Vaughan Jerrica, Coddington Jennifer A, Ahmed Azza H, Ertel MaryLou
J Pediatr Health Care. 2017 Jul-Aug;31(4):433-440. doi: 10.1016/j.pedhc.2016.11.003. Epub 2016 Dec 21.
Separation anxiety disorder (SAD) is the most common childhood anxiety disorder, and it has many consequences, particularly for school-age children. These consequences include excessive worry, sleep problems, distress in social and academic settings, and a variety of physical symptoms that, left untreated, can cause social and academic decline. Pediatric providers routinely see children in the primary care office and have the unique opportunity to diagnose, treat, and manage children with SAD. Despite this, SAD continues to be underdiagnosed and undertreated because of a gap in the literature regarding evidence-based practice guidelines for pediatric providers. The purpose of this article is to discuss the diagnosis and management of SAD in school-age children and highlight the role of pediatric providers in managing separation anxiety.
分离焦虑障碍（SAD）是最常见的儿童焦虑障碍，它会产生许多后果，尤其是对学龄儿童而言。这些后果包括过度担忧、睡眠问题、社交和学习环境中的困扰，以及各种身体症状，如果不加以治疗，可能会导致社交和学业成绩下降。儿科医疗服务提供者经常在初级保健办公室接待儿童，有独特的机会诊断、治疗和管理患有SAD的儿童。尽管如此，由于关于儿科医疗服务提供者循证实践指南的文献存在空白，SAD仍然未得到充分诊断和治疗。本文的目的是讨论学龄儿童SAD的诊断和管理，并强调儿科医疗服务提供者在管理分离焦虑方面的作用。
