Sackl-Pammer P, Popow C, Schuch B, Aigner M, Friedrich M, Huemer J
Department of Child and Adolescent Psychiatry, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria,
Neuropsychiatr. 2015;29(1):23-8. doi: 10.1007/s40211-014-0133-7. Epub 2015 Jan 21.
To examine psychopathology among parents of children and adolescents with separation anxiety disorder (SAD).
A case-control design was applied: parents of children and adolescents suffering from SAD (n = 30; age: 10.7 ± 1.8 a) were compared with parents of youth without any psychiatric disease (n = 30; age: 11.2 ± 1.8 a). The SCID-I, a structured clinical interview to assess psychopathology, was applied among the parents group.
Parents of children and adolescents suffering from SAD exhibited a significantly higher prevalence of psychopathology, mainly anxiety disorders and mood disorders, in comparison with the control group. Within anxiety disorders, mothers predominantly suffered from social phobia and specific phobia. Fathers most frequently suffered from obsessive-compulsive disorder and social phobia. Maternal anxiety disorder (current and lifetime) and maternal affective disorder (lifetime) proved to be significant predictors of SAD in youth.
The associations between parents' psychopathology and the development of SAD in their children are discussed in the light of clinical implications, both in terms of psychotherapeutic care as well as treatment outcome.
研究患有分离性焦虑障碍(SAD)的儿童和青少年的父母的精神病理学情况。
采用病例对照设计:将患有SAD的儿童和青少年的父母(n = 30;年龄:10.7±1.8岁)与没有任何精神疾病的青少年的父母(n = 30;年龄:11.2±1.8岁)进行比较。在父母组中应用SCID-I,这是一种用于评估精神病理学的结构化临床访谈。
与对照组相比,患有SAD的儿童和青少年的父母表现出明显更高的精神病理学患病率,主要是焦虑症和情绪障碍。在焦虑症中,母亲主要患有社交恐惧症和特定恐惧症。父亲最常患有强迫症和社交恐惧症。母亲的焦虑症(当前和终生)以及母亲的情感障碍(终生)被证明是青少年SAD的重要预测因素。
从心理治疗护理和治疗结果的临床意义角度,讨论了父母的精神病理学与子女SAD发展之间的关联。