儿童和青少年焦虑症：第二部分——焦虑症的管理
Anxiety in children and youth: Part 2-The management of anxiety disorders.
作者信息
Bobbitt Susan, Kawamura Anne, Saunders Natasha, Monga Suneeta, Penner Melanie, Andrews Debra
机构信息
Canadian Paediatric Society, Mental Health and Developmental Disabilities Committee, Ottawa, Ontario, Canada.
出版信息
Paediatr Child Health. 2023 Feb 28;28(1):52-66. doi: 10.1093/pch/pxac104. eCollection 2023 Feb.
Anxiety disorders are the most common mental health concerns affecting Canadian children and adolescents. The Canadian Paediatric Society has developed two position statements that summarize current evidence regarding the diagnosis and management of anxiety disorders. Both statements offer evidence-informed guidance to support paediatric health care providers (HCPs) making decisions around the care of children and adolescents with these conditions. The objectives of Part 2, which focuses on management, are to: (1) review the evidence and context for a range of clinical approaches that combine behavioural and pharmacological interventions to effectively address impairment, (2) describe the roles of education and psychotherapy in the prevention and treatment of anxiety disorders, and (3) outline the use of pharmacotherapy, with side effects and risks. Recommendations for managing anxiety are based on current guidelines, review of the literature, and expert consensus. Note that when the word 'parent' (singular or plural) is used, it includes any primary caregiver and every configuration of family.
焦虑症是影响加拿大儿童和青少年的最常见心理健康问题。加拿大儿科学会制定了两份立场声明，总结了有关焦虑症诊断和管理的当前证据。这两份声明都提供了基于证据的指导，以支持儿科医疗保健提供者（HCPs）在照顾患有这些疾病的儿童和青少年时做出决策。第二部分重点关注管理，其目标是：（1）审查一系列结合行为和药物干预以有效解决功能障碍的临床方法的证据和背景，（2）描述教育和心理治疗在焦虑症预防和治疗中的作用，以及（3）概述药物治疗的使用、副作用和风险。管理焦虑的建议基于当前指南、文献综述和专家共识。请注意，当使用“父母”（单数或复数）一词时，它包括任何主要照顾者和各种家庭结构。
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