Comorbid Depressive Disorders in Anxiety-disordered Youth: Demographic, Clinical, and Family Characteristics
Comorbid Depressive Disorders in Anxiety-disordered Youth: Demographic, Clinical, and Family Characteristics
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DOI：
10.1007/s10578-009-0170-9
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发表时间：
2010-06-01
影响因子：
2.9
通讯作者：
Kendall, Philip C.
中科院分区：
文献类型：
--
作者：
O'Neil, Kelly A.;Podell, Jennifer L.;Kendall, Philip C.
研究表明，抑郁症和焦虑症在青少年中高度共存。然而，人们对患有主要焦虑症和共病抑郁症的青少年的临床和家庭特征知之甚少。本研究调查了 200 名患有焦虑症的儿童和青少年（7-17 岁）的人口、临床和家庭特征，这些儿童和青少年患有或不患有抑郁症（重度抑郁症或心境恶劣障碍），并在大学焦虑症诊所寻求治疗。所有参与者均符合 DSM-IV 主要焦虑症（广泛性焦虑症、分离焦虑症或社交恐惧症）的诊断标准。其中，百分之十二 (n = 24) 也符合共病抑郁症的标准。结果表明，与没有共存抑郁症的焦虑症青少年 (AD-NDD) 相比，患有共存抑郁症 (AD-DD) 的焦虑症青少年入院时年龄更大，焦虑和抑郁症状更严重，并且受损更严重。 AD-DD 青少年的家庭功能障碍也明显多于 AD-NDD 青少年。未来的研究应该探讨这种诊断和家庭概况如何影响 AD-DD 青少年的治疗。
Research indicates that depression and anxiety are highly comorbid in youth. Little is known, however, about the clinical and family characteristics of youth with principal anxiety disorders and comorbid depressive diagnoses. The present study examined the demographic, clinical, and family characteristics of 200 anxiety-disordered children and adolescents (aged 7-17) with and without comorbid depressive disorders (major depressive disorder or dysthymic disorder), seeking treatment at a university-based anxiety clinic. All participants met DSM-IV diagnostic criteria for a principal anxiety disorder (generalized anxiety disorder, separation anxiety disorder, or social phobia). Of these, twelve percent (n = 24) also met criteria for a comorbid depressive disorder. Results suggest that anxiety-disordered youth with comorbid depressive disorders (AD-DD) were older at intake, had more severe anxious and depressive symptomotology, and were more impaired than anxiety-disordered youth without comorbid depressive disorders (AD-NDD). AD-DD youth also reported significantly more family dysfunction than AD-NDD youth. Future research should examine how this diagnostic and family profile may impact treatment for AD-DD youth.