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青少年分离焦虑障碍:现象学、评估与治疗

SEPARATION ANXIETY DISORDER IN YOUTH: PHENOMENOLOGY, ASSESSMENT, AND TREATMENT.

作者信息

Ehrenreich Jill T, Santucci Lauren C, Weiner Courtney L

机构信息

University of Miami.

出版信息

Psicol Conductual. 2008 Jan 1;16(3):389-412. doi: 10.1901/jaba.2008.16-389.

DOI:10.1901/jaba.2008.16-389
PMID:19966943
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2788956/
Abstract

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.

摘要

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。

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本文引用的文献

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Development and Preliminary Evaluation of a 1-Week Summer Treatment Program for Separation Anxiety Disorder.分离焦虑障碍为期一周的夏季治疗方案的开发与初步评估
Cogn Behav Pract. 2009 Aug 1;16(3):317-331. doi: 10.1016/j.cbpra.2008.12.005.
2
The unique impact of parent training for separation anxiety disorder in children.针对儿童分离焦虑障碍的家长培训的独特影响。
Behav Ther. 2008 Jun;39(2):195-206. doi: 10.1016/j.beth.2007.07.004. Epub 2008 Feb 8.
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The pharmacological management of childhood anxiety disorders: a review.儿童焦虑症的药物治疗:综述
Psychopharmacology (Berl). 2007 Mar;191(1):67-86. doi: 10.1007/s00213-006-0644-4. Epub 2007 Jan 5.
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Clinical assessment of attachment patterns and personality disorder in adolescents and adults.青少年和成年人依恋模式与人格障碍的临床评估
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5
Parental intrusiveness and children's separation anxiety in a clinical sample.临床样本中父母的侵扰行为与儿童的分离焦虑
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Dealing with school refusal behavior: a primer for family physicians.应对学校拒学行为:家庭医生入门指南
J Fam Pract. 2006 Aug;55(8):685-92.
7
Prevalence and correlates of estimated DSM-IV child and adult separation anxiety disorder in the National Comorbidity Survey Replication.全国共病调查复制研究中估计的DSM-IV儿童及成人分离焦虑障碍的患病率及其相关因素
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Anxiety in a neglected population: prevalence of anxiety disorders in pre-adolescent children.被忽视人群中的焦虑:青春期前儿童焦虑症的患病率
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Common emotional and behavioral disorders in preschool children: presentation, nosology, and epidemiology.学龄前儿童常见的情绪和行为障碍:表现、分类学及流行病学
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