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Research on Child and Adolescent Psychopathology

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01-01-2008

Parent-Rated Anxiety Symptoms in Children with Pervasive Developmental Disorders: Frequency and Association with Core Autism Symptoms and Cognitive Functioning

Auteurs: Denis G. Sukhodolsky, Lawrence Scahill, Kenneth D. Gadow, L. Eugene Arnold, Michael G. Aman, Christopher J. McDougle, James T. McCracken, Elaine Tierney, Susan Williams White, Luc Lecavalier, Benedetto Vitiello

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 1/2008

Abstract

Background

In addition to the core symptoms, children with Pervasive Developmental Disorders (PDD) often exhibit other problem behaviors such as aggression, hyperactivity, and anxiety, which can contribute to overall impairment and, therefore, become the focus of clinical attention. Limited data are available on the prevalence of anxiety in these children. We examined frequency and correlates of parent-rated anxiety symptoms in a large sample of children with PDD.

Methods

The goals of this study were to examine the frequency and correlates of parent-rated anxiety symptoms in a sample of 171 medication-free children with PDD who participated in two NIH-funded medication trials. Twenty items of the Child and Adolescent Symptom Inventory (CASI) were used to measure anxiety.

Results

Forty three percent of the total sample met screening cut-off criteria for at least one anxiety disorder. Higher levels of anxiety on the 20-item CASI scale were associated with higher IQ, the presence of functional language use, and with higher levels of stereotyped behaviors. In children with higher IQ, anxiety was also associated with greater impairment in social reciprocity.

Conclusion

Anxiety is common in PDD and warrants consideration in clinical evaluation and treatment planning. This study suggests that parent ratings could be a useful source of information about anxiety symptoms in this population. Some anxiety symptoms such as phobic and social anxiety may be closer to core symptoms of PDD. Further efforts to validate tools to ascertain anxiety are needed, as are studies to empirically test approaches to treat anxiety in PDD.

vorige artikel Adaptive Coping Reduces the Impact of Community Violence Exposure on Violent Behavior among African American and Latino Male Adolescents

volgende artikel Neurocognitive Functioning in AD/HD, Predominantly Inattentive and Combined Subtypes

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Titel: Parent-Rated Anxiety Symptoms in Children with Pervasive Developmental Disorders: Frequency and Association with Core Autism Symptoms and Cognitive Functioning
Auteurs: Denis G. Sukhodolsky
Lawrence Scahill
Kenneth D. Gadow
L. Eugene Arnold
Michael G. Aman
Christopher J. McDougle
James T. McCracken
Elaine Tierney
Susan Williams White
Luc Lecavalier
Benedetto Vitiello
Publicatiedatum: 01-01-2008
Uitgeverij: Springer US
Gepubliceerd in: Research on Child and Adolescent Psychopathology / Uitgave 1/2008
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI: https://doi.org/10.1007/s10802-007-9165-9

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