Verduin Timothy L, Kendall Philip C
Department of Psychology, Temple University, Philadelphia, PA 19122-6085, USA.
J Clin Child Adolesc Psychol. 2003 Jun;32(2):290-5. doi: 10.1207/S15374424JCCP3202_15.
Investigated differences in comorbidity in children ages 8 to 13 (N = 199) with primary diagnoses of generalized anxiety disorder (GAD), separation anxiety disorder (SAD), or social phobia (SP). Children with primary SAD were found to have the highest number of comorbid diagnoses. Specific phobias were more common in children with primary SAD than in those with primary SP, whereas neither group differed from children with primary GAD. Mood disorders were more common in children with GAD or SP than in children with primary SAD. Comorbid externalizing disorders, although present in 17% of the sample, were not found to vary across diagnostic groups. Functional enuresis was most common in children with primary SAD. Results are discussed with respect to diagnostic and treatment issues.
对199名年龄在8至13岁、初步诊断为广泛性焦虑症(GAD)、分离焦虑症(SAD)或社交恐惧症(SP)的儿童的共病差异进行了调查。发现患有原发性SAD的儿童共病诊断数量最多。特定恐惧症在原发性SAD儿童中比在原发性SP儿童中更常见,而这两组与原发性GAD儿童均无差异。情绪障碍在患有GAD或SP的儿童中比在原发性SAD儿童中更常见。共病的外化障碍虽然在17%的样本中存在,但未发现各诊断组之间存在差异。功能性遗尿在原发性SAD儿童中最为常见。针对诊断和治疗问题对结果进行了讨论。