Klein Benjamin, Rajendram Rageen, Hrycko Sophia, Poynter Aven, Ortiz-Alvarez Oliva, Saunders Natasha, Andrews Debra
Canadian Paediatric Society, Mental Health and Developmental Disabilities Committee, Ottawa, Ontario, Canada.
Paediatr Child Health. 2023 Feb 28;28(1):37-51. doi: 10.1093/pch/pxac102. 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 1, which focuses on assessment and diagnosis, are to: (1) review the epidemiology and clinical characteristics of anxiety disorders and (2) describe a process for assessment of anxiety disorders. Specific topics are reviewed, including prevalence, differential diagnosis, co-occurring conditions, and the process of assessment. Approaches are offered for standardized screening, history-taking, and observation. Associated features and indicators that distinguish anxiety disorders from developmentally appropriate fears, worries, and anxious feelings are considered. 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。这两份声明均提供了基于证据的指导，以支持儿科医疗保健提供者（HCPs）就患有这些疾病的儿童和青少年的护理做出决策。第1部分重点关注评估和诊断，其目标是：（1）回顾焦虑症的流行病学和临床特征，以及（2）描述焦虑症的评估过程。文中对特定主题进行了回顾，包括患病率、鉴别诊断、共病情况以及评估过程。文中提供了标准化筛查、病史采集和观察的方法。文中还考虑了将焦虑症与发育过程中正常的恐惧、担忧和焦虑情绪区分开来的相关特征和指标。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以及各种家庭构成。
