Although the attachment construct refers to a child's tendency to use an attachment figure both as a safe haven in times of distress as well as a secure base from which to explore, approaches to assessing attachment at older ages have focused on safe haven behavior. We tested modified versions of the Friends and Family Interview and the Security Scale Questionnaire to examine separately the correlates of safe haven and secure base support from parents. The main study (n = 107 children, 10-14-year-olds) included both interview and questionnaire assessments of safe haven and secure base support from mothers and fathers. The two methods converged in expected ways, and both showed associations with narrative coherence. Children reported greater safe haven support from mothers and greater secure base support from fathers, suggesting secure base support is a key aspect of father-child attachment. Both mother-child and father-child relationships were related to children's school adjustment and coping.

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Anxiety is conceptualized as a state of negative emotional arousal that is accompanied by concern about future threat. The purpose of this meta-analytic review was to evaluate the evidence of associations between emotional competence and anxiety by examining how specific emotional competence domains (emotion recognition, emotion expression, emotion awareness, emotion understanding, acceptance of emotion, emotional self-efficacy, sympathetic/empathic responses to others' emotions, recognition of how emotion communication and self-presentation affect relationships, and emotion regulatory processes) relate to anxiety in childhood and adolescence. A total of 185 studies were included in a series of meta-analyses (N's ranged from 573 to 25,711). Results showed that anxious youth are less effective at expressing (r = -0.15) and understanding emotions (r = -0.20), less aware of (r = -0.28) and less accepting of their own emotions (r = -0.49), and report less emotional self-efficacy (r = -0.36). More anxious children use more support-seeking coping strategies (r = 0.07) and are more likely to use less adaptive coping strategies including avoidant coping (r = 0.18), externalizing (r = 0.18), and maladaptive cognitive coping (r = 0.34). Emotion acceptance and awareness, emotional self-efficacy, and maladaptive cognitive coping yielded the largest effect sizes. Some effects varied with children's age. The findings inform intervention and treatment programs of anxiety in youth and identify several areas for future research.

Etiological models identify difficulties in emotion regulation as potential contributors to the development and maintenance of anxiety. To date, studies with adolescents have not tested whether different types of anxiety symptoms are related to different emotion regulation difficulties. The current study aimed to examine specificity of associations between emotion regulation difficulties and symptoms of social and generalized anxiety in early adolescence. Ninety adolescents (ages 11–14 years) completed measures of emotion regulation and anxiety symptoms. Social and generalized anxiety symptoms showed similar bivariate correlations with emotion regulation. However, when controlling for generalized anxiety, social anxiety symptoms were uniquely related to emotion understanding, acceptance, evaluation, and reactivity. Generalized anxiety symptoms were uniquely related to emotion modification. The current study suggests that social and generalized anxiety symptoms have both common and unique associations with emotion regulation difficulties in early adolescence, and has implications for which emotion regulation skills to target in clinical interventions.

Objective: Referrals initiated via the "warm handoff" (HO) common to consultationbased models of integrated primary care are theorized to add value for patient outcomes relative to referral as usual (RAU) processes often used in colocated service models. The current evaluation tested this assumption in terms of impact on patient engagement, medical system utilization, and behavioral health system utilization. Method: Shortterm longitudinal data were extracted for 175 integrated behavioral health referrals across urban pediatric primary care patients. A retrospective cohort design was used to assess differences between patients exposed to an HO immediately following referral versus RAU (control). Results: Analyses revealed significant differences for patients referred via HO at different time points, including fewer primary care provider appointment no-show/same-day cancellations, greater total behavioral health encounters, and fewer days from referral to any scheduled or completed follow-up behavioral health encounter. Conclusions: Consultation via HOs was associated with some shortterm benefits on patient engagement and systems utilization for urban pediatric primary care patients compared to RAU. Preliminary findings may help stakeholders leverage the need for integrated (vs. colocated) models of pediatric integrated primary care to help inform economic-or value-based decisions on program development and promote care approaches that increase the likelihood of families staying engaged in care. Implications for Impact Statement"Warm handoffs" for immediate behavioral health consultation were associated with better pediatric patient engagement compared to referral as usual. Findings can help guide improvement with integrated primary care services, although future investigations are needed to further support or refute these preliminary results.