Course and outcome of anxiety disorders in adolescents

Course and outcome of anxiety disorders in adolescents
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DOI:
10.1016/s0887-6185(01)00091-3
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发表时间:
2002-01-01
影响因子:
10.3
通讯作者:
Petermann, F
Petermann, F
中科院分区:
医学2区
文献类型:
--
作者:
Essau, CA;Conradt, J;Petermann, F

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这篇文章的目的是研究德国青少年焦虑障碍的过程和结果。焦虑和其他精神障碍以DSM-IV标准为基础,使用慕尼黑版的综合国际诊断访谈进行编码。在指数调查(T1)中符合DSM-FV焦虑障碍标准的青少年中,约有22.6%的人在随访时(T2)继续存在焦虑,17.7%的人有抑郁,27.4%的人有躯体形式,6.5%的人有物质使用障碍,41.9%的人没有焦虑。与焦虑症持续性显著相关的因素包括年龄较大、存在山梨醇和物质使用障碍,以及在T1访谈中发生大量负性生活事件。与“一过性”焦虑症和没有任何焦虑症的青少年相比,患有“慢性”焦虑症的青少年在不同的生活领域受到的损害明显更大。尽管心理社会受损程度很高,但在T2面试前的最后12个月里,只有少数人确实寻求了专业帮助。(C)2002 Elsevier Science Inc.保留所有权利。
The aim of this article was to examine the course and outcome of anxiety disorders in German adolescents. Anxiety and other psychiatric disorders were coded based on DSM-IV criteria using the computerized Munich version of the Composite International Diagnostic Interview. About 22.6% of the adolescents who fulfilled DSM-fV criteria of any current anxiety disorders at the index investigation (T I) continued to have anxiety at the follow-up investigation (T2), 17.7% had depression, 27.4% somatoform, 6.5% substance use disorders, and 41.9% had no disorders. The factors that were significantly associated with the persistence of anxiety disorders included older age, presence of sornatoform and substance use disorders, as well as a high number of negative life events at the T1-interview. Adolescents with "chronic" compared to "transcient" anxiety disorders and those without any disorders were significantly more impaired in various life domains. Despite these high levels of psychosocial impairment, only a few of them did seek professional help in the last 12 months before the T2-interview. (C) 2002 Elsevier Science Inc. All rights reserved.