Evidence map›Paper›PMID 33675965›Full record

SynthesisJournal of the American Academy of Child and Adolescent Psychiatry2021

Systematic Review and Meta-analysis of Genetically Informed Research: Associations Between Parent Anxiety and Offspring Internalizing Problems.

Yasmin I Ahmadzadeh, Tabea Schoeler, Meredith Han, Jean-Baptiste Pingault, Cathy Creswell, Tom A McAdams

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of the American Academy of Child and Adolescent Psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Maternal Distress Due to the COVID-19 Pandemic and Changes in Young Children's Behavior.Journal of developmental and behavioral pediatrics : JDBP · 2026
    Article
  5. ABA-based teacher training reduces emotional and behavioral problems in Brazilian children.Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS · 2026
    Article
  6. Managing anxiety-related disorders from pregnancy to parenthood.Archives of gynecology and obstetrics · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
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  16. Article
  17. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Yasmin I AhmadzadehKing's College London, United Kingdom. Electronic address: yasmin.ahmadzadeh@kcl.ac.uk.
Tabea SchoelerUniversity College London, United Kingdom.
Meredith HanKing's College London, United Kingdom.
Jean-Baptiste PingaultKing's College London, United Kingdom; University College London, United Kingdom.
Cathy CreswellUniversity of Oxford, United Kingdom.
Tom A McAdamsKing's College London, United Kingdom; University of Oslo, Norway.
King's College London · GBUniversity College London · GBUniversity of Oxford · GB

Funding

Department of Health RP_2014-04-018MRF_ MRF-160-0002-ELP-PINGAWellcome TrustWellcome Trust 107706/Z/15/ZWellcome Trust 218641/Z/19/Z
6 · The paper itself

Abstract

objectiveParent anxiety is associated with offspring internalizing problems (emotional problems related to anxiety and depression). This may reflect causal processes, whereby exposure to parent anxiety directly influences offspring internalizing (and/or vice versa). However, parent-offspring associations could also be attributable to their genetic relatedness. A systematic review and meta-analysis were conducted to investigate whether exposure to parent anxiety is associated with offspring internalizing after controlling for genetic relatedness.

methodA literature search across 5 databases identified 429 unique records. Publications were retained if they used a quasi-experimental design in a general population sample to control for participant relatedness in associations between parent anxiety and offspring internalizing outcomes. Publications were excluded if they involved an experimental exposure or intervention. Studies of prenatal and postnatal anxiety exposure were meta-analyzed separately. Pearson's correlation coefficient estimates (r) were pooled using multilevel random-effects models.

resultsEight publications were retained. Data were drawn from 4 population cohorts, each unique to a quasi-experimental design: adoption, sibling-comparison, children-of-twins or in vitro fertilization. Cohorts were located in northern Europe or America. Families were predominantly of European ancestry. Three publications (N

conclusionInitial literature, derived from homogeneous populations, suggests that prenatal anxiety exposure does not cause offspring internalizing outcomes. However, postnatal anxiety exposure may be causally associated with concurrent offspring internalizing via nongenetic pathways. Longitudinal stability, child-to-parent effects, and the role of moderators and methodological biases require attention.

Indexed as

AnxietyChild of Impaired ParentsAdolescentAdultChildChild, PreschoolEuropeFemaleHumansInfantParentsPregnancyTwinsYoung Adultgeneticsmeta-analysisoffspring internalizingparent anxietyquasi-experimental

Identifiers

PMID33675965
PMCPMC8259118
OpenAlexW3134046813

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.