青少年广泛性焦虑障碍：诊断要点。
Generalized Anxiety Disorder in youth: diagnostic considerations.
机构信息
Department of Psychology, Temple University, Philadelphia, Pennsylvania 19122, USA.
出版信息
Depress Anxiety. 2011 Feb;28(2):173-82. doi: 10.1002/da.20747. Epub 2010 Nov 3.
BACKGROUND
Generalized Anxiety Disorder (GAD) in youth is characterized by excessive worry across domains for ≥ 6 months, an inability to stop worrying, and at least one physiological symptom. This study examined the multiple domains that optimally distinguish (1) GAD youth from nonanxiety-disordered youth and (2) GAD youth from other anxiety-disordered youth.
METHODS
Receiver operating characteristic analyses examined a sample of youth (N=180) aged 7-13 (M=10.10; 52% male), to determine optimal cut scores to distinguish GAD youth from (1) nonanxiety-disordered youth and (2) other anxiety-disordered youth. The diagnostic efficiency of worries and physiological symptoms was also examined.
RESULTS
By parent report, three worries and four physiological symptoms had favorable cut scores, and several specific worries possessed high diagnostic efficiency. Children endorsed fewer GAD symptoms.
CONCLUSIONS
Recommendations are made regarding the criteria for GAD in youth and interview sequencing of symptom queries.
背景
青少年广泛性焦虑障碍（GAD）的特征是至少 6 个月内过度担心多个领域、无法停止担忧以及至少出现一个生理症状。本研究探讨了能够最佳区分（1）GAD 青少年与非焦虑障碍青少年以及（2）GAD 青少年与其他焦虑障碍青少年的多个领域。
方法
接受者操作特征分析考察了 180 名 7-13 岁（M=10.10；52%为男性）青少年的样本，以确定最佳临界分数来区分 GAD 青少年与（1）非焦虑障碍青少年和（2）其他焦虑障碍青少年。还检查了担忧和生理症状的诊断效率。
结果
通过父母报告，三个担忧和四个生理症状具有有利的临界分数，并且一些特定的担忧具有较高的诊断效率。儿童报告的 GAD 症状较少。
结论
针对青少年 GAD 的标准和症状询问访谈顺序提出了建议。
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