Top

Journal of Psychopathology and Behavioral Assessment

Gepubliceerd in:

01-09-2009

Associations Among Anxiety Disorders and Non-anxiety Disorders, Functional Impairment and Medication in Children and Adolescents

Auteurs: Lourdes Ezpeleta, Josep Toro

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 3/2009

Abstract

This is a study of comorbid anxiety disorders and how they affect the clinical picture of comorbid cases. The sample consisted of 576 Spanish children aged 8 to 17 years receiving psychiatric outpatient consultation that were evaluated using a semi-structured diagnostic interview for both parents and children. A specific association of homotypic comorbidity among anxiety disorders that was independent of the presence of other disorders was found. There was heterotypic comorbidity between anxiety and depressive disorders, ADHD, anorexia and tic disorders. Relationships between non-anxiety disorders were, in general, independent of anxiety, but anxiety moderated the relationship between ADHD-Conduct disorder and Conduct disorder-enuresis. Comorbid anxiety increased difficulties in social interaction, was related with higher global impairment and had an impact on consultation and medication. Anxiety disorder comorbidity should be well recognized in order not to disregard the treatment of all present disorders.

vorige artikel Diagnostic Discrimination of Patients with Different OCD Main Symptom Domains from each Other and from Anxious and Depressive Controls

volgende artikel A Psychometric Analysis of the Child Behavior Checklist DSM-Oriented Scales

Abikoff, H., McGough, J., Vitiello, B., McCracken, J., Dames, M., Walkup, J., et al. (2005). Sequential pharmacotherapy for children with comorbid attention—deficit/hyperactivity and anxiety disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 418–427.PubMedCrossRef

American Psychiatric Association. (1994). DSM-IV Diagnostic and statistical manual of mental disorders (4th ed). Washington, DC: Author.

American Academy of Child and Adolescent Psychiatry. (1997). Practice parameter for the assessment and treatment of children and adolescents with anxiety disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 69S–84S.

American Academy of Child and Adolescent Psychiatry. (2007). Practice parameter for the assessment and treatment of children and adolescents with anxiety disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 267–283.CrossRef

Angold, A., & Costello, E. J. (1993). Depressive comorbidity in children and adolescents: empirical, theoretical, and methodological issues. American Journal of Psychiatry, 150, 1779–1791.PubMed

Biederman, J., Newcorn, J., & Sprich, S. (1991). Comorbidity of attention—deficit hyperactivity disorder with conduct, depressive, anxiety, and other disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 148, 564–577.

Boylan, K., Vaillancourt, T., Boyle, M. H., & Szatmari, P. (2007). Comorbidity of internalizing disorders in children with oppositional defiant disorder. European Child and Adolescent Psychiatry, 16, 484–494.PubMedCrossRef

Chavira, D. A. (2004). Child anxiety in primary care: prevalent but untreated. Depression and Anxiety, 20, 155–164.PubMedCrossRef

Clark, L. A., & Watson, D. (1991). Tripartite model of anxiety and depression—psychometric evidence and taxonomic implications. Journal of Abnormal Psychology, 100, 316–336.PubMedCrossRef

Coffey, B. J., Biederman, J., Smoller, J. W., Geller, D. A., Sarin, P., Schwartz, S., et al. (2000). Anxiety disorders and tic severity in juveniles with Tourette’s disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 562–568.PubMedCrossRef

Costello, E. J., Mustillo, S., Erkanli, A., Keeler, G., & Angold, A. (2003). Prevalence and development of psychiatric disorders in childhood and adolescent. Archives of General Psychiatry, 60, 837–844.PubMedCrossRef

de la Osa, N., Ezpeleta, L., Doménech, E., Navarro, J. B., & Losilla, J. M. (1996). Fiabilidad entre entrevistadores de la Entrevista Diagnóstica Estructurada para Niños y Adolescentes (DICA-R). Psicothema, 8, 359–368.

Essau, C. A. (2003). Comorbidity of anxiety disorders in adolescents. Depression and Anxiety, 18, 1–6.PubMedCrossRef

Essau, C. A., Conrado, J., & Petermann, F. (2000). Frequency, comorbidity, and psychosocial impairment of anxiety disorders in German adolescents. Journal of Anxiety Disorders, 14, 263–279.PubMedCrossRef

Ezpeleta, L., de la Osa, N., Doménech, J. M., Navarro, J. B., & Losilla, J. M. (1997a). Fiabilidad test–retest de la adaptación española de la Diagnostic Interview for Children and Adolescents—DICA-R. Psicothema, 9, 529–539.

Ezpeleta, L., de la Osa, N., Júdez, J., Doménech, J. M., Navarro, J. B., & Losilla, J. M. (1997b). Diagnostic agreement between clinician and the Diagnostic Interview for Children and Adolescents—DICA-R in a Spanish outpatient sample. Journal of Child Psychology and Psychiatry, 38, 431–440.PubMedCrossRef

Ezpeleta, L., Granero, R., de la Osa, N., Doménech, J. M., & Bonillo, A. (2006). Assessment of functional impairment in Spanish children. Applied Psychology: An International Review, 55, 130–143.CrossRef

Ferdinand, R. F., de Nijs, P. F. A., van Lier, P., & Verhulst, F. (2005). Latent class analysis of anxiety and depressive symptoms in referred adolescents. Journal of Affective Disorders, 88, 299–306.PubMedCrossRef

Foley, D. L., Goldston, D. B., Costello, E. J., & Angold, A. (2006). Proximal psychiatric risk factors for suicidality in youth—the great smoky mountains study. Archives of General Psychiatry, 63, 1017–1024.PubMedCrossRef

Ford, T., Goodman, R., & Meltzer, H. (2003). The British child and adolescent mental health survey 1999: the prevalence of DSM-IV disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 1203–1211.PubMedCrossRef

Gau, S. S., Chong, M. Y., Chen, T. H., & Cheng, A. T. (2005). A 3-year panel study of mental disorders among adolescents in Taiwan. American Journal of Psychiatry, 162, 1344–1350.PubMedCrossRef

Gaze, C., Kepley, H. O., & Walkup, J. T. (2006). Co-occurring psychiatric disorders in children and adolescents with Tourette syndrome. Journal of Child Neurology, 21, 657–664.PubMedCrossRef

George, G., Bouvard, M. P., & Dugas, M. (1993). Attention—deficit disorder and anxiety disorders—a comorbidity study. Annales de Pediatrie, 40, 541–548.PubMed

Godart, N. T., Flament, M. F., Perdereau, F., & Jeammet, P. (2002). Comorbidity between eating disorders and anxiety disorders: a review. International Journal of Eating Disorders, 32, 253–270.PubMedCrossRef

Hodges, K. (1997). CAFAS manual for training coordinators, clinical administrators and data managers. Ann Arbor, MI: Author.

Hodges, K. (1999). Child and adolescent functional assessment scale. In M. E. Maruish (Ed.), The use of psychological testing for treatment planning and outcomes assessment (pp. 631–664). Mahwah, New Jersey: Erlbaum.

Hollingshead, A. B. (1975). Four factor index of social status. New Haven, CT: Unpublished manuscript, Yale University, Department of Sociology.

Jacques, H. A. K., & Mash, E. J. (2004). A test of tripartite model of anxiety and depression in elementary and high school boys and girls. Journal of Abnormal Child Psychology, 32, 13–25.PubMedCrossRef

James, A., & Javaloyes, A. (2001). Trastornos psicosociales y psicopatología en la adolescencia. In C. Saldaña (Ed.), Detección y prevención en el aula de los problemas del adolescente (pp. 161–178). Madrid: Pirámide.

Jensen, P. S., Hinshaw, S. P., Kraemer, H. C., Lenora, N., Newcorn, J. H., Abikoff, H. B., et al. (2001). ADHD comorbidity findings from the MTA study: comparing comorbid subgroups. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 147–158.PubMedCrossRef

Kaye, W. H., Bulik, C. M., Thornton, L., Barbarich, N., & Masters, K. (2004). Comorbidity of anxiety disorders with anorexia and bulimia nervosa. American Journal of Psychiatry, 161, 2215–2221.PubMedCrossRef

Kendall, P. C., Brady, E. U., & Verduin, T. L. (2001). Comorbidity in childhood anxiety disorders and treatment outcome. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 787–794.PubMedCrossRef

Last, C. G., Hersen, M., Kazdin, A., Orvaschel, H., & Perrin, S. (1991). Anxiety disorders in children and their families. Archives of General Psychiatry, 48, 928–934.PubMed

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

Lewinsohn, P. M., Rohde, P., & Seeley, J. R. (1995). Adolescent psychopathology: III. The clinical consequences of comorbidity. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 510–519.PubMedCrossRef

Lewinsohn, P., Zinbarg, R., Seeley, J. R., Lewinsohn, M., & Sack, W. H. (1997). Lifetime comorbidity among anxiety disorders and between anxiety disorders and other mental disorders in adolescents. Journal of Anxiety Disorders, 11, 377–394.PubMedCrossRef

Lewinsohn, P. M., Gotlib, I. H., Lewinsohn, M., Seeley, J. R., & Allen, N. B. (1998). Gender differences in anxiety disorders and anxiety symptoms in adolescents. Journal of Abnormal Psychology, 107, 109–117.PubMedCrossRef

Lilienfeld, S. O. (2003). Comorbidity between and within childhood externalizing and internalizing disorders: reflections and directions. Journal of Abnormal Child Psychology, 31, 285–291.PubMedCrossRef

López, J. A., Pintado, I. S., & Sánchez, J. D. (2004). Attention deficit hyperactivity disorder: comorbidity with depressive and anxiety disorders. Psicothema, 16, 402–407.

Mamorstein, N. R. (2007). Relationships between anxiety and externalizing disorders in youth: the influences of age and gender. Journal of Anxiety Disorders, 21, 420–432.CrossRef

Masi, G., Mucci, M., Favilla, L., Romano, R., & Poli, P. (1999). Symptomatology and comorbidity of generalized anxiety disorder in children and adolescents. Comprehensive Psychiatry, 40, 210–215.PubMedCrossRef

Mattison, R. E., & Bagnato, S. J. (1987). Empirical measurement of overanxious disorder in boys 8 to 12 years old. Journal of the American Academy of Child and Adolescent Psychiatry, 26, 536–540.PubMedCrossRef

Maughan, B., Rowe, R., Messer, J., Goodman, R., & Meltzer, H. (2004). Conduct disorder and oppositional defiant disorder in a national sample: developmental epidemiology. Journal of Child Psychology and Psychiatry, 45, 609–621.PubMedCrossRef

Messer, S. C., & Beidel, D. C. (1994). Psychosocial correlates of childhood anxiety disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 975–983.PubMedCrossRef

Mullick, M. S. I., & Goodman, R. (2005). The prevalence of psychiatric disorders among 5–10 year olds in rural, urban and slum areas in Bangladesh. Social Psychiatry and Psychiatric Epidemiology, 40, 663–671.PubMedCrossRef

Newcorn, J. H., Miller, S. R., Ivanova, I., Schulz, K. P., Kalmar, J., Marks, D. J., et al. (2004). Adolescent outcome of ADHD: impact of childhood conduct and anxiety disorder. CNS Spectrums, 9, 668–678.PubMed

Rapee, R. M. (2003). The influence of comorbidity on treatment outcome for children and adolescents with anxiety disorders. Behavior Research and Therapy, 41, 105–112.CrossRef

Reich, W. (2000). Diagnostic Interview for Children and Adolescents (DICA). Journal of the American Academy of Child and Adolescent Psychiatry, 39, 59–66.PubMedCrossRef

Stock, S. L., Werry, J. S., & McClellan, J. M. (2001). Pharmacological treatment of paediatric anxiety. In W. K. Silverman, & P. D. A. Treffers (Eds.), Anxiety disorders in children and adolescents (pp. 335–367). Cambridge: Cambridge University Press.

Üstun, B., & Chatterji, S. (1997). Editorial: Measuring functioning and disability—a common framework. International Journal of Methods in Psychiatric Research, 7, 79–83.CrossRef

Verduin, T. L., & Kendall, P. C. (2003). Differential occurrence of comorbidity within childhood anxiety disorders. Journal of Clinical Child and Adolescent Psychology, 32, 290–295.PubMedCrossRef

Westenberg, P. M., Drewes, M. J., Goedhart, A. W., Siebelink, B. M., & Treffers, P. D. A. (2004). A developmental analysis of self-reported fears in late childhood through mid-adolescence: social-evaluative fears on the rise? Journal of Child Psychology and Psychiatry, 45, 481–495.PubMedCrossRef

Young, J. F., Mufson, L., & Davies, M. (2006). Impact of comorbid anxiety in an effectiveness study of interpersonal psychotherapy for depressed adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 904–912.PubMedCrossRef

Titel: Associations Among Anxiety Disorders and Non-anxiety Disorders, Functional Impairment and Medication in Children and Adolescents
Auteurs: Lourdes Ezpeleta
Josep Toro
Publicatiedatum: 01-09-2009
Uitgeverij: Springer US
Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment / Uitgave 3/2009
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI: https://doi.org/10.1007/s10862-008-9109-x

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 3/2009

Health-Related Quality of Life in College Undergraduates with Learning Disabilities: The Mediational Roles of Anxiety and Sadness

Anxiety Sensitivity Factor Structure Among Brazilian Patients with Anxiety Disorders

Cognitive Error Questionnaire (CEQ): Psychometric Properties and Factor Structure of the German Translation

Further Evidence of the Reliability and Validity of the Multidimensional Anxiety

The Underlying Structure of Grief: A Taxometric Investigation of Prolonged and Normal Reactions to Loss

Elucidating the Relation of Hoarding to Obsessive Compulsive Disorder and Impulse Control Disorders