Anxiety and anxiety disorders in children and adolescents: developmental issues and implications for DSM-V.

Anxiety and anxiety disorders in children and adolescents: developmental issues and implications for DSM-V.
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DOI:
10.1016/j.psc.2009.06.002
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发表时间:
2009-09
影响因子:
1.7
通讯作者:
Pine, Daniel S.
Pine, Daniel S.
中科院分区:
医学3区
文献类型:
--
作者:
Beesdo, Katja;Knappe, Susanne;Pine, Daniel S.

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这篇综述总结了儿童和青少年焦虑症的流行病学和病因学研究结果,包括分离焦虑症,特定恐怖症,社交恐怖症,广场恐怖症,惊恐障碍和广泛性焦虑症,还强调了诊断,评估和治疗的关键方面。儿童和青春期是焦虑症状和综合征发展的核心风险阶段,从短暂的轻度症状到全面的焦虑症。这篇文章批判性地回顾了流行病学证据,包括患病率、发病率、病程和危险因素。在这个年龄段的核心挑战是发展更敏感的评估方法的推导。识别的特点,可以作为坚实的预测发病,病程和结果将需要前瞻性的设计,评估范围广泛的推定的脆弱性和风险因素。这类信息对于改善早期识别和鉴别诊断以及预防和治疗这一年龄段非常重要。
This review summarizes findings on the epidemiology and etiology of anxiety disorders among children and adolescents including separation anxiety disorder, specific phobia, social phobia, agoraphobia, panic disorder, and generalized anxiety disorder, also highlighting critical aspects of diagnosis, assessment, and treatment. Childhood and adolescence is the core risk phase for the development of anxiety symptoms and syndromes, ranging from transient mild symptoms to full-blown anxiety disorders. This article critically reviews epidemiological evidence covering prevalence, incidence, course, and risk factors. The core challenge in this age span is the derivation of developmentally more sensitive assessment methods. Identification of characteristics that could serve as solid predictors for onset, course, and outcome will require prospective designs that assess a wide range of putative vulnerability and risk factors. This type of information is important for improved early recognition and differential diagnosis as well as prevention and treatment in this age span.
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