and attention focus impacted associations between trial-by-trial variation in autonomic responding and in brain activation. These interactions occurred in three main brain areas: the anterior insular cortex (AIC), the anterior subdivision of the medial cingulate cortex (aMCC), and the dorsolateral prefrontal cortex (dlPFC). This pattern of SCR-BOLD coupling may reflect selective difficulty tracking safety in a temperamentally at-risk population.

Neural responses to reward in childhood: relations to early behavioral inhibition and social anxiety

Behavioral inhibition (BI) is an early temperamental profile characterized by negative reactivity to novelty, withdrawal from social situations, and increased risk for social anxiety. Previous research associated BI assessed in early childhood to striatal hypersensitivity in mid-to-late adolescence. The present study examined this association among 10 year-olds, characterized with BI at ages 24 and 36 months on measures of temperamental reactivity. Participants (n = 40) were studied at age 10 using a reward processing task during functional magnetic resonance imaging (fMRI). Child- and maternal-report of social anxiety symptoms was collected at ages 10 and 13. Findings indicate greater caudate activation and stronger striatal connectivity in high, compared to low, behaviorally inhibited children. Caudate activation related to social anxiety symptoms at both ages. These findings suggest that enhanced striatal responsivity reliably manifests among high behaviorally inhibited children as early as age 10. This may reflect hyper-sensitivity to reward or excessive motivation to avoid errors.

Future Directions for Research on Early Intervention for Young Children at Risk for Social Anxiety

Anxiety disorders are common among young children, with earlier onset typically associated with greater severity and persistence. A stable behaviorally inhibited (BI) temperament and subsequent shyness and social withdrawal (SW) place children at increased risk of developing anxiety disorders, particularly social anxiety. In this Future Directions article, we briefly review developmental and clinical research and theory that point to parenting and peer interactions as key moderators of both the stability of BI/SW and risk for later anxiety, and we describe existing interventions that address early BI/SW and/or anxiety disorders in young children. We recommend that future research on early intervention to disrupt the trajectory of anxiety in children at risk (a) be informed by both developmental science and clinical research, (b) incorporate multiple levels of analysis (including both individual and contextual factors), (c) examine mediators that move us closer to understanding how and why treatments work, (d) be developed with the end goal of dissemination, (e) examine moderators of outcome toward the goal of treatment efficiency, (f) consider transdiagnostic or modular approaches, (g) integrate technology, and (h) consider cultural norms regarding BI/SW/anxiety and parenting.

Neuroticism and Conscientiousness as Moderators of the Relation Between Social Withdrawal and Internalizing Problems in Adolescence

Social withdrawal, or refraining from social interaction in the presence of peers, places adolescents at risk of developing emotional problems like anxiety and depression. The personality traits of neuroticism and conscientiousness also relate to emotional difficulties. For example, high conscientiousness predicts lower incidence of anxiety disorders and depression, while high neuroticism relates to greater likelihood of these problems. Based on these associations, socially withdrawn adolescents high in conscientiousness or low in neuroticism were expected to have lower levels of anxiety and depressive symptoms. Participants included 103 adolescents (59 % female) who reported on their personality traits in 8th grade and their anxiety and depressive symptoms in 9th grade. Peer ratings of social withdrawal were collected within schools in 8th grade. A structural equation model revealed that 8th grade withdrawal positively predicted 9th grade anxiety and depressive symptoms controlling for 8th grade anxiety and depressive symptoms, but neuroticism did not. Conscientiousness moderated the relation of withdrawal with depressive symptoms but not anxiety, such that high levels of conscientiousness attenuated the association between withdrawal and depressive symptoms. This buffering effect may stem from the conceptual relation between conscientiousness and self-regulation. Conscientiousness did not, however, moderate the association between withdrawal and anxiety, which may be partly due to the role anxiety plays in driving withdrawal. Thus, a conscientious, well-regulated personality partially protects withdrawn adolescents from the increased risk of emotional difficulties.

Gender Differences in Child and Adolescent Social Withdrawal: A Commentary

In a manuscript entitled, "Bashful boys and coy girls: A review of gender differences in childhood shyness" Doey et al. (2013) suggest that shyness and its related constructs pose a greater developmental risk for boys compared to girls. They support this claim by citing empirical evidence suggesting that shy and anxiously withdrawn boys are responded to more negatively by important others (i.e., parents, peers, and teachers) and that the relationship between internalizing problems and anxious withdrawal is stronger for boys compared to girls. The principal aim of our commentary is to provide a critical examination of Doey et al.'s conclusions vis-à-vis gender differences in child and adolescent shyness. In this response, we begin by providing important theoretical background regarding shyness and its related constructs. Next, we critically examine the two main arguments the authors use in support of their conclusion through a review of existing empirical and theoretical work as well as the presentation of data from The Friendship Project. These data were analyzed with the specific purpose of providing an empirical test of the hypotheses implicit in Doey et al.'s primary arguments: 1) shy and anxiously withdrawn boys are responded to more negatively than girls and 2) the association between anxious withdrawal and internalizing problems is stronger for boys compared to girls. Our results indicate mixed support for these two claims. Finally, we conclude by suggesting new directions for future researchers interested in clarifying the relationship between gender and both the correlates and outcomes of childhood shyness.

Canadian Elementary School Teachers’ Perceptions of Gender Differences in Shy Girls and Boys in the Classroom

Shyness may play a significant role in children’s socio-emotional and cognitive competence in the classroom. This qualitative study investigated elementary school teachers’ perceptions of the concept of shyness in their students. In particular, we explored teachers’ perceptions regarding the role that gender plays in shy children’s behaviours, and their suggestions for educational strategies for shy girls and boys to improve their socio-communicative competence and socio-emotional literacy. Twelve elementary school teachers (10 female, 2 male) participated in interviews about their thoughts/beliefs and feelings/attitudes regarding their experiences with shy girls and boys in the classroom. Overall, findings point to differences in teachers’ perceptions of shyness in boys and girls in the classroom, and suggest that some teachers perceive that shyness may be particularly problematic for boys. Findings are discussed in terms of inclusive and holistic educational programs that promote emotional and social competence among all children.

Cognitive conflict links behavioral inhibition and social problem solving during social exclusion in childhood

Behavioral inhibition (BI) is a temperament characterized by heightened negative affect and social reticence to unfamiliar peers. In a longitudinal study, 291 infants were assessed for BI at 24 and 36 months of age. At age 7, N2 amplitude was measured during a Flanker task. Also at age 7, children experienced social exclusion in the lab during an interaction with an unfamiliar peer and an experimenter. Our findings indicate that children characterized as high in BI, relative to those low in BI, had larger (i.e., more negative) N2 amplitudes. Additionally, among children with a large N2, BI was positively related to withdrawal and negatively related to assertiveness during social exclusion. These findings suggest that variations in conflict detection among behaviorally inhibited children plays a role in their social behavior during stressful social situations.

Associations Between Behavioral Inhibition and Children's Social Problem Solving Behavior During Social Exclusion

The current study examined the associations between the early childhood temperament of behavioral inhibition and children's displays of social problem-solving (SPS) behavior during social exclusion. During toddlerhood (ages 2-3), maternal report and behavioral observations of behavioral inhibition were collected. At age 7, children's SPS behaviors were observed during a laboratory social exclusion task based on the commonly used Cyberball game. Results showed that behavioral inhibition was positively associated with displayed social withdrawal and negatively associated with assertive behavior during the observed social exclusion task at 7 years of age. These results add to our understanding of inhibited children's SPS behaviors during social exclusion and provide evidence for the associations between toddler temperament and children's social behavior during middle childhood.

Social Problem-Solving in Early Childhood: Developmental Change and the Influence of Shyness

The purpose of this study was to examine developmental change and the influence of shyness on social problem-solving (SPS). At 24, 36, and 48 months, children (N=570) were observed while interacting with an unfamiliar peer during an SPS task and at 24 months, maternal report of shyness was collected. Results showed that across the full sample, children displayed low but stable levels of withdrawn SPS and increasing levels of SPS competence over development. In addition, results showed that 24-month shyness was associated with high-increasing and high-decreasing withdrawn SPS trajectories compared to the low-increasing withdrawn SPS trajectory. Shyness was also associated with the low-increasing compared to the high-increasing SPS competence trajectory. Findings demonstrate the development of SPS competence over early childhood, as well as the influence of early shyness on this developmental course, with some shy children showing improvement in SPS skills and others continuing to show SPS difficulties over time.

Temperament and Social Problem Solving Competence in Preschool: Influences on Academic Skills in Early Elementary School

The goals of the current study were to examine whether children's social problem solving (SPS) skills are a mechanism through which temperament influences later academic achievement and whether sex moderates these associations. Participants included 1,117 children enrolled in the NICHD Early Child Care Study. During preschool, mothers and childcare providers rated children's temperamental shyness and inhibitory control, and SPS was assessed using a hypothetical-reflective measure during a laboratory visit. During kindergarten and first grade, teacher-report of math and language skills was collected. Results indicated that high ratings of inhibitory control in preschool, but not shyness, predicted better kindergarten and first grade academic skills. Furthermore, children's SPS competence mediated the relations between both shyness and inhibitory control on later academic skills. The child's sex did not moderate these associations. Results suggest that preventative efforts targeting early SPS skills may buffer against later academic adjustment problems among temperamentally extreme children.

Peer experiences of anxious and socially withdrawn youth: an integrative review of the developmental and clinical literature

Prior research indicates that both anxious youth and socially withdrawn youth tend to experience challenges and difficulties in various aspects of their peer relationships and social functioning. While clinical psychology researchers have examined how anxiety relates to peer experiences using normative and clinically anxious samples, developmental psychologists have focused primarily on the peer experiences of shy and withdrawn children. Research from these two fields has progressed on related yet separate paths, producing similar results despite using different terminology and assessment techniques. The purpose of this review is to bring together the developmental and clinical bodies of literature on the peer experiences of anxious and socially withdrawn youth by identifying common themes and unique contributions of each discipline. Studies reviewed focus specifically on the peer constructs of acceptance, friendship, peer victimization, social skills, and social-cognitive processes. Limitations including methodological inconsistencies and insufficient examination of age-, gender-, and ethnicity-related issues are identified. Recommendations for future collaborations between developmental and clinical researchers as well as implications for interventions targeting the peer relations of anxious and withdrawn youth are discussed.

Social anxiety in childhood: bridging developmental and clinical perspectives

In this introductory chapter, guided by developmental psychopathology and developmental science as overarching integrative theoretical frameworks, the authors define three constructs related to social anxiety in childhood (behavioral inhibition, anxious solitude/withdrawal, and social anxiety disorder) and analyze commonalities and differences in the content and assessment of these constructs. They then highlight controversies between developmental and clinical approaches to the definition of these constructs, the role of biology in social anxiety, age of onset of social anxiety, information processing biases in social anxiety, heterogeneity in the social and emotional adjustment of socially anxious children, and targets of intervention for childhood social anxiety.

Social withdrawal in childhood

Socially withdrawn children frequently refrain from social activities in the presence of peers. The lack of social interaction in childhood may result from a variety of causes, including social fear and anxiety or a preference for solitude. From early childhood through to adolescence, socially withdrawn children are concurrently and predictively at risk for a wide range of negative adjustment outcomes, including socio-emotional difficulties (e.g., anxiety, low self-esteem, depressive symptoms, and internalizing problems), peer difficulties (e.g., rejection, victimization, poor friendship quality), and school difficulties (e.g., poor-quality teacher-child relationships, academic difficulties, school avoidance). The goals of the current review are to (a) provide some definitional, theoretical, and methodological clarity to the complex array of terms and constructs previously employed in the study of social withdrawal; (b) examine the predictors, correlates, and consequences of child and early-adolescent social withdrawal; and (c) present a developmental framework describing pathways to and from social withdrawal in childhood.

Keeping it all inside: Shyness, internalizing coping strategies and socio-emotional adjustment in middle childhood

Despite growing research results indicating that shyness is a risk factor for psychosocial maladjustment in childhood, less is known about the conceptual mechanisms that may underlie these associations. The purpose of the current study was to explore links between self-reported shyness, coping strategies and social functioning in middle childhood. As well, we sought to examine the reliance on internalizing coping strategies as a potential mediator of the link between shyness and social functioning. Participants were 355 children aged 9 to 11 years who completed measures of shyness, loneliness, positive and negative affect, social anxiety, self-concept, well-being, and coping strategies. Results indicated that shyness was associated with greater internalizing difficulties and lower well-being. Moreover, internalizing coping was found to partially mediate the relation between shyness and certain indices of internalizing problems. These results suggest a conceptual pathway, where an over-reliance on internalizing coping may partially explain why shy children experience internalizing difficulties in middle childhood.

Trajectories of social withdrawal from middle childhood to early adolescence

Heterogeneity and individual differences in the developmental course of social withdrawal were examined longitudinally in a community sample (N = 392). General Growth Mixture Modeling (GGMM) was used to identify distinct pathways of social withdrawal, differentiate valid subgroup trajectories, and examine factors that predicted change in trajectories within subgroups. Assessments of individual (social withdrawal), interactive (prosocial behavior), relationship (friendship involvement, stability and quality, best friend's withdrawal and exclusion/victimization) and group- (exclusion/victimization) level characteristics were used to define growth trajectories from the final year of elementary school, across the transition to middle school, and then to the final year of middle school (fifth-to-eighth grades). Three distinct trajectory classes were identified: low stable, increasing, and decreasing. Peer exclusion, prosocial behavior, and mutual friendship involvement differentiated class membership. Friendlessness, friendship instability, and exclusion were significant predictors of social withdrawal for the increasing class, whereas lower levels of peer exclusion predicted a decrease in social withdrawal for the decreasing class.

Early Childhood Anxious Solitude and Subsequent Peer Relationships: Maternal and Cognitive Moderators

It was hypothesized that the relation between early anxious solitude and subsequent peer relation would be moderated by early relational (maternal sensitivity) and individual factors (child school readiness). Participants were 1,364 children from the National Institute of Child Health and Human Development's Study of Early Child Care and Youth Development. Anxious solitude was assessed by child care providers from 2 to 4.5 years, maternal sensitivity was observed during mother-child interactions from 2 to 4.5 years, school readiness was tested at 3 years, children's interactions with a friend were observed at 4.5 years, and friendship quantity and peer rejection were assessed by first grade teachers. Results indicate that anxious solitary children who had experienced high versus low early maternal sensitivity contributed significantly more actively to positive interaction and less actively to negative interaction with a friend at 4.5 years (these results were contingent on school readiness), and had more friends and were less rejected by peers in first grade. Although high school readiness predicted interactive competency and positive peer relationships in children low in anxious solitude, these benefits were suppressed in anxious solitary children.

A Comparison of Behavioral and Emotional Functioning in Children and Adolescents with Autistic Disorder and PDD-NOS

Behavioral symptomatology was compared in 26 children and adolescents with Autistic Disorder ("autism") and 25 children and adolescents with Pervasive Developmental Disorder, Not Otherwise Specified ("PDD-NOS"). Relative to individuals with PDD-NOS, those with autism had more symptoms of depression, social withdrawal, atypical behavior, and immature social skills--and fewer family problems. These differences remained even when group differences in intellectual ability were statistically controlled. No group differences emerged in somatization, anxiety, or hyperactivity. Findings suggest that although both groups demonstrate considerable evidence of behavioral and emotional problems, those with autism are at particularly high risk for comorbid behavioral and emotional disabilities.

Social information processing and coping strategies of shy/withdrawn and aggressive children: does friendship matter?

The primary objectives of this investigation were to examine the attributions, emotional reactions, and coping strategies of shy/withdrawn and aggressive girls and boys and to examine whether such social cognitions differ within the relationship context of friendship. Drawn from a sample of fifth and sixth graders (M age = 10.79 years; SD = .77), 78 shy/withdrawn, 76 aggressive, and 85 control children were presented with hypothetical social situations that first involved unfamiliar peers, and then a mutual good friend. Results revealed group and gender differences and similarities, depending on the relationship context. From our findings emerges a central message: friends' involvement during interpersonal challenges or stressors mitigates children's attributions, emotions, and coping responses.

The role of parenting styles in children's problem behavior

This study investigated the combination of mothers' and fathers' parenting styles (affection, behavioral control, and psychological control) that would be most influential in predicting their children's internal and external problem behaviors. A total of 196 children (aged 5-6 years) were followed up six times from kindergarten to the second grade to measure their problem behaviors. Mothers and fathers filled in a questionnaire measuring their parenting styles once every year. The results showed that a high level of psychological control exercised by mothers combined with high affection predicted increases in the levels of both internal and external problem behaviors among children. Behavioral control exercised by mothers decreased children's external problem behavior but only when combined with a low level of psychological control.

The best friendships of shy/withdrawn children: prevalence, stability, and relationship quality

The mutual best friendships of shy/withdrawn and control children were examined for prevalence, stability, best friend's characteristics, and friendship quality. Using peer nominations of shy/socially withdrawn and aggressive behaviors, two groups of children were identified from a normative sample of fifth-grade children: shy/withdrawn (n = 169) and control (nonaggressive/nonwithdrawn; n = 163). Friendship nominations, teacher reports, and friendship quality data were gathered. Results revealed that shy/withdrawn children were as likely as control children to have mutual stable best friendships. Withdrawn children's friends were more withdrawn and victimized than were the control children's best friends; further, similarities in social withdrawal and peer victimization were revealed for withdrawn children and their friends. Withdrawn children and their friends reported lower friendship quality than did control children. Results highlight the importance of both quantitative and qualitative measures of friendship when considering relationships as risk and/or protective factors.

Pure Versus Co-occurring Externalizing and Internalizing Symptoms in Children: The Potential Role of Socio-Developmental Milestones

Co-occurring internalizing and externalizing disorders are moderately prevalent in children, adolescents, and adults (Anderson, Williams, McGee, & Silva, 1987; McConaughy & Skiba, 1994), but much remains to be understood regarding why some children show "pure" versus co-occurring internalizing and externalizing symptoms. One possible influence that has previously not been considered is the failure to attain socio-developmental milestones, which paradoxically may prevent the development of co-occurring symptoms for some children. The present study proposes a model in which failure to attain relevant socio-developmental milestones might explain why some children may not develop heterotypic co-occurring symptoms. Specifically, it is proposed that specific clusters of internalizing symptoms (i.e., high social anxiety, withdrawal, and inhibition) and externalizing symptoms (i.e., high impulsivity, hyperactivity, and emotional reactivity) may be associated with the failure to attain socio-developmental milestones (i.e., poor peer relations for anxious children, lack of self-reflection and evaluation for impulsive/reactive children) that, in turn, may prevent subgroups of children from developing co-occurring, heterotypic symptoms.

Temperament and anxiety disorders

Recently, multidisciplinary research teams have come together to assess the emergence, course, and treatment of anxiety disorders in young children and adolescents. A number of researchers have suggested that early temperament traits may play a significant role in the causes and maintenance of early anxiety. This article reviews the current understanding of temperament and anxiety as separate constructs and then attempts to examine the developmental links between the two constructs. The authors examine the outstanding issues that must be addressed before the benefits of bridging these traditionally independent fields of study can be fully exploited.

Moving toward and away from the world: social approach and avoidance trajectories in anxious solitary youth

This investigation tested the person-by-environment hypothesis that the joint influence of behavioral vulnerability (anxious solitude) and interpersonal adversity (peer exclusion) predicts heightened social avoidance and depression over time. The study assessed 519 fifth and sixth graders 3 times during 1 year. Teachers reported social behavior and peer exclusion; youth reported depression. As hypothesized, anxious solitary youth displayed maintenance or exacerbation of social avoidance and depression in the context of high exclusion, but increased social approach and less depression in the context of low exclusion. Some effects were moderated by sex. The interaction of behavioral vulnerability and peer exclusion was more consistently linked to adjustment changes in anxious solitary youth than in youth with other behavioral profiles.

Do you "want" to play? Distinguishing between conflicted shyness and social disinterest in early childhood

This study attempted to distinguish two types of social withdrawal in early childhood: (a) one based on social fear and anxiety despite a desire to interact socially (conflicted shyness) and (b) one based on the lack of a strong motivation to engage in social interaction (social disinterest). Two samples of preschoolers (n = 119 and n = 127) 3-5 years of age participated. Their mothers completed the newly developed Child Social Preference Scale, which was designed to assess conflicted shyness and social disinterest. Maternal ratings of child temperament, parenting style, and social goals, teacher ratings of child social adjustment, observations of child free-play behaviors, and child interview assessments of perceived competence and preference for playing with peers were also collected. Distinct patterns of associations were found between conflicted shyness and social disinterest and outcome variables. Implications for the motivational underpinnings and adjustment outcomes of shyness and social disinterest are explored.

The relation of children's everyday nonsocial peer play behavior to their emotionality, regulation, and social functioning

The relations of children's nonsocial behavior to their emotionality, regulation, and social functioning were examined in a short-term longitudinal study. Parents (primarily mothers) and teachers rated children's effortful regulation, emotionality, asocial behaviors, problem behaviors, and social acceptance, and children's nonsocial play behaviors were observed for two semesters. Peers also rated likability. Children's observed reticent activities were related to adults' ratings of high regulation, low externalizing problems, and high asocial behavior, as well as to low anger and low positive emotion. On the other hand, solitary play was associated with low positive emotion and low regulation over time and with high asocial behavior and high peer exclusion. Peer rejection mediated the relation of internalizing emotions (anxiety, low positive emotion) and regulation to solitary play later in the school year, and asocial play mediated the relation of internalizing emotions to both solitary and reticent play behavior.

The etiology of social phobia: toward a developmental profile

Social phobia is an extremely disruptive and distressing anxiety disorder that can impact on many areas of an individual's life. Yet, despite the fact that lifetime prevalence rates are relatively high, its etiology is still poorly understood. The aim of this review is to draw together findings from the broad base of nonclinical literature associated with behavioral inhibition (BI), shyness, social anxiety, and passive-anxious withdrawal and to compare these findings with those from the limited number of clinical studies with social phobics. Such comparison is not unproblematic due to conceptual differences between terms used and methodological divergence; these issues are discussed in some detail. The consonance of findings, however, suggests a viable profile for the developmental course of social phobia. This profile incorporates temperament variables, behavioral motivational, parenting styles, peer relationships, and internalization problems. Finally, specific suggestions for future research are offered.

Anxious solitude and peer exclusion: a diathesis-stress model of internalizing trajectories in childhood

A diathesis-stress model was proposed in which the joint forces of individual vulnerability (anxious solitude) and interpersonal adversity (peer exclusion) predict depressive symptoms in children over time. Children's (N = 388; 50% female) social behavior, peer exclusion, and emotional adjustment were assessed at kindergarten entry and every spring thereafter through 4th grade, primarily by teacher report. Results indicated that anxious solitude and peer exclusion co-occur in children soon after kindergarten entry and that anxious solitary children who are excluded early on, in comparison with their nonexcluded anxious solitary counterparts, display greater stability in their subsequent display of anxious solitude. As hypothesized, the joint influence of anxious solitude and exclusion predicted the most elevated depressive symptom trajectories.

Predictors and consequences of aggressive-withdrawn problem profiles in early grade school

Identified first-grade children who exhibited 4 different behavior problem profiles from an initial sample of 754: aggressive-withdrawn (n = 63.8%) aggressive only (n = 165, 22%), withdrawn only (n = 94, 12%), and nonproblem (n = 432, 57%). Group comparisons revealed that children who became aggressive-withdrawn in first grade exhibited deficits in attention and social skills in kindergarten. Furthermore, these kindergarten deficits contributed to the emergence of their aggressive-withdrawn behavior problems in first grade, after accounting for kindergarten levels of aggressive and withdrawn behaviors. In later grades, aggressive-withdrawn first-grade children were more likely than children in any other group to demonstrate poor peer relations and poor academic performance. In addition, kindergarten skill deficits added to first-grade aggressive and withdrawn behavior problems to predict third-grade social and academic adjustment difficulties. The results document the key role of early inattention and social skill deficits in the prediction of aggressive-withdrawn problem profiles, validate the significance of this problem profile at school entry, and identify potential developmental mechanisms that have implications for preventive interventions.

When girls versus boys play alone: nonsocial play and adjustment in kindergarten

The goal of the present study was to examine the relations between different forms of children's nonsocial play behaviors and adjustment in kindergarten. The participants in this study were 77 kindergarten children (38 boys, 39 girls; mean age = 66.16 months, SD = 4.11 months). Mothers completed ratings of child shyness and emotion dysregulation. Children's nonsocial play behaviors (reticent, solitary-passive. solitary active) were observed during free play. In addition, teachers rated child behavior problems (internalizing and externalizing) and social competence; academic achievement was assessed through child interviews. Results from regression analyses revealed that different types of nonsocial play were differentially associated with child characteristics and indices of adjustment. For some forms of nonsocial play, the nature of these associations differed significantly for boys and girls.

Mediators of behavioral problems in 7-year-old children born after 24 to 28 weeks of gestation

We tested the hypothesis that prematurity acts through its association with neuromotor and intellectual functioning to explain behavior problems at school age. Sixty-one extremely preterm (EP) very low birth weight (VLBW) children (< 29 wk and < 1,500 g) born in 1987-1990 and 44 normal birth weight children (NBW) (> 37 wk and > 2,500 g) were matched for age, sex, and socioeconomic status (SES). Mediator variables were evaluated at a hospital at 5 years and 9 months. Behaviors were evaluated at school at 7 years by peers, teachers, and parents. When compared with NBW children, EP/VLBW children had poorer IQ and neuromotor development. At school, EP/VLBW children were evaluated by peers as more sensitive/ isolated, and by teachers and parents as more inattentive and hyperactive than NBW. When mediators were introduced, the previously significant relation between prematurity and behavior problems disappeared. Hyperactive and inattentive behaviors were explained by a specific working memory factor for the latter, and by a general intellectual delay for the former, whereas sensitive/isolated behaviors were best explained by neuromotor delays. Inattentive behaviors were also related to family adversity. At school age, extreme prematurity had thus an indirect effect on behaviors via specific and nonspecific intellectual and neuromotor delays.