Perceived family impact of preschool anxiety disorders.

Perceived family impact of preschool anxiety disorders.
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DOI:
10.1016/j.jaac.2013.12.017
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发表时间:
2014-04
影响因子:
13.3
通讯作者:
--
中科院分区:
医学1区
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--
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我们研究了儿童焦虑症对家庭功能的影响,因为这种影响是心理健康服务接受的关键预测因素。此外,我们还研究了学龄前焦虑与其他儿童早期疾病相比的相对影响,以及这种影响在考虑了合并症的影响后是否持续存在,或因儿童年龄和性别而异。从儿科初级保健诊所和过度抽样的儿童焦虑的风险,917名学龄前儿童(2-5岁)的父母完成了诊断访谈,并报告了儿童精神症状对家庭财务,关系,活动和幸福的影响。在考虑了共病障碍后,焦虑儿童的家庭报告其孩子的行为对家庭的负面影响的可能性是非障碍儿童的3.5倍。广泛性焦虑和分离焦虑对家庭功能的影响与ADHD和破坏性障碍相似。有一个显着的家庭影响女孩与社交恐惧症,而没有影响男孩。学龄前焦虑对家庭功能,特别是父母的调整,有显着的,独特的影响,突出与早期焦虑的家庭损害,需要进一步研究的障碍,以照顾这些疾病。
We examined the perceived impact of child anxiety disorders on family functioning, because such impact is a key predictor of mental health service receipt. Additionally, we examined the relative impact of preschool anxiety compared to other early childhood disorders, and whether this impact persisted after accounting for the effects of comorbidity, or varied by child age and sex. Drawing from a pediatric primary-care clinic and oversampling for children at risk for anxiety, 917 parents of preschoolers (ages 2–5 years) completed a diagnostic interview and reported on child psychiatric symptom impact on family finances, relationships, activities, and well-being. After accounting for comorbid disorders, families of children with anxiety were 3.5 times more likely to report negative impact of their child’s behavior on the family relative to non-disordered children. Generalized and separation anxiety had a similar impact on family functioning as ADHD and disruptive disorders. There was a significant family impact for girls with social phobia, whereas there was no impact for boys. Preschool anxiety has a significant, unique impact on family functioning, particularly parental adjustment, highlighting the family impairment linked with early anxiety, and the need for further research on barriers to care for these disorders.
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发表时间: 2004-01-01
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