P1: GMX Journal of Psychopathology and Behavioral Assessment (JOBA) pp936-joba-470622 August 29, 2003 22:52 Style file version June 25th, 2002 C 2003) Journal of Psychopathology and Behavioral Assessment, Vol. 25, No. 4, December 2003 (° Assessment of Anxious Rearing Behaviors with a Modified Version of “Egna Minnen Beträffande Uppfostran” Questionnaire for Children Peter Muris,1,2 Cor Meesters,1 and Anneke van Brakel1 Accepted March 18, 2003 This study examined the psychometric properties of a modified version of the EMBU for Children (EMBU-C), a 40-item questionnaire measuring youths’ perceptions of three main types of parental rearing (i.e., emotional warmth, rejection, and overprotection) as well as anxious rearing behaviors. For this purpose, modified EMBU-C data were obtained in a large sample of children and adolescents (N = 1681). Results showed that the factor structure of the modified EMBU-C was satisfactory: a clear fourfactor solution emerged representing the hypothesized types of parental rearing behaviors. Higherorder factor analysis demonstrated the presence of two superordinate dimensions of parental rearing, namely care and control. Furthermore, all modified EMBU-C scales appeared to be reliable in terms of internal consistency and test–retest stability. Finally, positive relationships were found between anxious rearing, overprotection, and rejection, on the one hand, and children’s anxiety symptoms, on the other hand. KEY WORDS: parental rearing behaviors; anxious rearing; anxiety symptoms; children and adolescents. INTRODUCTION Factor analytic studies have generally yielded two main dimensions of parental rearing. The first dimension, which can be defined as “care,” describes behaviors and attitudes related to acceptance, warmth, and on the reverse side, rejection and criticism. The second dimension, which can be labeled as “control,” refers to parental control, protection, and, on the reverse side, promotion of autonomy. Research has supported the idea that these two main parental rearing dimensions play a role in the development of childhood anxiety disorders. For example, a recent series of studies have indeed shown that care and control are indeed related to childhood anxiety (Grüner, Muris, & Merckelbach, 1999; Muris, 2002; Muris, Meesters, Merckelbach, & Hülsenbeck, 2000; Muris & Merckelbach, 1998). More precisely, low levels of care and high levels of control were associated with higher levels of anxiety symptoms (for a review on the links between care/control and childhood anxiety, see Rapee, 1997). Besides the main parental rearing dimensions of care and control, an anxious attitude of parents may also play a role in the development of high anxiety levels in children. Direct evidence for this notion comes from a study by Anxiety disorders are among the most prevalent types of child psychopathology, affecting between 5 and 10% of young people (e.g., Verhulst, 2001). Research has shown that anxiety disorders symptoms are also common among normal children and adolescents. Noteworthy in this respect is a study by Muris, Merckelbach, Mayer, and Prins (2000), who documented that in particular symptoms of generalized anxiety disorder, separation anxiety disorder, social phobia, and specific phobia are present in a substantial minority of the youths. As to the development of high levels of anxiety, and in its wake, anxiety disorders, it is clear that various factors are involved (Vasey & Dadds, 2001). One of these factors has to do with the way in which parents bring up their children or, briefly, parental rearing. 1 Department of Medical, Clinical, and Experimental Psychology, Maastricht University, Maastricht, The Netherlands. 2 To whom all correspondence should be addressed at Department of Medical, Clinical, and Experimental Psychology, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands; e-mail: p.muris@dep.unimaas.nl. 229 C 2003 Plenum Publishing Corporation 0882-2689/03/1200-0229/0 ° P1: GMX Journal of Psychopathology and Behavioral Assessment (JOBA) pp936-joba-470622 August 29, 2003 22:52 Style file version June 25th, 2002 230 Muris, Steerneman, Merckelbach, and Meesters (1996) who examined the contribution of parental modeling to fearfulness of children. Forty clinically referred children aged 9–12 years and their parents completed fear questionnaires. In addition, parents rated to what extent they generally expressed fears to their children. Results showed that fearfulness of children was significantly related to fearfulness of the mother. Most interestingly, the data showed that modeling was involved in this relationship. A linear association between fear scores and mothers’ rating of expressing fears to their children was found. That is to say, children of mothers who never expressed their fears had the lowest fear scores, children of mothers who often expressed their fears had the highest fear scores, whereas children of mothers who sometimes expressed their fears scored in between. Similar results were obtained in a recent observational study by Gerull and Rapee (2002) who investigated the effects of maternal modeling on the acquisition of fear and avoidance behavior in 15- to 20-month-old toddlers. The toddlers were shown a rubber snake and spider, which were alternately paired with either negative or positive facial expressions by their mothers. Both stimuli were presented again after a 1- and a 10-min delay, while mothers maintained a neutral expression. Results showed that children displayed higher levels of fear and avoidance of stimuli that had been previously paired with negative reactions from their mothers. While there seems to be consensus on the notion that anxious rearing behaviors contribute to the development of anxiety in young people, few standardized instruments can be found that tap into this specific aspect of parental rearing. One exception is the modified version of the EMBU (Swedish acronym for My memories of upbringing) for children (EMBU-C; Castro, Toro, Van der Ende, & Arrindell, 1993). This scale not only includes items that are related to the main dimensions of parental rearing, namely emotional warmth, rejection (care), and overprotection (control), but also contains items that assess anxious rearing behaviors. So far, a number of studies have employed the modified EMBU-C to assess relationships between children and adolescents’ perceptions of parental rearing, and in particular anxious rearing, and symptoms of anxiety (Grüner et al., 1999; Muris, 2002; Muris, Meesters, et al., 2000; Muris & Merckelbach, 1998). These studies have indeed demonstrated that anxious rearing is positively related to anxiety symptomatology in youths. Although these first results are promising, no study has thoroughly examined the psychometric properties of the modified EMBU-C. With this in mind, this study was carried out. The EMBU-C was administered to a large sample of children and adolescents (N = 1681) Muris, Meesters, and van Brakel in order to investigate (1) the factor structure of modified EMBU-C, (2) the internal consistency and test–retest stability of the scale, and (3) its relationship to anxiety symptoms. METHOD Participants and Procedure Participants were 1681 children and adolescents (828 boys and 853 girls) recruited from regular primary and secondary schools in the southern part of Limburg, The Netherlands. The mean age of the sample was 12.95 years (SD = 1.67, range 9–17 years). The vast majority of children were Caucasian (i.e., >90%); other children most commonly had a Moroccan, Turkish, Surinam, Antillean, or Indonesian background. Because of school constraints, information about the socioeconomic status and family structure of the children was not available. Children completed the modified EMBU-C in their classrooms with the teacher and a research assistant always being present to ensure independent and confidential responding and to provide assistance if necessary. The total sample of children was used for examining the factor structure of the modified EMBU-C and the internal consistency of its scales. Test–retest data of the measure and scores on anxiety questionnaires were available only for a limited number of participants. More specifically, test– retest stability was examined in a subsample of 140 children (62 boys and 78 girls; mean age = 10.70, SD = 0.71, range 9–13 years) who completed the modified EMBU-C on two occasions, some 2 months apart. The relation to anxiety symptoms was investigated in 1196 children and adolescents (619 boys and 577 girls; mean age 12.60 years, SD = 1.16, range 9–16 years) who, besides the parental rearing measure, also completed one of the anxiety questionnaires (see later). Assessment Modified EMBU-C The EMBU-C has been derived from the original EMBU (Perris, Jacobsson, Lindström, Von Knorring, & Perris, 1980), which is an 81-item inventory for assessing adults’ recollections of their parents’ rearing behavior. In an attempt to develop a scale for measuring children’s current perceptions of their parents’ rearing behavior, Castro et al. (1993) simplified the questions and carried out factor P1: GMX Journal of Psychopathology and Behavioral Assessment (JOBA) pp936-joba-470622 August 29, 2003 22:52 Style file version June 25th, 2002 Anxious Rearing Behaviors analysis to reduce the questionnaire to 41 items measuring four types of parental rearing: emotional warmth (e.g., “When you are unhappy, your parents console you and cheer you up”), rejection (e.g., “If something happens at home, you are the one who gets blamed for it”), overprotection (e.g., “When you come home, you have to tell your parents what you have been doing”), and favoring subject (e.g., Your parents favor you in relation to your brothers and sisters”). While the EMBU-C has been found to be a reliable and valid questionnaire for assessing the main dimensions of parental rearing (Castro et al., 1993), Grüner et al. (1999) revised the scale in a attempt to include parental behaviors that are specifically relevant for the study of childhood anxiety. Most importantly, new items referring to children’s perceptions of their parents’ anxious rearing behaviors were added. Furthermore, effort was made to design a brief and economic scale. For this purpose, only the 10 best loading items on each parental rearing factor were retained, and items referring to children’s brothers and sisters (i.e., the favoring subject subscale and two additional items) were deleted because not all children had brothers and sisters (see also Muris, Bosma, Meesters, & Schouten, 1998). As a result, the modified EMBU-C consists of 40 items that can be allocated to four types of parental rearing: emotional warmth, rejection, overprotection, and anxious rearing (all items are displayed in Tables II and III). For each EMBU-C item, children first assess father’s rearing behavior and then mother’s rearing behavior, using 4-point Likert-scales (1 = No, never, 2 = Yes, but seldom, 3 = Yes, often, 4 = Yes, most of the time). Forty-nine children (i.e., 2.83% of the initial sample) could not provide information on the rearing behaviors of one of their parents (because they had absolutely no contact with the parent after divorce or because the parent had deceased). These children were excluded from the data analysis. Anxiety symptoms were measured by means of various questionnaires in subsamples of children and adolescents, namely (a) the Spence Children’s Anxiety Scale (SCAS; Spence, 1998), which is a 38-item questionnaire for measuring common anxiety disorders symptoms in children, (b) the Screen for Child Anxiety Related Emotional Disorders (SCARED; Birmaher et al., 1997), which is a 66-item questionnaire for assessing a broad range of anxiety disorders symptoms in youths, and (c) the Penn State Worry Questionnaire for Children (PSWQC; Chorpita, Tracey, Brown, Collica, & Barlow, 1997), which is a 14-item scale that intends to measure the tendency of children to engage in excessive, generalized, and uncontrollable worry. Previous studies have demonstrated that the SCAS, SCARED, and PSWQ-C are reli- 231 able and valid measures of childhood anxiety (Birmaher et al., 1997; 1999; Chorpita et al., 1997; Essau, Muris, & Ederer, 2002; Spence, 1998), and this appears also true for the Dutch translations of these instruments (Muris, Meesters, & Gobel, 2001; Muris, Merckelbach, Ollendick, King, & Bogie, 2002). A comparison with normative data of these anxiety measures (Muris et al., 2001; Muris, Schmidt, & Merckelbach, 2000) indicated that the scores of children and adolescents in this study were well within the range of nonclinical youths: means were 24.17 (SD = 7.82) for the SCAS, 16.01 (SD = 10.18) for the SCARED, and 15.20 (SD = 6.12) for the PSWQ-C. In order to make anxiety scores comparable, total scores were calculated and then standardized for each subsample by means of Z -transformations. As there were significant gender differences on all anxiety measures (means for boys and girls being respectively 22.30, SD = 7.84 vs. 26.01, SD = 7.40 on the SCAS, 14.01, SD = 8.98 vs. 18.21, SD = 10.97 on the SCARED, and 13.54, SD = 5.56 vs. 16.94, SD = 6.22 on the PSWQ-C; see also Craske, 1997), scores were standardized within sex. In this way, it became possible to combine the subsamples and to study the connection between parental rearing behaviors and anxiety symptoms in a sizable population. RESULTS Reliability of the Modified EMBU-C Before discussing the results regarding the reliability of the modified EMBU-C, it should be mentioned that some differences were found as to the rearing behaviors of mothers and fathers. More precisely, mothers were rated as more anxious [t(1681) = 25.76, p < .001], overprotective [t(1681) = 25.93, p < .001], and emotionally warm [t(1681) = 13.19, p < .001] than were fathers (see Table I).3 The internal consistency of the modified EMBU-C was satisfactory; that is, all Cronbach’s αs were between .66 and .81, and corrected item-scale correlations were all in the .21 to .61 range (Table I). The test–retest stability of the modified EMBU-C over a 2-month period was good. All intraclass correlation coefficients were .78 or higher. 3 The finding that mothers were rated as more anxious/overprotective and warm seems to point out that controlling rearing behaviors are not only negatively motivated, but may also have positive features. In other words, some parents are overprotective and anxious in their rearing behaviors, precisely because they care about the well-being of their child. P1: GMX Journal of Psychopathology and Behavioral Assessment (JOBA) pp936-joba-470622 August 29, 2003 22:52 Style file version June 25th, 2002 232 Muris, Meesters, and van Brakel Table I. Descriptive Statistics (Means, Standard Deviations), Internal Consistency Coefficients, Item-Scale Correlations, and 2-month Test–Retest Correlations of the Modified EMBU-C Scales EMBU-C Mother Anxious rearing Overprotection Rejection Emotional warmth EMBU-C Father Anxious rearing Overprotection Rejection Emotional warmth Total Samplea α Item-Scale r Test–Retest r (95% CI)b 21.99 (4.73) 20.88 (3.82) 14.61 (3.46) 31.23 (4.21) .79 .66 .77 .77 .34–.58 .22–.43 .30–.56 .35–.56 .83 (.77–.88) .78 (.70–.85) .84 (.78–.89) .80 (.72–.86) 20.04 (4.55) 19.11 (3.69) 14.37 (3.52) 30.26 (4.80) .78 .67 .78 .81 .26–.55 .21–.44 .31–.57 .41–.61 .79 (.71–.85) .81 (.73–.86) .84 (.78–.88) .79 (.71–.85) Note. EMBU-C = EMBU for Children. = 1681. b n = 140. aN Factor Analysis of the Modified EMBU-C Principal components factor analysis of the 40 items of the modified EMBU-C was carried out on mothers’ and fathers’ ratings separately. An oblimin rotation was used because various scales of parental rearing behaviors were expected to correlate. Both analyses yielded support for the hypothesized four-factor solution. In case of mothers’ ratings, eigenvalues for the first four factors were greater than 1.00 (i.e., 6.34, 4.57, 1.68, and 1.42), accounting for 34.99% of the variance. Almost all items loaded convincingly (i.e., >0.40) on their intended factors (see Table II) and it should be mentioned that there were few significant secondary loadings. Analysis of fathers’ ratings revealed highly similar results. The first four factors had eigenvalues greater than 1.00 (i.e., 6.32, 5.12, 1.69, and 1.41), which declared 36.36% of the variance. Again, the vast majority of items loaded substantially on their hypothesized factors (Table III) and not on other factors.4 Correlations among modified EMBU-C scales were small to moderate, but generally showed the to-beexpected pattern; that is, anxious rearing correlated .48 (mother) and .50 (father) with overprotection, and .31 (mother) and .24 (father) with rejection. Further, rejection correlated −.47 (mother) and −.47 (father) with emotional warmth, and .35 (mother) and .30 (father) with overprotection (all ps < .001). A higher-order factor analysis (principal components with oblimin rotation) carried out on the modified EMBU-C scales of mothers and fathers jointly, yielded 4 Similar results were obtained when performing factor analysis on the data of boys, girls, younger (i.e., 9- to 13-year-olds), and older (i.e., 14to 17-year-olds) children. two factors with eigenvalues greater than 1.00 (i.e., 3.10 and 2.41), together explaining 68.84% of the variance. As can be seen in Table IV, the first factor, which can be labeled as “control,” had high loadings of anxious rearing and overprotection and moderate loadings of rejection. The second factor, which reflected the bipolar dimension of “care,” had high positive loadings of emotional warmth and high negative loadings of rejection. Relationship with Anxiety Symptoms Table V shows correlations between modified EMBU-C scales and standardized anxiety scores. As age had a small but significant effect on some of the parental rearing practices (e.g., overprotection of mother and father slightly declined as children were older, r s being −.09 and −.07, ps < .05), partial correlations were computed to control for this variable. Results indicated that there were modest but significant positive relationships between anxious rearing, overprotection, and rejection of both parents, on the one hand, and anxiety scores, on the other hand, and this conclusion was true for the total sample but also for boys and girls separately.5 To examine the unique contribution of various parental rearing behaviors to anxiety symptoms, a series 5 When computing correlations for the most anxious children in the sam- ple (i.e., the top quartile of standardized anxiety scores), relationships between parental rearing and anxiety attenuated, probably as a result of restriction-of-range. Nevertheless, some of the anxious rearing and overprotection scales remained significantly linked to anxiety scores: r (anxious rearing—mother and anxiety) = .15, p < .05, r (anxious rearing—father and anxiety) = .18, p < .01, and r (overprotection— mother and anxiety) = .13, p < .05. P1: GMX Journal of Psychopathology and Behavioral Assessment (JOBA) pp936-joba-470622 August 29, 2003 22:52 Style file version June 25th, 2002 Anxious Rearing Behaviors 233 Table II. Factor Loadings of the 40 Items of the Modified EMBU-C on the Four Hypothesized Factors, as Computed for Mothers’ Ratings Overprotection When you come home, you have to tell your parents what you have been doing. (1) Your parents want you to reveal your secrets to them. (3) Your parents want to decide how you should be dressed or how you should look. (12) Your parents tell you what you should do after school hours. (16) Your parents know exactly what you are allowed to do and what not. (21) Your parents allow you to decide what you want to do. (24a ) Your parents take care that you behave by the rules. (25) Your parents watch you very carefully. (31) Your parents think that they have to decide everything for you. (32) Your parents keep a check on you. (38) Emotional warmth When you are unhappy, your parents console you and cheer you up. (2) Your parents like you just the way you are. (5) Your parents play with you and are interested in your hobbies. (7) Your parents listen to you and consider your opinion. (10) Your parents want to be with you. (17) Your parents show that they love you. (19) Your parents and you like each other. (27) When you have done something stupid, you can make it up with your parents. (30) Your parents give you compliments. (33) Your parents help you when you have to do something difficult. (36) Rejection Your parents tell you that they don’t like your behavior at home. (4) Your parents treat you unfairly. (8) Your parents wish that you were like somebody else. (11) You are blamed for everything that goes wrong. (14) Your parents punish you for no reason. (15) Your parents criticize you in front of others. (20) You feel disappointed because your parents don’t give you what you want. (23) Your parents are mean and grudging towards you. (28) If something happens at home, you are the one who gets blamed for it. (34) Your parents beat you for no reason. (39) Anxious rearing Your parents worry about what you are doing after school. (6) Your parents are afraid that something might happen to you. (9) Your parents worry about you getting into trouble. (13) Your parents worry about you doing dangerous things. (18) Your parents worry about you making a mistake. (22) Your parents are afraid when you do something on your own. (26) Your parents are anxious people and therefore you are not allowed to do as many things as other children. (29) Your parents warn you of all possible dangers. (35) Your parents are worried when they don’t know what you are doing. (37) Your parents want to keep you from all possible dangers. (40) I II III V .48 .45 .54 .49 .44 −.47 .49 .40 .51 .56 .19 .15 −.12 −.14 .24 .35 .21 .41 −.23 .02 .11 .05 .13 .27 .03 −.15 .13 −.08 .44 .25 .07 .20 .14 .13 .21 −.06 .32 .39 .41 .38 .09 −.10 .03 −.20 .16 .03 .01 −.16 −.04 .12 .64 .37 .52 .56 .52 .63 .50 .50 .59 .56 −.25 −.47 −.09 −.34 −.12 −.39 −.46 −.33 −.27 −.23 .06 .06 .07 .10 .21 .05 −.05 −.08 .03 .07 .17 .11 .14 .19 .17 .30 .21 .08 .21 .08 −.24 −.22 −.29 −.22 −.16 −.21 −.24 −.16 −.17 −.10 .50 .63 .54 .68 .69 .42 .51 .43 .69 .51 .30 .19 .17 .18 .12 .27 .22 .10 .18 −.01 .21 .10 .17 .18 .28 .22 .25 −.07 .11 −.10 −.07 −.06 −.03 −.13 .24 .08 .21 .17 .30 .17 .36 .56 .69 .69 .72 .62 .47 .41 .25 .26 .20 .37 .24 .41 −.06 .02 −.10 .53 .58 .46 Note. N = 1681. EMBU-C = Child version of the EMBU. Hypothesized factor loadings are printed in bold. item. a Reversed of regression analyses was carried out. In these analyses, modified EMBU-C scale scores were the predictor variables, whereas standardized anxiety scores served as the dependent variable. To control for age effects, this variable was entered into the equations on step 1. In the regression analysis in which mothers’ rearing behaviors predicted anxiety, anxious rearing (β = .17; t = 5.30, p < .001), overprotection (β = .13; t = 3.92, p < .001), and rejection (β = .09; t = 2.45, p < .05) each accounted for a small but unique proportion of the variance. In the regression analysis predicting anxiety from fathers’ rearing behaviors, anxious rearing (β = .21; t = 6.43, p < .001) P1: GMX Journal of Psychopathology and Behavioral Assessment (JOBA) pp936-joba-470622 August 29, 2003 22:52 Style file version June 25th, 2002 234 Muris, Meesters, and van Brakel Table III. Factor Loadings of the 40 Items of the Modified EMBU-C on the Four Hypothesized Factors, as Computed for Fathers’ Ratings Overprotection When you come home, you have to tell your parents what you have been doing. (1) Your parents want you to reveal your secrets to them. (3) Your parents want to decide how you should be dressed or how you should look. (12) Your parents tell you what you should do after school hours. (16) Your parents know exactly what you are allowed to do and what not. (21) Your parents allow you to decide what you want to do. (24a ) Your parents take care that you behave by the rules. (25) Your parents watch you very carefully. (31) Your parents think that they have to decide everything for you. (32) Your parents keep a check on you. (38) Emotional warmth When you are unhappy, your parents console you and cheer you up. (2) Your parents like you just the way you are. (5) Your parents play with you and are interested in your hobbies. (7) Your parents listen to you and consider your opinion. (10) Your parents want to be with you. (17) Your parents show that they love you. (19) Your parents and you like each other. (27) When you have done something stupid, you can make it up with your parents. (30) Your parents give you compliments. (33) Your parents help you when you have to do something difficult. (36) Rejection Your parents tell you that they don’t like your behavior at home. (4) Your parents treat you unfairly. (8) Your parents wish that you were like somebody else. (11) You are blamed for everything that goes wrong. (14) Your parents punish you for no reason. (15) Your parents criticize you in front of others. (20) You feel disappointed because your parents don’t give you what you want. (23) Your parents are mean and grudging towards you. (28) If something happens at home, you are the one who gets blamed for it. (34) Your parents beat you for no reason. (39) Anxious rearing Your parents worry about what you are doing after school. (6) Your parents are afraid that something might happen to you. (9) Your parents worry about you getting into trouble. (13) Your parents worry about you doing dangerous things. (18) Your parents worry about you making a mistake. (22) Your parents are afraid when you do something on your own. (26) Your parents are anxious people and therefore you are not allowed to do as many things as other children. (29) Your parents warn you of all possible dangers. (35) Your parents are worried when they don’t know what you are doing. (37) Your parents want to keep you from all possible dangers. (40) I II III V .41 .39 .51 .39 .49 −.38 .56 .55 .50 .58 .16 .14 −.08 −.20 .18 .42 .14 .36 −.29 .03 .14 .08 .16 .25 .03 −.17 .13 −.14 .41 .19 .09 .14 .12 .15 .18 −.09 .28 .33 .33 .32 .20 −.09 .09 −.06 .30 .17 .06 −.11 .11 .23 .64 .52 .56 .63 .51 .68 .58 .56 .65 .56 −.25 −.42 −.13 −.38 −.16 −.36 −.43 −.34 −.24 −.21 .05 −.00 −.01 −.02 .18 .12 .03 −.01 .07 .14 .06 .12 .12 .12 .23 .16 .06 .17 .16 .21 −.23 −.34 −.37 −.23 −.25 −.15 −.32 −.25 −.17 −.25 .58 .64 .53 .70 .68 .50 .49 .39 .73 .48 .26 .15 .22 .14 .08 .20 .24 .09 .10 −.02 .21 .13 .16 .18 .24 .30 .29 −.02 .16 −.00 .03 −.07 −.10 −.19 .24 .02 .22 .15 .29 .11 .30 .57 .70 .72 .73 .60 .50 .32 .44 .43 .35 .32 .22 .41 −.07 −.04 −.13 .47 .50 .39 Note. N = 1681. EMBU-C = Child version of the EMBU. Hypothesized factor loadings are printed in bold. item. a Reversed and rejection (β = .11; t = 3.20, p < .001) were found to make significant contributions. Highly similar results were obtained when analyzing the data for boys and girls separately. That is, in both genders, mothers’ anxious rearing, overprotection, and rejection, and fathers’ anxious rearing and rejection made significant contributions to children’s anxiety scores. DISCUSSION This study examined the psychometric properties of the modified EMBU-C, which is a questionnaire measuring children and adolescents’ perceptions of parental rearing practices, including anxious rearing. The results can be catalogued as follows. First, factor analysis of the modified P1: GMX Journal of Psychopathology and Behavioral Assessment (JOBA) pp936-joba-470622 Anxious Rearing Behaviors Control Care 0.80 0.82 −0.09 0.04 0.78 0.78 −0.12 −0.05 0.41 0.41 −0.78 −0.77 0.16 0.18 0.84 0.84 Note. N = 1681. EMBU-C = Child version of the EMBU. EMBU-C yielded support for the hypothesized structure with four factors. That is, besides the three original scales of overprotection, emotional warmth, and rejection, the new scale of anxious rearing clearly emerged as a separate factor. Second, higher-order factor analysis performed on the scales of the modified EMBU-C demonstrated the presence of two superordinate dimensions of parental rearing, namely care and control. Third, modified EMBU-C scales appeared to be reliable in terms of internal consistency and test–retest stability. Fourth, modified EMBU-C scales were in a theoretically meaningful way related to anxiety scores; that is, positive correlations were found between anxious rearing, overprotection, and rejection, on the one hand, and children’s anxiety symptoms, on the other hand. Table V. Correlations (Corrected for Age) Between Modified EMBU-C Scales and Z-Transformed Anxiety Scores EMBU-C Mother Anxious rearing Overprotection Rejection Emotional warmth EMBU-C Father Anxious rearing Overprotection Rejection Emotional warmth Total Sample (n = 1196) Boys (n = 619) Girls (n = 577) .26∗ .24∗ .17∗ −.02 .33∗ .25∗ .19∗ −.01 .20∗ .24∗ .16∗ −.03 .26∗ .19∗ .18∗ −.04 .30∗ .18∗ .16∗ −.02 .21∗ .19∗ .21∗ −.08 Note. EMBU-C = EMBU for Children. < .001. ∗p 22:52 Style file version June 25th, 2002 235 Table IV. Results of Higher-Order Factor Analysis of the Modified EMBU-C Subscales Anxious rearing Mother Father Overprotection Mother Father Rejection Mother Father Emotional warmth Mother Father August 29, 2003 This findings regarding the factor structure of the modified EMBU-C are well in keeping with previous factor analytic research on the original version of this instrument (Castro et al., 1993; Gerlsma, Arrindell, van der Veen, & Emmelkamp, 1991; Muris et al., 1998; Markus, Lindhout, Boer, Hoogendijk, & Arrindell, 2003). More specifically, overprotection, emotional warmth, and rejection were found to be robust factors and seem to represent replicable types of parental rearing in boys and girls from various ages. Furthermore, higher-order factor analysis of the modified EMBU-C clearly reproduced the main parental rearing dimensions of care and control, a result that coincides with earlier findings in several child (e.g., Markus et al., 2003) and adult studies (Arrindell et al., 1986; Arrindell, Emmelkamp, Brilman, & Monsma, 1983; Arrindell, Gerlsma, Vandereycken, Hageman, & Daeseleire, 1998). In the factor analysis, anxious rearing clearly emerged as a separate factor of parental rearing. Thus, although this type of parental behavior shows some overlap with overprotection (with r s of 0.48 and 0.50), it seems to represent a somewhat different aspect of mothers’ and fathers’ rearing practices, one that seems particularly relevant when studying anxiety in children and adolescents. In support of the latter notion, in all regression analysis, anxious rearing appeared the best predictor of childhood anxiety symptoms. With respect to the relationship between parental rearing and anxiety, two remarks are in order. First, it should be borne in mind that this study was correlational in nature and hence no conclusions can be drawn about cause–effect relationships. It may well be the case that anxious, overprotective, and rejective rearing behaviors promote anxiety in children and adolescents. Another possibility, however, is that high levels of anxiety symptoms in youths elicit the above mentioned rearing behaviors. Observations in clinical practice seem to suggest that both interpretations are valid (Siqueland, Kendall, & Steinberg, 1996). There seem to be parents who suffer from anxiety problems themselves (cf. Last, Hersen, Kazdin, Orvaschel, & Perrin, 1991) and in continuation of this frequently employ anxious and overprotective rearing strategies (Dadds & Roth, 2001). On the other hand, there are also parents who use these strategies precisely because they want to reduce distress in their anxious child (Ollendick, Vasey, & King, 2001). Second, one can argue that parental rearing behaviors only accounted for a rather small proportion of the variance in children’s anxiety scores (i.e., 8.90–9.20%). Yet, as mentioned in the Introduction section, current theories assume that multiple factors are involved in the etiology and maintenance of anxiety problems in children and adolescents (Vasey & P1: GMX Journal of Psychopathology and Behavioral Assessment (JOBA) pp936-joba-470622 August 29, 2003 236 Dadds, 2001). In combination with factors such as temperament, learning experiences, coping behaviors, and cognition, parental rearing behaviors may still play a significant role in the development of anxiety disorders. It should be acknowledged that this study suffers from various limitations. First of all, the study used a sample of nonclinical children and adolescents. Future studies should examine the psychometric properties of the modified EMBU-C in clinically referred youths. Further, it would be interesting to investigate parental rearing behaviors in children with anxiety disorders and to make a comparison with children suffering from other disorders and control children. Such an analysis may yield further information on the role of rearing behaviors as measured with the modified EMBU-C in the development of pathological anxiety. Second, the study solely relied on children and adolescents’ self-report. Inclusion of a parent version of the modified EMBU-C would have provided valuable information on the agreement of children and parents’ perception of various rearing behaviors (see e.g., Muris, Bögels, Meesters, Van der Kamp, & Van Oosten, 1996). Third and finally, no alternative index of parenting was administered. 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