Toddler anxiety disorders: a pilot study.
Toddler anxiety disorders: a pilot study.
复制标题
幼儿焦虑症：一项试点研究。
DOI：
10.1097/01.0000220852.94392.eb
复制
发表时间：
2006
影响因子：
13.3
通讯作者：
Simmens,SamuelJ
中科院分区：
文献类型：
--
作者：
Warren,SusanL;Umylny,Polina;Aron,Emily;Simmens,SamuelJ
目的本研究检验了诊断社交恐惧症（SOC）和广泛性焦虑障碍（GAD）标准的有效性，其中DSM-IV标准被修改以更好地识别可能患有这些障碍的幼儿。方法采用包括儿童观察在内的半结构化临床访谈进行诊断。父母和照顾者完成儿童行为、气质和社会情绪功能问卷，以测试收敛效度和区别效度。结果72名18个月至5岁的儿童中，19名符合修改后的SOC标准（8名符合DSM-IV标准的SOC标准），29名符合修改后的GAD标准（5名符合DSM-IV标准的GAD标准），35名不符合焦虑障碍标准。与非焦虑儿童相比，SOC改善的儿童更有可能表现出更高水平的焦虑症状和害羞/抑制，并有焦虑的父母。改进的SOC与非焦虑构念（拥抱、想象游戏、精细运动）无关。改良型广泛性焦虑症儿童并没有持续表现出更高水平的焦虑症状，父母的焦虑程度并没有高于非焦虑儿童，在非焦虑构念上的平均得分也没有更高。结论本研究为改进后的SOC标准的收敛效度和判别效度提供了初步证据，而改进后的GAD标准的收敛效度和判别效度不成立。
OBJECTIVEThis research examined the validity of criteria for diagnosing social phobia (SOC) and generalized anxiety disorder (GAD), where the DSM-IV criteria were modified to better identify toddlers who could have these disorders.METHODDiagnoses were made with a semistructured clinical interview that included child observations. Parents and caregivers completed child behavior, temperament, and socioemotional functioning questionnaires to test convergent and discriminant validity.RESULTSOf 72 children, 18 months to 5 years old, 19 met modified SOC criteria (8 met DSM-IV criteria SOC also), 29 met modified GAD criteria (5 met DSM-IV criteria GAD also), and 35 met no anxiety disorder criteria. Children with modified SOC were more likely than nonanxious children to display higher levels of anxiety symptoms and shyness/inhibition and to have anxious parents. Modified SOC did not relate to the nonanxiety constructs (cuddling, imaginary play, fine motor). Children with modified GAD did not consistently demonstrate higher levels of anxiety symptoms, did not have more anxious parents than nonanxious children, and did not have higher mean scores on the nonanxiety constructs.CONCLUSIONSThis research provides initial evidence supporting convergent and discriminant validity for the modified SOC criteria but not the modified GAD criteria.