Children and adolescents referred for treatment of anxiety disorders: differences in clinical characteristics.
Children and adolescents referred for treatment of anxiety disorders: differences in clinical characteristics.
复制标题
DOI：
10.1016/j.jad.2014.06.028
复制
发表时间：
2014
影响因子：
6.6
通讯作者：
Creswell C
中科院分区：
文献类型：
--
作者：
Waite P;Creswell C
儿童和青少年焦虑症的临床特征报告通常基于社区人群或应用排除标准的临床样本。很少有人知道的临床特征的儿童和青少年经常提到的治疗焦虑症。此外，儿童和青少年通常被视为一个同质组，尽管他们可能在临床上有意义的方式不同。一个连续的系列的儿童（n=100，年龄6-12岁）和青少年（n=100，年龄13-18岁），提到了一个常规的临床服务，评估焦虑和共病障碍，学校拒绝和父母的精神病理学症状。与青少年相比，患有原发性焦虑症的儿童更容易被诊断为分离焦虑症。患有原发性焦虑症的青少年有更高的自我和临床医生评定的焦虑症状，并且有更频繁的社交焦虑症的初步诊断，情绪障碍的诊断和症状，以及不规则的上学。儿童期和青少年期被明确地认为是不同的发展时期;实际上，变化不可能以如此离散的方式发生。儿童和青少年焦虑症具有不同的临床特征，这一发现对治疗有明确的意义。简单地调整为儿童设计的治疗方法，使材料更加“对儿童友好”，不太可能充分满足青少年的需要。儿童和青少年焦虑障碍具有鲜明的特点。儿童比青少年有更多的分离焦虑症的诊断。青少年比儿童有更多的社交焦虑障碍的初步诊断。青少年比儿童有更严重的焦虑症状。青少年比儿童有更多的共病情绪障碍和学校拒绝。
Reports of the clinical characteristics of children and adolescents with anxiety disorders are typically based on community populations or from clinical samples with exclusion criterion applied. Little is known about the clinical characteristics of children and adolescents routinely referred for treatment for anxiety disorders. Furthermore, children and adolescents are typically treated as one homogeneous group although they may differ in ways that are clinically meaningful. A consecutive series of children (n=100, aged 6–12 years) and adolescents (n=100, aged 13–18 years), referred to a routine clinical service, were assessed for anxiety and comorbid disorders, school refusal and parental symptoms of psychopathology. Children with a primary anxiety disorder were significantly more likely to be diagnosed with separation anxiety disorder than adolescents. Adolescents with a primary anxiety disorder had significantly higher self and clinician rated anxiety symptoms and had more frequent primary diagnoses of social anxiety disorder, diagnoses and symptoms of mood disorders, and irregular school attendance. Childhood and adolescence were considered categorically as distinct, developmental periods; in reality changes would be unlikely to occur in such a discrete manner. The finding that children and adolescents with anxiety disorders have distinct clinical characteristics has clear implications for treatment. Simply adapting treatments designed for children to make the materials more ‘adolescent-friendly’ is unlikely to sufficiently meet the needs of adolescents. Children and adolescents with anxiety disorders have distinct characteristics. Children have more diagnoses of separation anxiety disorder than adolescents. Adolescents have more primary diagnoses of social anxiety disorder than children. Adolescents have more severe symptoms of anxiety than children. Adolescents have more comorbid mood disorders and school refusal than children.
登录
查看更多内容
DOI：
10.1016/j.jaac.2013.09.017
发表时间：
2014-01
影响因子：
13.3
作者：
Copeland, William E.;Angold, Adrian;Shanahan, Lilly;Costello, E. Jane
通讯作者：
Costello, E. Jane
影响因子：
5.9
作者：
Barrett, PM;Dadds, MR;Rapee, RM
通讯作者：
Rapee, RM
影响因子：
10.3
作者：
Essau, CA;Conradt, J;Petermann, F
通讯作者：
Petermann, F
DOI：
10.1097/00004583-198911000-00007
发表时间：
1989-11-01
影响因子：
13.3
作者：
COSTELLO, EJ
通讯作者：
COSTELLO, EJ
DOI：
10.1097/00004583-200111000-00015
发表时间：
2001-11-01
影响因子：
13.3
作者：
Goodman, R
通讯作者：
Goodman, R