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Objective: To replicate race-related differences in mother and child reports of child anxiety and to test whether these race-related differences occur in healthy and chronically ill children seen in stressful and nonstressful settings. Method: Using a 2 (Informant: Mother versus Child) 3 2 (Race: African versus Euro-American) 3 2 (Health Status: Healthy versus Chronically Ill) 3 2 (Setting: Medical/Dental Clinic versus Restaurant) design, we asked 167 (10- to 18-year-old) children and their mothers completed the State Trait Anxiety Inventory for Children. Results: African American children rated themselves as more anxious than Euro-American children. Mothers reported the opposite: African American mothers described their children as less anxious than EuroAmerican mothers described their children. For state anxiety, the Race 3 Informant interaction occurred only in the stressful (medical/dental clinic) setting. For trait anxiety, the Race 3 Informant interaction was found for chronically ill, but not healthy, children. Conclusions: Reports of child anxiety vary by informant, race, child health status, and setting.

Mother and child perceptions of child anxiety: effects of race, health status, and stress