Distinctions between separation anxiety and social anxiety in children and adolescents
Distinctions between separation anxiety and social anxiety in children and adolescents
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DOI：
10.1016/j.brat.2005.11.006
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发表时间：
2006-11-01
影响因子：
4.1
通讯作者：
Verhulst, Frank C.
中科院分区：
文献类型：
--
作者：
Ferdinand, Robert F.;Bongers, Ilja L.;Verhulst, Frank C.
分离焦虑和社交恐惧症在相当程度上交织在一起，据报道，共病发生率很高。本研究使用潜在类别分析(LCA)来调查是否可以确定同时具有高分离焦虑率和低社交焦虑症状的儿童和青少年班级，或者反之亦然。采用儿童多维焦虑量表(MASC)对普通人群(n=1000)和参考样本(n=735)中的8~18岁儿童进行了测评。通过LCA，在分离焦虑和社交焦虑得分较高的儿童的旁边，确定了一个独立的8-11岁儿童的参考班级，这些儿童的分离焦虑得分较高，同时社交焦虑得分较低。在其他群体中(涉及12-18岁的青少年和普通人群中的儿童和青少年)，不能揭示个人在分离焦虑方面得分很高的班级。结果表明，分离焦虑在被转介的儿童中代表了不同于社交焦虑的结构(但在被转介的青少年或普通人群中不是)。可以得出的结论是，在被转诊的儿童中，关于焦虑症状的病因和治疗结果的研究应该专门针对分离焦虑和社交焦虑，而不是仅仅调查更广泛的焦虑维度。(C)2005年由爱思唯尔有限公司出版。
Separation anxiety and social phobia are intertwined to a considerable degree, and high comorbidity rates have been reported. The present study used latent class analysis (LCA) to investigate if classes of children and adolescents with-simultaneously-high rates of separation anxiety and low rates of social anxiety symptoms, or vice versa, could be identified. Eight- to 18-year-olds from a large general population (n = 1000) and referred sample (n = 735) were assessed with the Multidimensional Anxiety Scale for Children (MASC). With LCA, a separate class of referred 8-11-year-old children with high separation anxiety scores, and simultaneously lower social anxiety scores was identified, next to a class of children with high scores on separation anxiety and social anxiety. In the other groups (referred 12-18-year-olds and children and adolescents from the general population), a class with individuals who specifically scored high on separation anxiety could not be revealed. The results indicated that separation anxiety represents a different construct than social anxiety in referred children (but not in referred adolescents or in the general population). It can be concluded that, in referred children, research regarding etiology and treatment outcome of anxiety symptoms should be aimed specifically at separation anxiety and social anxiety, instead of just investigating a broader anxiety dimension. (c) 2005 Published by Elsevier Ltd.