Anxious children in adulthood: A prospective study of adjustment
Anxious children in adulthood: A prospective study of adjustment
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DOI：
10.1097/00004583-199705000-00015
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发表时间：
1997-05-01
影响因子：
13.3
通讯作者：
Franco, N
中科院分区：
文献类型：
--
作者：
Last, CG;Hansen, C;Franco, N
目的：前瞻性地研究患有焦虑症的儿童和青少年在成年早期的社会心理功能。方法：这项为期8年的前瞻性研究比较了有早发性焦虑症、共病性焦虑症和抑郁症病史或无精神疾病史的年轻人（平均年龄22岁）的社会心理功能。随访访谈评估了受试者的居住、教育、职业和婚姻状况；利用精神卫生服务；以及心理状态。结果：无抑郁史的焦虑受试者独立生活的可能性低于NPI对照组。焦虑抑郁的受试者比对照组更不可能工作或上学；比纯粹焦虑的受试者更有可能利用心理健康服务；而且比焦虑和控制组更有可能报告心理问题，最常见的是抑郁症。结论：总的来说，结果表明患有焦虑症的儿童在成年早期适应得相对较好。然而，合并抑郁症的病史预示着更负面的结果。
Objective: To prospectively examine psychosocial functioning in young adulthood for children and adolescents with anxiety disorders. Method: This 8-year prospective study compared psychosocial functioning in young adults (mean age 22 years) who had histories of early-onset anxiety disorders, comorbid anxiety and depressive disorders, or no history of psychiatric illness (NPI). Follow-up interviews assessed subjects' residential, educational, occupational, and marital status; utilization of mental health services; and psychological status. Results: Anxious subjects without histories of depression were less likely than NPI controls to be living independently. Anxious-depressed subjects were less likely than controls to be working or in school; more likely than purely anxious subjects to utilize mental health services; and more likely than both anxious and control subjects to report psychological problems, most frequently depression. Conclusions: Overall, results suggest that children with anxiety disorders are relatively well adjusted in young adulthood. However, a history of comorbid depression is prognostic of a more negative outcome.