Ehrenreich Jill T, Santucci Lauren C, Weiner Courtney L
University of Miami.
Psicol Conductual. 2008 Jan 1;16(3):389-412. doi: 10.1901/jaba.2008.16-389.
Separation Anxiety Disorder (SAD) is the most commonly diagnosed and impairing childhood anxiety disorder, accounting for approximately 50% of the referrals for mental health treatment of anxiety disorders. While considered a normative phenomenon in early childhood, SAD has the potential to negatively impact a child's social and emotional functioning when it leads to avoidance of certain places, activities and experiences that are necessary for healthy development. Amongst those with severe symptoms, SAD may result in school refusal and a disruption in educational attainment. This paper provides a comprehensive review of the current literature on SAD etiology, assessment strategies, and empirically supported treatment approaches. New and innovative approaches to the treatment of SAD that also employ empirically supported techniques are highlighted. In addition, future directions and challenges in the assessment and treatment of SAD are addressed.
分离焦虑障碍(SAD)是最常被诊断出且造成损害的儿童焦虑症,约占焦虑症心理健康治疗转诊病例的50%。虽然在幼儿期被认为是一种正常现象,但当SAD导致回避健康发展所需的某些场所、活动和经历时,它有可能对儿童的社交和情感功能产生负面影响。在症状严重的患者中,SAD可能导致拒学并扰乱学业成就。本文全面综述了当前关于SAD病因、评估策略和经验证有效的治疗方法的文献。文中突出介绍了采用经验证有效技术的SAD治疗新方法和创新方法。此外,还讨论了SAD评估和治疗的未来方向及挑战。