Anxious solitude and clinical disorder in middle childhood: bridging developmental and clinical approaches to childhood social anxiety.

Anxious solitude and clinical disorder in middle childhood: bridging developmental and clinical approaches to childhood social anxiety.
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DOI:
10.1007/s10802-009-9343-z
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发表时间:
2010-01
影响因子:
3.6
通讯作者:
Allan W
Allan W
中科院分区:
心理学2区
文献类型:
--
作者:
Gazelle H;Workman JO;Allan W

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据推测,孩子们确定他们的同龄人在学校焦虑孤独会报告更多的症状,社交焦虑症的自我报告问卷,并在儿童和家长的临床访谈的基础上,接受更多的诊断社交焦虑症和其他焦虑和情绪障碍。参与者是192名儿童从社区样本的688名儿童就读公立小学。这些孩子中有一半被选中,因为他们被同龄人确定为焦虑孤独,另一半是人口统计学匹配的对照组。192名儿童在问卷上提供了社交焦虑障碍症状的自我报告,其中76名儿童及其父母参加了临床访谈。结果表明,儿童确定他们的同龄人为焦虑孤独的四年级的秋天相比,控制儿童,更有可能接受诊断的社交焦虑障碍,特定的恐惧症,选择性缄默症的基础上,家长的临床访谈。此外,根据父母临床访谈,这些儿童有被诊断为广泛性焦虑症和创伤后应激障碍的趋势。此外,在三年级或四年级的任何时候被确定为焦虑孤独的儿童比对照组儿童更有可能报告社交焦虑障碍的症状,这些症状在临床范围内,并根据父母的临床访谈接受社交焦虑障碍和心境恶劣(两种趋势)和重度抑郁症(显着影响)的诊断。
It was hypothesized that children identified by their peers at school as anxious solitary would report more symptoms of social anxiety disorder on a self report questionnaire and, on the basis of child and parent clinical interviews, receive more diagnoses of social anxiety disorder and additional anxiety and mood disorders. Participants were 192 children drawn from a community sample of 688 children attending public elementary schools. Half of these children were selected because they were identified as anxious solitary by peers and the other half were demographically-matched controls. 192 children provided self reports of social anxiety disorder symptoms on a questionnaire, and 76 of these children and their parent participated in clinical interviews. Results indicate that children identified by their peers as anxious solitary in the fall of 4th grade, compared to control children, were significantly more likely to receive diagnoses of social anxiety disorder, specific phobia, and selective mutism based on parent clinical interviews. Additionally, there was a tendency for these children to be diagnosed with generalized anxiety disorder and post traumatic stress disorder based on parent clinical interviews. Furthermore, children who had been identified as anxious solitary at any time in the 3rd or 4th grades were more likely than control children to report symptoms of social anxiety disorder that fell in the clinical range and to receive diagnoses of social anxiety disorder and dysthymia (both trends) and major depression (a significant effect) according to parental clinical interview.
DOI: 10.1111/j.1467-8624.1994.tb00739.x
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