COMORBIDITY OF ANXIETY AND DEPRESSION IN CHILDREN AND ADOLESCENTS
COMORBIDITY OF ANXIETY AND DEPRESSION IN CHILDREN AND ADOLESCENTS
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DOI：
10.1037/0033-2909.111.2.244
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发表时间：
1992-03-01
影响因子：
22.4
通讯作者：
KENDALL, PC
中科院分区：
文献类型：
--
作者：
BRADY, EU;KENDALL, PC
综述了儿童和青少年的焦虑和抑郁，包括鉴别诊断、症状评估、家族史数据、发育特征和临床相关性。研究结果表明，15.9%至61.9%被认定为焦虑或抑郁的儿童患有焦虑和抑郁障碍，焦虑和抑郁的衡量标准高度相关。家族史数据没有定论。患有焦虑、抑郁或两者兼而有之的儿童之间出现了差异。焦虑的儿童与其他两组的区别在于，他们表现出较少的抑郁症状，而且往往更年轻。同时抑郁和焦虑的那组人往往年龄更大，症状更多。在这组人中，焦虑症状往往先于抑郁症状。研究结果在提出的发展序列的背景下进行了讨论。
Anxiety and depression in children and adolescents are reviewed, including differential diagnosis, assessment of symptoms, family history data, developmental features, and clinical correlates. Findings indicate that 15.9% to 61.9% of children identified as anxious or depressed have comorbid anxiety and depressive disorders and that measures of anxiety and depression are highly correlated. Family history data are inconclusive. Differences emerged among children with anxiety, depression, or both disorders. Anxious children were distinguishable from the other 2 groups in that they showed less depressive symptomatology and tended to be younger. The concurrently depressed and anxious group tended to be older and more symptomatic. In this group, the anxiety symptoms tended to predate the depressive symptoms. Findings are discussed in the context of a proposed developmental sequence.