Department of Psychology, Temple University, Child and Adolescent Anxiety Disorders Clinic, 1701 North 13th Street, Philadelphia, PA 19122, USA.
J Anxiety Disord. 2010 Apr;24(3):360-5. doi: 10.1016/j.janxdis.2010.01.009. Epub 2010 Feb 6.
Reports the characteristics of a large, representative sample of treatment-seeking anxious youth (N=488). Participants, aged 7-17 years (mean 10.7 years), had a principal DSM-IV diagnosis of separation anxiety disorder (SAD), generalized anxiety disorder (GAD), or social phobia (SP). Although youth with a co-primary diagnosis for which a different disorder-specific treatment would be indicated (e.g., major depressive disorder, substance abuse) were not included, there were few other exclusion criteria. Participants and their parent/guardian underwent an extensive baseline assessment using a broad array of measures capturing diagnostic status, anxiety symptoms and severity, and areas of functional impairment. Means and standard deviations of the measures of psychopathology and data on diagnostic status are provided. The sample had moderate to severe anxiety disorder and was highly comorbid, with 55.3% of participants meeting criteria for at least one non-targeted DSM-IV disorder. Anxiety disorders in youth often do not present as a single/focused disorder: such disorders in youth overlap in symptoms and are highly comorbid among themselves.
报告了寻求治疗的焦虑青少年（N=488）的大样本、代表性特征。参与者年龄为 7-17 岁（平均 10.7 岁），主要 DSM-IV 诊断为分离焦虑障碍（SAD）、广泛性焦虑障碍（GAD）或社交恐惧症（SP）。虽然不包括有不同特定疾病治疗指征的共主要诊断（例如，重性抑郁障碍、物质滥用），但排除标准很少。参与者及其父母/监护人接受了广泛的基线评估，使用了一系列广泛的措施来捕捉诊断状况、焦虑症状和严重程度以及功能受损领域。提供了精神病理学测量的平均值和标准差以及诊断状态的数据。该样本有中度到重度的焦虑障碍，且高度共病，55.3%的参与者符合至少一种非目标 DSM-IV 障碍的标准。儿童期的焦虑障碍通常不是单一/集中性的障碍：儿童期的此类障碍在症状上有重叠，且彼此之间高度共病。
