Williamson Douglas E, Forbes Erika E, Dahl Ronald E, Ryan Neal D
Department of Psychiatry, University of Pittsburgh, School of Medicine/Medical Center, Western Psychiatric Institute and Clinic, Pittsburgh, PA 15213, USA.
Child Adolesc Psychiatr Clin N Am. 2005 Oct;14(4):707-26, viii. doi: 10.1016/j.chc.2005.05.007.
Current research indicates that there is a strong relationship between the depression and anxiety that first appear during childhood. Both depression and anxiety co-segregate in families, indicating that the familial risk for the two disorders is shared. Epidemiologic and clinical evidence has shown that anxiety often precedes the onset of depression and the two disorders share a common genetic pathway that may be expressed differentially across development. From a preventive health perspective, children with depressed or anxious relatives are at increased risk for developing anxiety or depression. In addition, anxious children are at increased risk for developing depression particularly during adolescence.
当前研究表明,儿童期首次出现的抑郁和焦虑之间存在密切关系。抑郁和焦虑在家族中共同遗传,这表明这两种疾病的家族风险是共同的。流行病学和临床证据表明,焦虑往往先于抑郁发作,且这两种疾病共享一条共同的遗传途径,该途径可能在整个发育过程中以不同方式表达。从预防保健的角度来看,有抑郁或焦虑亲属的儿童患焦虑或抑郁的风险增加。此外,焦虑的儿童患抑郁症的风险增加,尤其是在青春期。