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- W77186712 abstract "There has been growing research attention on the topic of child anxietyapplying the theoretical framework of Attachment Theory, and the results have beenencouraging so far with consistent findings on the positive association betweeninsecure attachment and child anxiety. Child anxiety has also been associated with adiminished sense of control with extensive empirical evidences. Nevertheless,despite the rich empirical support on the associations between insecure attachmentand child anxiety, and between diminished sense of control and child anxiety, thepotential pathways of anxiety transmission remain largely unclear. In theirdiscussion on the development of child anxiety, Chopita and Barlow (1998) proposeda conceptual link between attachment security and sense of control, even though ithas not been followed up with empirical studies. Since available empirical evidenceshave validated the role of attachment security and sense of control in thedevelopment of child anxiety, it will be conceptually meaningful to investigate thepotential link between attachment security and sense of control, and their respectiveand interactive roles in the development of child anxiety. The current study alsoaspires to improve understanding on the relationships between parental anxiety,parent’s and child’s sense of control, and child anxiety within the context of childrenundergoing elective surgeries.Children of 151 parents were about to receive elective surgeries participatedin this study. Among these parents, 59 of them have children reached age 6 or aboveand all these children also participated in the current study. Information from 144parents (95.36%) and 51 children (86.44%) was used for subsequent analyses.Information from 7 parents (4.64%) and 8 children (13.56%) was excluded fromfurther analyses as they filled in less than 30% of the questionnaire items.Findings from present study showed children with insecure attachment and/orhigh external LOC experienced increased anxiety in preoperative period. Thefindings are consistent with existing literature. Children with insecure attachmentwere also found to espouse a higher level of external LOC. Besides, regressionanalyses showed that attachment security moderated the relationships betweenchild’s external LOC and anxiety. Results also support the notion that secureattachment could be a protective factor against child anxiety development.Moreover, mediation analyses indicated child’s LOC mediated the relationshipbetween parental and child anxiety, thereby supporting the mediation model byChopita and Barlow.From a theoretical standpoint, findings from current study provided initialsupport on the linkage between attachment security and sense of control. Child’sexternal LOC as a potential pathway for intergenerational transmission of anxietywas also supported. The findings also bear significant clinical implications.Specifically, early screening and identification of children with insecure attachmentand external LOC would allow more effective allocation of resources targeting atanxiety management in preoperative setting. Besides, taking into consideration theimpact of parental anxiety, intervention for child anxiety including components forparental anxiety management should be emphasized." @default.
- W77186712 created "2016-06-24" @default.
- W77186712 creator A5029842968 @default.
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- W77186712 date "2015-05-10" @default.
- W77186712 modified "2023-09-26" @default.
- W77186712 title "Child anxiety : the conceptual link and respective roles of attachment security and sense of control" @default.
- W77186712 doi "https://doi.org/10.5353/th_b4765707" @default.
- W77186712 hasPublicationYear "2015" @default.
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