Last C G, Strauss C C, Francis G
Department of Psychiatry, University of Pittsburgh School of Medicine, Pennsylvania 15213.
J Nerv Ment Dis. 1987 Dec;175(12):726-30. doi: 10.1097/00005053-198712000-00004.
This paper reports on 73 consecutive admissions to an outpatient anxiety disorder clinic for children and adolescents. Patients were evaluated with a structured diagnostic interview for primary and secondary disorders with DSM-III criteria in order to examine patterns of comorbidity. The most common primary diagnoses for the sample included separation anxiety disorder (33%), overanxious disorder (15%), social phobia of school (15%), and major depression (15%). Children with a primary diagnosis of separation anxiety disorders were most likely to receive a concurrent diagnosis of overanxious disorder. Alternatively, children with a primary diagnosis of overanxious disorder were most likely to receive an additional diagnosis indicative of a social anxiety problem, either social phobia or avoidant disorder. Children with a primary major depression most often exhibited social phobia and/or overanxious disorder. No clear-cut pattern of comorbidity emerged for the social phobic (school) group. These findings are discussed in terms of their comparability with results recently obtained from an adult anxiety clinic population.
本文报告了73名连续入住儿童和青少年门诊焦虑症诊所的患者情况。为了研究共病模式，采用针对原发性和继发性疾病的结构化诊断访谈，依据《精神疾病诊断与统计手册》第三版标准对患者进行评估。该样本中最常见的原发性诊断包括分离焦虑症（33%）、过度焦虑症（15%）、学校社交恐惧症（15%）和重度抑郁症（15%）。原发性诊断为分离焦虑症的儿童最有可能同时被诊断为过度焦虑症。相反，原发性诊断为过度焦虑症的儿童最有可能额外被诊断为表明社交焦虑问题的疾病，即社交恐惧症或回避型障碍。原发性重度抑郁症患儿最常表现出社交恐惧症和/或过度焦虑症。社交恐惧症（学校）组未出现明确的共病模式。根据这些发现与最近从成人焦虑症诊所人群中获得的结果的可比性进行了讨论。
