Longitudinal patterns of anxiety from childhood to adulthood: the Great Smoky Mountains Study.
Longitudinal patterns of anxiety from childhood to adulthood: the Great Smoky Mountains Study.
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DOI：
10.1016/j.jaac.2013.09.017
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发表时间：
2014-01
影响因子：
13.3
通讯作者：
Costello, E. Jane
中科院分区：
文献类型：
--
作者：
Copeland, William E.;Angold, Adrian;Shanahan, Lilly;Costello, E. Jane
这项研究的目的有两个：1）简要介绍了前瞻性，纵向大烟山研究和审查最近的研究结果;和2）使用这个样本进行流行病学分析常见的儿童焦虑症。基于人口的大烟山研究评估了来自美国东南部11个县的1，420名参与者，年龄在9至26岁之间，使用结构化儿童和青少年精神病学评估及其向上扩展，年轻人精神病学评估。任何焦虑症的U形年龄患病率曲线都是儿童分离焦虑和成年恐慌、广场恐怖症和广泛性焦虑的产物。超过五分之一的受试者在成年早期符合焦虑症的标准。在累积共病方面，有证据表明焦虑症之间存在重叠，但重叠水平通常与其他常见儿童疾病一致。所有的儿童焦虑症都与至少一个年轻成人功能领域的不良功能相关，儿童广泛性焦虑和DSM-III-R过度焦虑症的结局最差。临床上显著的焦虑是一种常见的心理健康问题，已经成年。几乎没有证据支持焦虑障碍的巩固，一些证据证明重新引入DSM-III-R过度焦虑障碍是合理的。过渡到年轻的成年似乎是一个关键时期，了解常见的成人焦虑症，如恐慌和广场恐怖症的发展。
The aims of this study were twofold: 1) to provide a brief introduction to the prospective, longitudinal Great Smoky Mountains Study and review recent findings; and 2) to use this sample to conduct an epidemiologic analysis of common childhood anxiety disorders. The population-based Great Smoky Mountains Study assessed 1,420 participants from 11 counties in southeastern US up to 11 times between ages 9 and 26 with the structured Child and Adolescent Psychiatric Assessment and its upward extension, the Young Adult Psychiatric Assessment. The U-shaped age prevalence curve for any anxiety disorder was the product of high levels of childhood separation anxiety and adult panic, agoraphobia, and generalized anxiety. Over 1 in 5 subjects met criteria for an anxiety disorder by early adulthood. In terms of cumulative comorbidity, there was evidence of overlap between anxiety disorders, but the level of overlap was generally consistent with what is seen amongst other common childhood disorders. All childhood anxiety disorders were associated with adverse functioning in at least one young adult functional domain with the poorest outcomes for childhood generalized anxiety and DSM-III-R overanxious disorder. Clinically significant anxiety is a common mental health problem to have had by adulthood. There was little evidence to support the consolidation of anxiety disorders, and some evidence to justify reintroduction of DSM-III-R overanxious disorder. The transition to young adulthood appears to be a key period for understanding the development of common adult anxiety disorders such as panic and agoraphobia.
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影响因子：
4.6
作者：
CASPI, A;HENRY, B;SILVA, PA
通讯作者：
SILVA, PA
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COSTELLO, EJ
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作者：
Angold, A;Erkanli, A;Costello, EJ
通讯作者：
Costello, EJ