School of Psychiatry, Prince of Wales Hospital, University of New South Wales and Black Dog Institute, Randwick, New South Wales 2031, Australia.
Curr Psychiatry Rep. 2010 Aug;12(4):290-7. doi: 10.1007/s11920-010-0131-9.
This article explores accruing evidence supporting the occurrence of an adult form of separation anxiety disorder (ASAD), a category yet to be recognized by international classification systems. ASAD can have its first onset in adulthood, although in a portion of cases, it represents a persistence or recurrence of the childhood-onset type. Recent large-scale clinic studies have suggested that ASAD is associated with high levels of disability. In addition, the presence of ASAD in individuals with anxiety disorders seems to signal a poor outcome to cognitive-behavioral therapy. The existing evidence suggests possible grounds for removing the childhood-onset requirement for the category of separation anxiety disorder, thereby allowing for first onset in adulthood. There is a pressing need to design and test appropriate treatments for ASAD and to educate clinicians to identify and manage the condition.
本文探讨了越来越多的证据支持成人分离焦虑障碍（ASAD）的发生，这是一种尚未被国际分类系统认可的类别。ASAD 可能在成年后首次发作，尽管在某些情况下，它代表了儿童期发病类型的持续或复发。最近的大规模临床研究表明，ASAD 与高度残疾有关。此外，在患有焦虑障碍的个体中出现 ASAD 似乎预示着认知行为疗法的预后不良。现有证据表明，可能有理由取消分离焦虑障碍类别的儿童期发病要求，从而允许成年后首次发病。迫切需要设计和测试针对 ASAD 的适当治疗方法，并教育临床医生识别和管理这种疾病。
