Suárez Liza M, Polo Antonio J, Chen Chih-Nan, Alegría Margarita
University of Illinois at Chicago.
Psicol Conductual. 2009 Apr 1;17(1):89-109.
Anxiety disorders are the most prevalent class of psychiatric disorders (Kessler, et al., 2005) and their early onset places individuals at risk for a wide range of subsequent problems (Weissman, et al., 1999). Data from the National Latino and Asian American Study (NLAAS) and the National Comorbidity Survey-Replication (NCS-R) were used to investigate the prevalence and correlates of childhood-onset anxiety disorders among U.S.-born whites, U.S.-born Latinos, and foreign-born Latinos. Significant differences in rates of childhood-onset anxiety disorders were found, with foreign-born Latinos reporting the lowest rates. Across all three ethnicity/nativity groups, individuals with childhood-onset anxiety disorders had equal or higher levels of past-year impairment, relative to individuals with adult-onset anxiety disorders. The chronic course associated with childhood-onset anxiety disorders was also revealed to be present regardless of ethnicity and nativity, as indicated by the similarities across groups in the mean number of lifetime disorders and comorbidity rates. Treatment and assessment recommendations are discussed with respect to the findings.
焦虑症是最常见的一类精神疾病(凯斯勒等人,2005年),其早期发病使个体面临一系列后续问题的风险(魏斯曼等人,1999年)。来自全国拉丁裔和亚裔美国人研究(NLAAS)以及全国共病调查复制版(NCS-R)的数据被用于调查美国出生的白人、美国出生的拉丁裔和外国出生的拉丁裔儿童期起病焦虑症的患病率及其相关因素。研究发现儿童期起病焦虑症的发病率存在显著差异,外国出生的拉丁裔报告的发病率最低。在所有三个种族/出生地群体中,与成年期起病焦虑症患者相比,儿童期起病焦虑症患者在过去一年中的功能损害水平相当或更高。无论种族和出生地如何,儿童期起病焦虑症的慢性病程也很明显,各群体在终生疾病平均数量和共病率方面的相似性表明了这一点。针对这些研究结果讨论了治疗和评估建议。