Skip to main content
Mijn bibliotheek
Shop
Nieuws Boeken Tijdschriften E-learning Web-tv Video Audio
Tips voor Mijn BSL
UITGEBREID ZOEKEN
Inloggen
Top
Child Psychiatry & Human Development
Gepubliceerd in: Child Psychiatry & Human Development 2/2012

01-04-2012 | Original Article

Preliminary Validation of a Screening Tool for Adolescent Panic Disorder in Pediatric Primary Care Clinics

Auteurs: Alexander H. Queen, Jill Ehrenreich-May, Eugene R. Hershorin

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 2/2012

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail
    Link delen
publish
Publiceer nu

Abstract

This study examines the validity of a brief screening tool for adolescent panic disorder (PD) in a primary care setting. A total of 165 participants (ages 12–17 years) seen in two pediatric primary care clinics completed the Autonomic Nervous System Questionnaire (ANS; Stein et al. in Psychosomatic Med 61:359–364, 40). A subset of those screening positive (n = 22) and negative (n = 23) for panic symptoms on the ANS completed follow-up phone interviews assessing fit with DSM-IV criteria for panic disorder, self-reported anxiety and depression symptom severity, anxiety-related correlates, and functional impairment. A two-question version of the ANS demonstrated excellent sensitivity (Se = 1.00), but lower specificity (Sp = 0.47) for PD diagnostic status. Three-question and five-question versions modestly improved specificity (Sp = 0.57 and 0.65, respectively). In addition, screen-positive participants reported higher panic symptoms, anxiety sensitivity, and functional impairment, relative to screen-negative participants. Preliminary results suggest the ANS may be a valid screening tool for PD among adolescents, while simultaneously being brief and easy to score. Replication with larger samples is recommended as one related future research endeavor.
vorige artikel Predicting Internalizing and Externalizing Problems at Five Years by Child and Parental Factors in Infancy and Toddlerhood
volgende artikel Parental Separation and Child Aggressive and Internalizing Behavior: An Event History Calendar Analysis
Literatuur
1.
Bell-Dolan DJ, Last CG, Strauss CC (1990) Symptoms of anxiety disorders in normal children. J Am Acad Child Adol Psychiatry 29:759–765CrossRef
2.
Costello EJ, Burns BJ, Edelbrock C, Dulcan M, Brent D (1988) Service utilization and psychiatric diagnosis in pediatric primary care: the role of the gatekeeper. Pediatrics 82:435–441PubMed
3.
Albrecht S, Naugle AE (2002) Psychological assessment and treatment of somatization: adolescents with medically unexplained neurologic symptoms. Adol Med: State Art Rev 13:625–641
4.
Regier DA, Goldberg ID, Taube CA (1978) The de facto US mental health services system. Arch Gen Psychiatry 35:685–693PubMedCrossRef
5.
Kelleher KJ, Hohmann AA, Larson DB (1989) Prescription of psychotropics to children in office-based practice. Am J Dis Children 143:855–859
6.
(2010) Appendix S4: the case for routine mental health screening. Pediatrics 125:S133–S139
7.
Frankenfield DL, Keyl PM, Gielen A, Wissow LS, Werthamer L, Baker SP (2000) Adolescent patients—healthy or hurting? Missed opportunities to screen for suicide risk in the primary care setting. Arch Ped Adol Med 154:162–168
8.
Sices L, Feundtner C, McLaughlin J, Drotar D, Williams M (2003) How do primary care physicians identify young children with developmental delays?: A national survey. J Dev Behav Pediatr 24:409–417PubMedCrossRef
9.
Weitzman CC, Leventhal JM (2006) Screening for behavioral health problems in primary care. Curr Opin Pediatr 18:641–648PubMedCrossRef
10.
Pagano ME, Cassidy LJ, Little M, Murphy JM, Jellinek MS (2000) Identifying psychosocial dysfunction in school-age children: the pediatric symptom checklist as a self-report measure. Psychol Schools 37:91–106CrossRef
11.
Jellinek MS, Murphy JM, Little M, Pagano ME, Comer DM, Kellcher KJ (1999) Use of the pediatric symptom checklist to screen for psychosocial problems in pediatric primary care: a national feasibility study. Arch Ped Adol Med 153:254–260
12.
Murphy JM, Ichinose C, Hicks RC, Kingdon D, Crist-Whitzel J, Jordan P, Feldman G, Jellinek MS (1996) Utility of the Pediatric Symptom Checklist as a psychosocial screen to meet the federal early and periodic screening, diagnosis, and treatment (EPSDT) standards: a pilot study. J Ped 129:864–869CrossRef
13.
Ollendick T, Mattis S, King N (1994) Panic in children and adolescents: a review. J Child Psychol Psychiatry 35(1):113–134PubMedCrossRef
14.
Kessler R, Berglund P, Demler O, Jin R, Merikangas K, Walters E (2005) Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Arch Gen Psychiatry 62(6):593–602PubMedCrossRef
15.
Van Oort F, Greaves-Lord K, Verhulst F, Ormel J, Huizink A (2009) The developmental course of anxiety symptoms during adolescence: the TRIALS study. J Child Psychol Psychiatry 50(10):1209–1217PubMedCrossRef
16.
Lewinsohn P, Hops H, Roberts R, Seeley J, Andrews J (1993) Adolescent psychopathology: I. Prevalence and incidence of depression and other DSM-III—R disorders in high school students. J Abnorm Psychol 102(1):133–144PubMedCrossRef
17.
King N, Gullone E, Tonge B, Ollendick T (1993) Self-reports of panic attacks and manifest anxiety in adolescents. Behav Res Ther 31(1):111–116PubMedCrossRef
18.
Mattis S, Ollendick T (2002) Nonclinical panic attacks in late adolescence prevalence and associated psychopathology. J Anxiety Disord 16(4):321–367CrossRef
19.
Macaulay J, Kleinknecht R (1989) Panic and panic attacks in adolescents. J Anxiety Disord 3(4):221–241CrossRef
20.
Hayward C, Killen J, Taylor C et al (1997) Assessment and phenomenology of nonclinical panic attacks in adolescent girls. J Anxiety Disord 11(1):17–32PubMedCrossRef
21.
Birmaher B, Ollendick T (2004) Childhood-onset panic disorder. phobic and anxiety disorders in children and adolescents: a clinician’s guide to effective psychosocial and pharmacological interventions. Oxford University Press, New York, pp 306–333
22.
Ollendick T, Pincus D (2008) Panic disorder in adolescents. Handbook of evidence-based therapies for children and adolescents: bridging science and practice. Springer, New York, pp 83–102
23.
Ollendick T, Birmaher B, Mattis S (2004) Panic disorder. Anxiety disorders in children and adolescents, 2nd edn. Guilford Press, New York, pp 189–211
24.
Moreau D, Weissman M (1992) Panic disorder in children and adolescents: a review. Am J Psychiatry 149(10):1306–1314PubMed
25.
Strauss J, Birmaher B, Ryan N et al (2000) Anxiety disorders in suicidal youth. Can J Psychiatry 45(8):739–745PubMed
26.
Weissman M, Klerman G, Markowitz J, Ouellette R (1989) Suicidal ideation and suicide attempts in panic disorder and attacks. N Engl J Med 321(18):1209–1214PubMedCrossRef
27.
Weissman M, Bland R, Canino G, Faravelli C (1997) The cross-national epidemiology of panic disorder. Arch Gen Psychiatry 54(4):305–309PubMedCrossRef
28.
Alessi N, Magen J (1988) Comorbidity of other psychiatric disturbances in depressed, psychiatrically hospitalized children. Am J Psychiatry 145(12):1582–1584PubMed
29.
Biederman J, Faraone S, Marrs A, Moore P (1997) Panic disorder and agoraphobia in consecutively referred children and adolescents. J Am Acad Child Adolesc Psychiatry 36(2):214–223PubMedCrossRef
30.
Costello E, Egger H, Angold A (2004) Developmental epidemiology of anxiety disorders. Phobic and anxiety disorders in children and adolescents: a clinician’s guide to effective psychosocial and pharmacological interventions. Oxford University Press, New York, pp 61–91
31.
Essau C, Conradt J, Petermann F (1999) Prevalence, comorbidity and psychosocial impairment of somatoform disorders in adolescents. Psychol Health Med 4(2):169–180CrossRef
32.
Doerfler L, Toscano P, Connor D (2008) Separation anxiety and panic disorder in clinically referred youth. J Anxiety Disord 22(4):602–611PubMedCrossRef
33.
Moreau D, Follet C (1993) Panic disorder in children and adolescents. Child Adolesc Psychiatr Clin N Am 2:581–602
34.
Liebowitz MR (1987) Social phobia. Modern problems. Pharmacopsychiatry 22:141–173
35.
Scahill L, Riddle MA, McSwiggen-Hardin M, Ort SI, King RA, Goodman WK, Cicchetti D, Leckman JF (1997) Children’s yale-brown obsessive compulsive scale: reliability and validity. J Am Acad Child Adolesc Psychiatry 36:844–852PubMedCrossRef
36.
March JS, Parker JD, Sullivan K, Stallings P, Conners CK (1997) The multidimensional anxiety scale for children: factor structure, reliability, and validity. J Am Acad Child Adolesc Psychiatry 36:554–565PubMedCrossRef
37.
Katerndahl DA, Realini JP (1997) Use of health care services by persons with panic symptoms. Psychiatr Serv 48:1027–1032PubMed
38.
Katon W, Roy-Byrne P (1989) Panic disorder in the medically ill. J Clin Psychiatry 50:299–302PubMed
39.
Goodwin RD, Pine DS, Hoven CW (2003) Asthma and panic attacks among youth in the community. J Asthma 40:139–145PubMedCrossRef
40.
Stein M, Roy-Byrne P, McQuaid J, Laffaye C, Russo J, McCahill M, Katon W, Craske M, Bystritsky A, Sherbourne C (1999) Development of a brief diagnostic screen for panic disorder in primary care. Psychosom Med 61:359–364PubMed
41.
Reiss S (1991) Expectancy model of fear, anxiety, and panic. Clin Psychol Rev 11(2):141–153CrossRef
42.
Schmidt N, Keough M, Lejuez C et al (2010) Anxiety sensitivity: prospective prediction of anxiety among early adolescents. J Anxiety Disord 24(5):503–508PubMedCrossRef
43.
Calamari JE, Hale LR, Heffelfinger SK, Janeck AS, Lau JK, Weerts MA, Taglione PA, Schisler RL (2001) Relations between anxiety sensitivity and panic symptoms in nonreferred children and adolescents. J Behav Ther Exp Psychiatry 32:117–136PubMedCrossRef
44.
Muris P, Field A (2008) Distorted cognition and pathological anxiety in children and adolescents. Cogn Emot 22(3):395–421CrossRef
45.
Pincus DB, Ehrenreich JT, Mattis SG (2008) Mastery of anxiety and panic for adolescents: riding the wave, therapist guide. Oxford University Press, Oxford
46.
Thyer BA, Parrish RT, Curtis GC, Nesse RM, Cameron OG (1985) Ages of onset of DSM-III anxiety disorders. Comp Psychiatry 26:113–122CrossRef
47.
Silverman WK, Albano AM (1996) Anxiety disorders interview schedule for DSM-IV: child and parent versions. Psych Corp
48.
Silverman WK, Saavedra LM, Pina AA (2001) Test-retest reliability of anxiety symptoms and diagnoses with anxiety disorders interview schedule for DSM-IV: child and parent versions. J Am Acad Child Adolesc Psychiatry 40:937–944PubMedCrossRef
49.
Chorpita B, Yim L, Moffitt C, Umemoto L, Francis S (2000) Assessment of symptoms of DSM-IV anxiety and depression in children: a revised child anxiety and depression scale. Behav Ther Res 38:835–855CrossRef
50.
Silverman WK, Fleisig W, Rabian B, Peterson RA (1991) Childhood anxiety sensitivity index. J Clin Child Psychol 20:162–168
51.
Chorpita BF, Albano AM, Barlow DH (1996) Child anxiety sensitivity index: considerations for children with anxiety disorders. J Clin Child Psychol 25:77–82CrossRef
52.
Schniering C, Rapee R (2002) Development and validation of a measure of children’s automatic thoughts: the children’s automatic thoughts scale. Behav Res Ther 40:1091–1109PubMedCrossRef
53.
Lyneham H, Abbott M, Rapee R (2003) Lifetime interference measure. Unpublished manuscript
54.
Farrugia S, Hudson J (2006) Anxiety in adolescents with Asperger syndrome: negative thoughts, behavioral problems, and life interference. Focus Autism Dev Disabil 21:22–35
55.
Derogatis LR, Savitz KL (2000) In: Maruish ME (ed) Handbook of psychological assessment in primary care settings, vol 1. 236. Lawrence Erlbaum Associates, Mahweh, pp 297–334
Metagegevens
Titel
Preliminary Validation of a Screening Tool for Adolescent Panic Disorder in Pediatric Primary Care Clinics
Auteurs
Alexander H. Queen
Jill Ehrenreich-May
Eugene R. Hershorin
Publicatiedatum
01-04-2012
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 2/2012
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-011-0256-z

Andere artikelen Uitgave 2/2012

Child Psychiatry & Human Development 2/2012 Naar de uitgave

Original Article

The Moderating Role of Father’s Care on the Onset of Binge Eating Symptoms Among Female Late Adolescents with Insecure Attachment

Original Article

Genetic Risks and ADHD Symptomatology: Exploring the Effects of Parental Antisocial Behaviors in an Adoption-Based Study

Original Article

Parental Separation and Child Aggressive and Internalizing Behavior: An Event History Calendar Analysis

Original Article

Predicting Internalizing and Externalizing Problems at Five Years by Child and Parental Factors in Infancy and Toddlerhood

Original Article

Bullying and Peer Victimisation in Adolescent Girls with Attention-Deficit/Hyperactivity Disorder

Original Article

Reinforcement Sensitivity and Risk for Psychopathology Following Exposure to Violence: A Vulnerability-Specificity Model in Latino Youth