Ferdinand Robert F, van Lang Natasja D J, Ormel Johan, Verhulst Frank C
Department of Child and Adolescent Psychiatry, Erasmus Medical Center, Dr. Molewaterplein 60, P.O. Box 2060, 3000 CB Rotterdam, The Netherlands.
J Anxiety Disord. 2006;20(2):207-21. doi: 10.1016/j.janxdis.2004.12.003.
Studies aimed at anxiety symptoms in children from the general population samples often make distinctions between symptoms of Separation Anxiety, Social Phobia, Panic Disorder, and Generalized Anxiety Disorder. Given the high comorbidity rates between these disorders, the usefulness of such distinctions is questionable. The present study was conducted to investigate which homogenous subgroups of children aged 10-12 years can be identified, according to the presence and frequencies of different types of anxiety. A general population sample of 2210 children was assessed with the RCADS, a self-report questionnaire. Latent class analysis did not yield classes of children with symptoms of one anxiety disorder, without symptoms of another anxiety disorder. Instead, five classes of children were identified that differed in the frequency of anxiety symptoms, irrespective of the type of anxiety. Results indicate that, in a general population sample, it may not be useful to discern children with different types of anxiety symptoms.
针对普通人群样本中儿童焦虑症状的研究，常常对分离焦虑症、社交恐惧症、惊恐障碍和广泛性焦虑症的症状加以区分。鉴于这些障碍之间的高共病率，这种区分的实用性值得怀疑。本研究旨在调查，根据不同类型焦虑的存在情况及出现频率，10至12岁的儿童中可以识别出哪些同质亚组。采用自陈问卷RCADS对2210名儿童的普通人群样本进行了评估。潜在类别分析并未得出患有一种焦虑症症状而无另一种焦虑症症状的儿童类别。相反，识别出了五类儿童，他们在焦虑症状出现频率上存在差异，而不考虑焦虑的类型。结果表明，在普通人群样本中，区分具有不同类型焦虑症状的儿童可能并无用处。
