Dr. Hirshfeld et al., ASSOCIATIONS BETWEEN EXPRESSED EMOTION AND CHILD BEHAVIORAL-INHIBITION AND PSYCHOPATHOLOGY - A PILOT-STUDY, Journal of the American Academy of Child and Adolescent Psychiatry, 36(2), 1997, pp. 205-213
Objective: To examine the relationship between behavioral inhibition a
nd child psychopathology and measures of family adversity indexed thro
ugh ''expressed emotion.'' Method: Maternal expressed emotion was asse
ssed via Five-Minute-Speech-Sample in two samples of children evaluate
d for prevalence of DSM-III disorders and assessed via laboratory obse
rvations for behavioral inhibition. The at-risk sample (N = 30) consis
ted of 4- to 10-year-old children of mothers with and without panic di
sorder (psychiatric controls). The Kagan sample (N=41)consisted of chi
ldren selected at age 21 months as behaviorally inhibited or uninhibit
ed and followed through age 11. Results: In the at-risk sample, child
behavioral inhibition was associated with high/borderline maternal cri
ticism, independent of other measures of child psychopathology. In bot
h samples combined, high/borderline maternal criticism was associated
with child externalizing symptoms and with the number of child mood an
d behavior disorders. Emotional overinvolvement was significantly asso
ciated with child separation anxiety disorder in the at-risk sample. C
onclusions: Results suggest that child behavioral inhibition may be as
sociated with maternal criticism/dissatisfaction and confirm other rep
orts of associations between criticism and child behavior and mood dis
orders and between emotional overinvolvement and child separation anxi
ety.