Longitudinal Associations Between Anxiety and Depression in Transition From Childhood to Adolescence.

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Title: Longitudinal Associations Between Anxiety and Depression in Transition From Childhood to Adolescence.
Authors: Keskin, Gizem (AUTHOR), Plamondon, André (AUTHOR), Tough, Suzanne (AUTHOR), Madigan, Sheri (AUTHOR), Choudhury, Samraggi (AUTHOR)
Source: Depression & Anxiety (1091-4269). 7/7/2026, Vol. 2026, p1-8. 8p.
Subjects: Anxiety, Mental depression, Statistical models, Mental health, Adolescence, Longitudinal method, Internalizing behavior, Teenagers
Abstract: Background: The transition from childhood to adolescence is often accompanied by an increase in internalizing problems, particularly anxiety and depression. Although anxiety and depression are conceptually distinct, they also frequently co‐occur. Some evidence suggests that anxiety may precede depression; however, the longitudinal dynamics between the two remain unclear. In the current study, we used a random intercept cross‐lagged panel model (RI‐CLPM) to disentangle between‐person stability from within‐person fluctuations. This approach allows us to examine how changes in anxiety and depression predict each other over time during the transition from childhood to adolescence. Methods: Participating children (n = 1499; 47.8% girls) from the All Our Families (AOF) cohort reported on their anxiety and depression using the Behavior Assessment System for Children – Third Edition (BASC‐3) four times between 2020 and 2023 (mean age at Time 1 = 9.66 years; SD = 0.81). Results: At the between‐person level, which captures stability in the levels of anxiety and depression, there was a strong positive correlation. At the within‐person level, which captures within‐person variations over time, concurrent associations were significant at most time points. However, cross‐lagged effects were unidirectional, with depression predicting anxiety, but not vice versa. These effects were significant from Time 2 to Time 3 and from Time 3 to Time 4 and were consistent across sexes. Conclusions: The findings underscore the significance of the timing of child‐specific effects between anxiety and depression, indicating that depression, rather than anxiety, may serve as the primary driving factor in the longitudinal association between the two symptom clusters. [ABSTRACT FROM AUTHOR]
Copyright of Depression & Anxiety (1091-4269) is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
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  Data: Longitudinal Associations Between Anxiety and Depression in Transition From Childhood to Adolescence.
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  Data: <searchLink fieldCode="AR" term="%22Keskin%2C+Gizem%22">Keskin, Gizem</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Plamondon%2C+André%22">Plamondon, André</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tough%2C+Suzanne%22">Tough, Suzanne</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Madigan%2C+Sheri%22">Madigan, Sheri</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Choudhury%2C+Samraggi%22">Choudhury, Samraggi</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Depression+%26+Anxiety+%281091-4269%29%22">Depression & Anxiety (1091-4269)</searchLink>. 7/7/2026, Vol. 2026, p1-8. 8p.
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  Data: <searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+models%22">Statistical models</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Internalizing+behavior%22">Internalizing behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Teenagers%22">Teenagers</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: The transition from childhood to adolescence is often accompanied by an increase in internalizing problems, particularly anxiety and depression. Although anxiety and depression are conceptually distinct, they also frequently co‐occur. Some evidence suggests that anxiety may precede depression; however, the longitudinal dynamics between the two remain unclear. In the current study, we used a random intercept cross‐lagged panel model (RI‐CLPM) to disentangle between‐person stability from within‐person fluctuations. This approach allows us to examine how changes in anxiety and depression predict each other over time during the transition from childhood to adolescence. Methods: Participating children (n = 1499; 47.8% girls) from the All Our Families (AOF) cohort reported on their anxiety and depression using the Behavior Assessment System for Children – Third Edition (BASC‐3) four times between 2020 and 2023 (mean age at Time 1 = 9.66 years; SD = 0.81). Results: At the between‐person level, which captures stability in the levels of anxiety and depression, there was a strong positive correlation. At the within‐person level, which captures within‐person variations over time, concurrent associations were significant at most time points. However, cross‐lagged effects were unidirectional, with depression predicting anxiety, but not vice versa. These effects were significant from Time 2 to Time 3 and from Time 3 to Time 4 and were consistent across sexes. Conclusions: The findings underscore the significance of the timing of child‐specific effects between anxiety and depression, indicating that depression, rather than anxiety, may serve as the primary driving factor in the longitudinal association between the two symptom clusters. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Depression & Anxiety (1091-4269) is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1155/da/5659455
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      – Code: eng
        Text: English
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        PageCount: 8
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      – SubjectFull: Anxiety
        Type: general
      – SubjectFull: Mental depression
        Type: general
      – SubjectFull: Statistical models
        Type: general
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: Adolescence
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Internalizing behavior
        Type: general
      – SubjectFull: Teenagers
        Type: general
    Titles:
      – TitleFull: Longitudinal Associations Between Anxiety and Depression in Transition From Childhood to Adolescence.
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            NameFull: Keskin, Gizem
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            NameFull: Plamondon, André
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            NameFull: Tough, Suzanne
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              Text: 7/7/2026
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              Y: 2026
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