Symptomatology and family functioning in children and adolescents with comorbid anxiety and depression.
Symptomatology and family functioning in children and adolescents with comorbid anxiety and depression.
复制标题
患有焦虑和抑郁共病的儿童和青少年的症状和家庭功能。
DOI：
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发表时间：
2011
期刊：
影响因子：
--
通讯作者：
K. Manassis
中科院分区：
文献类型：
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作者：
C. Guberman;K. Manassis
目的
以往的研究表明，青少年共病焦虑和抑郁障碍与更严重的精神病学和家庭功能障碍有关，而不是单独的障碍。我们的目的是通过扩大合并症的定义以包括合并症的阈下症状（即，症状低于疾病的诊断标准截止值）。
方法
一个基于诊所的样本193青年（4-18岁）和产妇照顾者完成的措施，评估青年的内化症状和家庭功能。
结果
共病青年赞同更严重的焦虑症状和家庭功能障碍比焦虑的青年。相比之下，与仅患有抑郁症的年轻人相比，患有抑郁症的年轻人并不支持更严重的抑郁症状或家庭功能障碍。类似的结果被发现的母亲报告的内化症状，但母亲的家庭功能的报告没有产生组间差异。
结论
这项研究重复了过去的研究结果，即焦虑青年中存在共病抑郁症与严重焦虑和家庭功能障碍有关。我们的研究结果还表明，阈下抑郁症状在焦虑的青年有关的严重程度，牙科和家庭功能障碍的报告，但阈下焦虑症状在抑郁的青年没有。需要进行纵向研究，以进一步阐明这种并发症的病因和发展过程。
OBJECTIVE
Previous studies suggest that comorbid anxiety and depressive disorders in youth are associated with more severe symptomatology and family dysfunction than either disorder alone. Our aim was to replicate and extend past findings by expanding the definition of comorbidity to include comorbid subthreshold symptoms (i.e., symptoms fall below the diagnostic criteria cut-off of a disorder).
METHOD
A clinic-based sample of 193 youth (aged 4-18) and maternal caregivers completed measures assessing the youth's internalizing symptoms and family functioning.
RESULTS
Comorbid youth endorsed more severe anxiety symptoms and family dysfunction than anxiety-only youth. By contrast, comorbid youth did not endorse more severe depression symptoms or family dysfunction compared to youth with depression only. Similar results were found for maternal reports of internalizing symptoms, but maternal reports of family functioning yielded no group differences.
CONCLUSIONS
This study replicates past findings that the presence of comorbid depression in anxious youth is associated with severe anxiety and family dysfunction. Our findings also suggest that subthreshold depressive symptoms in anxious youth relate to the severity of symptomatology and family dysfunction reported, but subthreshold anxiety symptoms in depressed youth do not. Longitudinal studies are needed to further clarify the etiology and developmental course of this comorbidity.
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DOI：
10.1097/00004583-199705000-00015
发表时间：
1997-05-01
影响因子：
13.3
作者：
Last, CG;Hansen, C;Franco, N
通讯作者：
Franco, N
区分焦虑和抑郁：认知内容特异性假设的检验。
影响因子：
4.6
作者：
Beck,AT;Brown,G;Steer,RA;Eidelson,JI;Riskind,JH
通讯作者：
Riskind,JH
影响因子：
22.4
作者：
BRADY, EU;KENDALL, PC
通讯作者：
KENDALL, PC
影响因子：
--
作者：
Foley, Debra L.;Goldston, David B.;Angold, Adrian
通讯作者：
Angold, Adrian