Ramsawh Holly J, Chavira Denise A, Stein Murray B
Department of Psychiatry, University of California, San Diego, La Jolla, CA 92093-0855, USA.
Arch Pediatr Adolesc Med. 2010 Oct;164(10):965-72. doi: 10.1001/archpediatrics.2010.170.
The current review describes the phenomenology of several common anxiety disorders in children and adolescents as they present in medical settings. Anxiety disorders and associated features in children are described, along with epidemiology, functional impairment, common somatic complaints, medical comorbidity, health care utilization, and presentation in general and in specialty pediatric medical settings. Recommendations for clinical management in pediatric settings are presented, and evidence-based interventions and emerging treatments for pediatric anxiety disorders are described. The review concludes with a discussion of future research directions that may lead to increased recognition and improved management of anxiety disorders in pediatric medical settings.
本综述描述了儿童和青少年几种常见焦虑症在医疗环境中的表现。文中描述了儿童焦虑症及其相关特征,以及流行病学、功能损害、常见躯体症状、医学共病、医疗保健利用情况,以及在普通儿科和专科儿科医疗环境中的表现。文中还提出了儿科环境中临床管理的建议,并描述了针对儿童焦虑症的循证干预措施和新兴治疗方法。综述最后讨论了未来的研究方向,这些方向可能会提高对儿科医疗环境中焦虑症的认识并改善其管理。