Skip to main content

Part of the book series: Issues in Clinical Child Psychology ((ICCP))

Abstract

The creation of subcategories of anxiety disorders of childhood or adolescence in the American Psychiatric Association’s (APA’s) Diagnostic and Statistical Manual of Mental Disorders, 3rd edition (DSM-III) (APA, 1980) and 3rd edition, revised (DSM-III-R) (APA, 1987), has provided a heuristic framework and stimulus for research on anxiety disorders of childhood. This approach to the subcategorization of psychopathological disorders in childhood has not been free of criticism, particularly from Great Britain, where childhood psychiatric disorders are divided into two broad categories: conduct disorders and emotional disorders (which include anxiety states) (Hersov, 1985a). The proponents of this approach have argued that there is insufficient evidence to justify a further subcategorization of emotional disorders and the further specification of anxiety disorders (Hersov, 1985a; Rutter & Shaffer, 1980). However, the new International Classification of Disorders, 10th edition (ICD-10) [World Health Organization (WHO), 1992, pp. 273–276], specifies three types of anxiety disorders within the group of emotional disorders with a set specific to childhood, namely, separation anxiety, phobic anxiety, and social anxiety. It qualifies this categorization, though, with the statement that “emotional disorders of childhood are less clearly demarcated into supposedly specific entities.”

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Ainsworth, M. D. S., Blehar, M., Waters, E., & Wall, S. (1978). Patterns of attachment. Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • American Psychiatric Association (1980). Diagnostic and statistical manual of mental disorders, 3rd ed. Washington, DC: Author.

    Google Scholar 

  • American Psychiatric Association (1987). Diagnostic and statistical manual of mental disorders, 3rd ed., revised. Washington, DC: Author.

    Google Scholar 

  • Anderson, J. C., Williams, S., McGee, R., & Silva, P. A. (1987). DSM-III disorders in pre-adolescent children. Archives of General Psychiatry, 44, 69–76.

    Article  PubMed  Google Scholar 

  • Berg, I., Butler, A., & Hall, G. (1976). The outcome of adolescent school phobia. British Journal of Psychiatry, 128, 80–85.

    Article  PubMed  Google Scholar 

  • Berg, I., Marks, I., McGuire, R., & Lipsedge, M. (1974). School phobia and agoraphobia. Psychological Medicine, 4, 428–434.

    Article  PubMed  Google Scholar 

  • Bernstein, G. A., & Garfinkel, B. D. (1986). School phobia: The overlap of affective and anxiety disorders. Journal of the American Academy of Child Psychiatry, 25, 235–241.

    Article  PubMed  Google Scholar 

  • Bernstein, G. A., & Garfinkel, B. D. (1988). Pedigrees, functioning, and psychopathology in families of school phobic children. American Journal of Psychiatry, 145, 70–74.

    PubMed  Google Scholar 

  • Bernstein, G. A., Garfinkel, B. D., & Hoberman, H. (1989). Self reported anxiety in adolescents. American Journal of Psychiatry, 146, 384–386.

    PubMed  Google Scholar 

  • Bowlby, J. (1973). Attachment and loss, Vol. 2, Separation. New York: Basic Books.

    Google Scholar 

  • Breslau, N. (1985). Psychiatric disorder in children with physical disability. Journal of the American Academy of Child Psychiatry, 24, 87–94.

    Article  PubMed  Google Scholar 

  • Cadman, D., Boyle, M., Offord, D., Szatmari, P., Rae-Grant, N. I., Crawford, J., & Byles, J. (1986). Chronic illness and disability in Ontario children: Findings of the Ontario Child Health Study. Canadian Medical Association Journal, 135, 761–767.

    PubMed  Google Scholar 

  • Cadman, D., Boyle, M., Szatmari, P., & Offord, D. (1987). Chronic illness, disability and mental and social well being: Findings of the Ontario Child Health Study. Paediatrics, 79, 805–812.

    Google Scholar 

  • Coolidge, J. C., Brodie, R. D., & Feeney, B. (1964). A ten year follow up study of sixty six school phobic children. American Journal of Orthopsychiatry, 34, 675–684.

    Article  PubMed  Google Scholar 

  • Doris, J., McIntyre, A., Kelsey, C., & Lehman, E. (1971). Separation anxiety in nursery school children. Proceedings of the annual meeting of the American Psychological Association, pp. 145-146.

    Google Scholar 

  • Francis, G., Last, C. G., & Strauss, C. C. (1987). Expression of separation anxiety disorder: The roles of age and gender. Child Psychiatry and Human Development, 18, 82–89.

    Article  PubMed  Google Scholar 

  • Geller, B., Chestnut, E. C., Miller, M. D., Price, D. T., & Yates, E. (1985). Preliminary data on DSM-III associated features of major depressive disorder in children and adolescents. American Journal of Psychiatry, 142, 643–644.

    PubMed  Google Scholar 

  • Gittelman-Klein, R., & Klein, D. F. (1980). Separation anxiety in school refusal and its treatment with drugs. In L. Hersov & I. Berg (Eds.), Out of school—modern perspectives in school refusal and truancy (pp. 321–341). Chichester: John Wiley.

    Google Scholar 

  • Gordon, M. (1977). Cyclone Tracey II: The effects on Darwin. Australian Psychologist, 12, 55–82.

    Article  Google Scholar 

  • Greene, J., Walker, L., Hickson, G., & Thompson, J. (1985). Stressful life events and somatic complaints in adolescents. Paediatrics, 75, 19–22.

    Google Scholar 

  • Hefferman, L., Black, F. W., & Poche, P. (1982). Temperamental patterns in young neurologically impaired children. Journal of Paediatric Psychology, 7, 415–423.

    Article  Google Scholar 

  • Hershberg, S. G., Carlson, G. A., Cantwell, D. P., & Strober, M. (1982). Anxiety and depressive disorders in psychiatrically disturbed children. Journal of Clinical Psychiatry, 43, 358–361.

    PubMed  Google Scholar 

  • Hersov, L. (1985a). Emotional disorders. In M. Rutter & L. Hersov (Eds.), Child and adolescent psychiatry: Modern approaches, 2nd ed. (pp. 368–381). Oxford: Blackwell.

    Google Scholar 

  • Hersov, L. (1985b). School refusal. In M. Rutter & L. Hersov (Eds.), Child and adolescent psychiatry: Modern approaches, 2nd ed. (pp. 382–399). Oxford: Blackwell.

    Google Scholar 

  • Hersov, L., & Berg, I. (Eds.) (1980). Out of school—modern perspectives in school refusal and truancy. Chichester: John Wiley.

    Google Scholar 

  • Hirshfeld, D. R., Rosenbaum, J. F., Biederman, J., Bolduc, E. A., Faraone, S. V., Snidman, N., Reznick, J. S., & Kagan, J. (1992). Stable behavioral inhibition and its association with anxiety disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 103–111.

    Article  PubMed  Google Scholar 

  • Jaspers, K. (1923). A general psychopathology. Translated from the German (1963) by J. Hoenig & M. W. Hamilton. Manchester: Manchester University Press.

    Google Scholar 

  • Kagan, J. (1988). Biological basis of childhood shyness. Science, 240, 167–171.

    Article  PubMed  Google Scholar 

  • Kagan, J., Reznick, J. W., & Snidman, N. (1987). The physiology and psychology of behavioural inhibition in young children. Child Development, 58, 1459–1473.

    Article  PubMed  Google Scholar 

  • Kashani, J. H., & Orvaschel, H. (1988). Anxiety disorders in mid adolescence: A community sample. American Journal of Psychiatry, 145, 960–964.

    PubMed  Google Scholar 

  • Kashani, J. H., & Orvaschel, H. (1990). A community study of anxiety in children and adolescents. American Journal of Psychiatry, 147, 313–318.

    PubMed  Google Scholar 

  • King, N. J., Hamilton, D. I., & Ollendick, T. H. (1988). Children’s phobias: A behavioural perspective. Chichester: John Wiley.

    Google Scholar 

  • Klein, D. F. (1964). Delineation of two drug responsive anxiety syndromes. Psychopharmacologia, 5, 397–408.

    Article  PubMed  Google Scholar 

  • Klein, R. G., & Last, C. G. (1989). Anxiety disorders in children. Newbury Park, CA: Sage Publications.

    Google Scholar 

  • Kleinman, A. (1980). Patients and healers in the context of culture. Berkeley: University of California Press.

    Google Scholar 

  • Kolvin, I., & Nicol, A. R. (1979). Child psychiatry. In K. L. Granville-Grossman (Ed.), Recent advances in clinical psychiatry, Vol. 3 (pp. 297–332). Edinburgh: Churchill-Livingstone.

    Google Scholar 

  • Kovacs, M., Gatsonis, C., Paulauskas, S. L., & Richards, C. (1989). Depressive disorders in childhood. IV. A longitudinal study of comorbidity with and risk for anxiety disorders. Archives of General Psychiatry, 46, 776–782.

    Article  PubMed  Google Scholar 

  • Krupinski, J., & Burrows, G. D. (1986). Psychiatric disorders in adolescents and young adults. In J. Krupinski and G. D. Burrows (Eds.), The price of freedom: Young Indochinese refugees in Australia (pp. 122–135). Sydney: Pergamon Press.

    Google Scholar 

  • Landau, S., Milich, R., & Widiger, T. A. (1991). Predictive power methods may be more helpful for making a diagnosis than sensitivity and specificity. Journal of Child and Adolescent Psychopharmacology, 1, 611–619.

    Article  Google Scholar 

  • Lansky, S. B., Lowman, J. T., Voto, T., & Gyulay, J. (1975). School phobia in children with malignant neoplasm. American Journal of the Disabled Child, 129, 42–46.

    Google Scholar 

  • Last, C. G., Francis, G., & Strauss, C. C. (1989). Assessing fears in anxiety disordered children with the Revised Fear Survey Schedule for Children (FSSC-R). Journal of Clinical Child Psychology, 18, 137–141.

    Article  Google Scholar 

  • Last, C. G., Hersen, M., Kazdin, A. E., Finkelstein, R., & Strauss, C. C. (1987a). Comparison of DSM-III separation anxiety and over-anxious disorders: Demographic characteristics and patterns of comorbidity. Journal of the American Academy of Child and Adolescent Psychiatry, 26, 527–531.

    Article  PubMed  Google Scholar 

  • Last, C. G., Hersen, M., Kazdin, A. E., Francis, G., & Grubb, H. J. (1987b). Psychiatric illness in the mothers of anxious children. American Journal of Psychiatry, 12, 1580–1583.

    Google Scholar 

  • Last, C. G., Perrin, S., Hersen, M., & Kazdin, A. E. (1992). DSM-III-R anxiety disorders in children: Sociodemographic and clinical characteristics. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 1070–1076.

    Article  PubMed  Google Scholar 

  • Last, C. G., Phillips, J. E., & Statfeld, A. (1987c). Childhood anxiety disorders in mothers and their children. Child Psychiatry and Human Development, 18, 103–112.

    Article  PubMed  Google Scholar 

  • Last, C. G., Strauss, C. C., & Francis, G. (1987d). Comorbidity among childhood anxiety disorders. Journal of Nervous and Mental Disease, 175, 726–730.

    Article  PubMed  Google Scholar 

  • Leckman, J. F., Merikangas, K. R., Pauls, D. L., Prusoff, B. A., & Weissman, M. M. (1983a). Anxiety disorders and depression: Contradictions between family study data and DSM-II convention. American Journal of Psychiatry, 140, 880–882.

    PubMed  Google Scholar 

  • Leckman, J. F., Weissman, M. M., Merikangas, K. R., Pauls, D. L., & Prusoff, B. A. (1983b). Panic disorder and major depression: Increased risk of depression, alcoholism, panic, and phobic disorders in families of depressed probands with panic disorders. Archives of General Psychiatry, 40, 1055–1060.

    Article  PubMed  Google Scholar 

  • Leton, D. A. (1962). Assessment of school phobia. Mental Hygiene, 46, 256–264.

    PubMed  Google Scholar 

  • Livingstone, R., Reis, C. J., & Ringdahl, I. C. (1984). Abnormal dexamethasone suppression test results in depressed and non-depressed children. American Journal of Psychiatry, 141, 106–108.

    Google Scholar 

  • Livingstone, R., Taylor, J. L., & Crawford, S. L. (1988). A study of somatic complaints and psychiatric diagnosis in children. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 185–187.

    Article  Google Scholar 

  • Malmquist, C. P. (1986). Children who witness parental murder. Journal of the American Academy of Child Psychiatry, 25, 320–325.

    Article  Google Scholar 

  • Monnelly, E. P., Ianzito, B. M., & Stewart, M. A. (1973). Psychiatric consultations in a children’s hospital. American Journal of Psychiatry, 130, 789–790.

    PubMed  Google Scholar 

  • Offord, D. R., Boyle, M. H., Szatmari, P., Rae-Grant, N. I., Links, P. S., Cadman, D. T., Byles, J. A., Crawford, J. W., Blum, H. M., Byrne, C., Thomas, J., & Woodward, E. A. (1987). Ontario Child Health Study. II. Sixth month prevalence of disorder and rates of service utilisation. Archives of General Psychiatry, 44, 832–836.

    Article  PubMed  Google Scholar 

  • Ollendick, T. H., & Mayer, J. A. (1984). School phobia. In S. M. Turner (Ed.), Behavioral theories and treatment of anxiety (pp. 367–411). New York: Plenum Press.

    Chapter  Google Scholar 

  • Orvaschel, H., & Weissman, M. M. (1986). Epidemiology of anxiety disorders in children: A review. In R. Gittelman (Ed.), Anxiety disorders of childhood (pp. 58–72), New York: Guilford Press.

    Google Scholar 

  • Parker, G. (1983). Parental over-protection: A risk factor in psychosocial development. New York: Grune & Stratton.

    Google Scholar 

  • Prior, M. (1992). Childhood temperament. Journal of Child Psychology and Psychiatry, 33, 249–279.

    Article  PubMed  Google Scholar 

  • Quay, H. C., & LaGreca, A. N. (1986). Disorders of anxiety, withdrawal and dysphoria. In H. C. Quay & J. S. Werry (Eds.), Psychopathological disorders of childhood, 3rd ed. (pp. 73–110). New York: John Wiley.

    Google Scholar 

  • Rey, J. M., Plapp, J. M., & Stewart, G. W. (1989). Reliability of psychiatric diagnosis in referred adolescents. Journal of Child Psychology and Psychiatry, 30, 879–888.

    Article  PubMed  Google Scholar 

  • Rodriguez, A., Rodriguez, M., & Eiesenberg, L. (1959). The outcome of school phobia: A follow up study based on forty one cases. American Journal of Psychiatry, 116, 540–554.

    Google Scholar 

  • Routh, D., & Ernst, A. (1984). Somatization disorders in relatives of children and adolescents with functional abdominal pain. Journal of Paediatric Psychology, 9, 427–437.

    Article  Google Scholar 

  • Rutter, M., & Shaffer, D. (1980). DSM-III: A step forward or back in terms of the classification of child psychiatric disorders? Journal of the American Academy of Child Psychiatry, 19, 371–394.

    Article  PubMed  Google Scholar 

  • Rutter, M., Tizard, J., & Whitmore, K. (1970). Education, health and behaviour, New York: John Wiley.

    Google Scholar 

  • Ryan, N. D., Puig-Antich, J., Ambrosini, P., Rabinovich, H., & Robinson, D. (1987). The clinical picture of major depression in children and adolescents. Archives of General Psychiatry, 44, 854–861.

    Article  PubMed  Google Scholar 

  • Sanson, A., Oberklaid, F., Pedlow, R., & Prior, M. Risk indicators: Assessment of infancy predictors of pre-school behavioural maladjustment. Journal of Child Psychology and Psychiatry, 32, 609-626.

    Google Scholar 

  • Silverman, W. K. (1987). Childhood anxiety disorders: Diagnostic issues, empirical support, and future research. Journal of Child and Adolescent Psychotherapy, 4, 121–126.

    Google Scholar 

  • Sperling, M. (1967). School phobias: Classification, dynamics, and treatment. In R. S. Eissler (Ed.), The psychoanalytic study of the child, Vol. 22 (pp. 375–401). New York: International Universities Press.

    Google Scholar 

  • Stipek, D. J., & Sanborn, M. E. (1985). Teachers task related interactions with handicapped and non-handicapped pre-school children. Merrill-Palmer Quarterly, 31, 285–300.

    Google Scholar 

  • Strober, M., Green, J., & Carlson, G. (1981). Reliability of psychiatric diagnosis in hospitalised adolescents. Archives of General Psychiatry, 38, 141–145.

    Article  PubMed  Google Scholar 

  • Terr, L. C. (1981). Psycho trauma in children: Observation following the Chowchilla school bus kidnapping. American Journal of Psychiatry, 138, 14–19.

    PubMed  Google Scholar 

  • Tonge, B. J. (1982). Draw a dream: An intervention promoting change in families in conflict. In F. W. Kaslow (Ed.), The international book of family therapy (pp. 212–228). New York: Brunner/Mazel.

    Google Scholar 

  • Tonge, B. J. (1991a). Children with physical impairments. In F. K. Judd, G. D. Burrows, & D. R. Lipsitt (Eds.), Handbook of studies on general hospital psychiatry (pp. 195–206). Amsterdam: Elsevier.

    Google Scholar 

  • Tonge, B. J. (1991b). Anxiety in adolescents. R. Noyes, Jr., M. Roth, & G. D. Burrows (Eds.), Handbook of anxiety, Vol. 2, Classification, aetiological factors and associated disturbances (pp. 269–287). Amsterdam: Elsevier.

    Google Scholar 

  • Tonge, B. J., Graves, G., Morrison, E., & Stolk, Y. (1986). Psychiatric disorders in children. In J. Krupinski & G. Burrows (Eds.), The price of freedom: Young Indochinese refugees in Australia (pp. 136–159). Sydney: Pergamon Press.

    Google Scholar 

  • Torgerson, S. (1988). Genetics. In C. G. Last & M. Hersen (Eds.), Handbook of anxiety disorders. New York: Pergamon Press.

    Google Scholar 

  • Turner, S. M., Beidel, D. C., & Costello, A. (1987). Psychopathology in the offspring of anxiety disordered patients. Journal of Consulting and Clinical Psychology, 55, 229–235.

    Article  PubMed  Google Scholar 

  • Velez, C. N., Johnson, J., & Cohen, P. (1989). A longitudinal analysis of selected risk factors for childhood psychopathology. Journal of the American Academy of Child and Adolescent Psychiatry, 28, 861–864.

    Article  PubMed  Google Scholar 

  • Warren, W. (1965). A study of adolescent psychiatric in-patients and their outcome six or more years later. II. The follow up study. Journal of Child Psychology and Psychiatry, 6, 141–160.

    Article  Google Scholar 

  • Wasserman, A. L., Whitington, P. F., & Rivara, F. P. (1988). Psychogenic basis for abdominal pain in children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 179–184.

    Article  PubMed  Google Scholar 

  • Wasserman, G. A., Allen, R., & Solomon, C. R. (1985). At risk toddlers and their mothers: The special case of physical handicap. Child Development, 56, 73–83.

    Article  PubMed  Google Scholar 

  • Weinraub, M., & Lewis, M. (1977). The determinants of children’s responses to separation. Monographs of the Society for Research in Child Development, 42(4), Serial No. 172.

    Google Scholar 

  • Weissman, M. M., Leckman, J. F., Merikangas, K. R., Gammon, G. D., & Prusoff, B. A. (1984). Depression and anxiety disorders in parents and children. Archives of General Psychiatry, 41, 845–852.

    Article  PubMed  Google Scholar 

  • Werry, J. S. (1986). Physical illness, symptoms and allied disorders. In H. C. Quay & J. S. Werry (Eds.), Psychological disorders of childhood (pp. 232–293). New York: John Wiley.

    Google Scholar 

  • Werry, J. S. (1991). Overanxious disorder: A review of its taxonomic properties. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 533–544.

    Article  PubMed  Google Scholar 

  • Werry, J. S. (1992). Child psychiatric disorders: Are they classifiable? British Journal of Psychiatry, 161, 472–480.

    Article  PubMed  Google Scholar 

  • Werry, J. S., Methven, R. J., Fitzpatrick, J., & Dixon, H. (1983). The inter-rater reliability of DSM-III in children. Journal of Abnormal Child Psychology, 11, 341–354.

    Article  PubMed  Google Scholar 

  • Williams, J. B. W., & Spitzer, R. L. (1980). Appendix F. In Diagnostic and statistical manual of mental disorders, 3rd ed. (pp. 467–472). Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Winnicott, D. W. (1971). Therapeutic consultations in child psychiatry, New York: Basic Books.

    Google Scholar 

  • World Health Organization (1992). International classification of mental and behavioral disorders, clinical descriptions and diagnostic guidelines, 10th ed. (ICD-10). Geneva: Author.

    Google Scholar 

  • Yogman, M. (1982). Development of the father infant relationship. In H. Fitzgerald, B. Lester, & M. Yogman (Eds.), Theory and research in behavioral pediatrics, New York: Plenum Press.

    Google Scholar 

  • Zitrin, C. M., & Ross, D. C. (1988). Early separation anxiety and adult agoraphobia. Journal of Nervous and Mental Disease, 176, 621–625.

    Article  PubMed  Google Scholar 

  • Ziv, A., & Israeli, R. (1973). Effects of bombardment on the manifest anxiety level of children living in kibbutzim. Journal of Consulting and Clinical Psychology, 40, 287–291.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1994 Springer Science+Business Media New York

About this chapter

Cite this chapter

Tonge, B. (1994). Separation Anxiety Disorder. In: Ollendick, T.H., King, N.J., Yule, W. (eds) International Handbook of Phobic and Anxiety Disorders in Children and Adolescents. Issues in Clinical Child Psychology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-1498-9_8

Download citation

  • DOI: https://doi.org/10.1007/978-1-4899-1498-9_8

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-1500-9

  • Online ISBN: 978-1-4899-1498-9

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics