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01-08-2014 | Original Article

Somatic Complaints in Anxious Youth

Auteurs: Sarah A. Crawley, Nicole E. Caporino, Boris Birmaher, Golda Ginsburg, John Piacentini, Anne Marie Albano, Joel Sherrill, Dara Sakolsky, Scott N. Compton, Moira Rynn, James McCracken, Elizabeth Gosch, Courtney Keeton, John March, John T. Walkup, Philip C. Kendall

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 4/2014

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Abstract

This study examined (a) demographic and clinical characteristics associated with physical symptoms in anxiety-disordered youth and (b) the impact of cognitive-behavioral therapy (Coping Cat), medication (sertraline), their combination, and pill placebo on physical symptoms. Youth (N = 488, ages 7–17 years) with a principal diagnosis of generalized anxiety disorder, separation anxiety disorder, or social phobia participated as part of a multi-site, randomized controlled trial and received treatment delivered over 12 weeks. Diagnostic status, symptom severity, and impairment were assessed at baseline and week 12. The total number and severity of physical symptoms was associated with age, principal diagnosis, anxiety severity, impairment, and the presence of comorbid internalizing disorders. Common somatic complaints were headaches, stomachaches, head cold or sniffles, sleeplessness, and feeling drowsy or too sleepy. Physical symptoms decreased over the course of treatment, and were unrelated to treatment condition. Clinical implications and directions for future research are discussed (ClinicalTrials.gov number, NCT00052078).
Voetnoten
1
Youth with comorbid, secondary depression were initially included in CAMS. However a decision was made to exclude youth with major depressive disorder (MDD) early in the trial. Participants with comorbid, secondary dysthymia were included throughout the trial.
 
2
Site differences in demographic variables have been discussed by Walkup et al. [20].
 
3
Findings did not differ when analyses were conducted using the intent-to-treat sample with last observation carried forward versus participants with complete data at baseline and week 12.
 
Literatuur
1.
go back to reference Costello EJ, Mustillo S, Erkanli A, Keeler G, Angold A (2003) Prevalence and development of psychiatric disorders in childhood and adolescence. Arch Gen Psychiatry 60(8):837–844PubMedCrossRef Costello EJ, Mustillo S, Erkanli A, Keeler G, Angold A (2003) Prevalence and development of psychiatric disorders in childhood and adolescence. Arch Gen Psychiatry 60(8):837–844PubMedCrossRef
2.
go back to reference Ezpeleta L, Keeler G, Erkanli A, Costello EJ, Angold A (2001) Epidemiology of psychiatric disability in childhood and adolescence. J Child Psychol Psychiatry 42(7):901–914PubMedCrossRef Ezpeleta L, Keeler G, Erkanli A, Costello EJ, Angold A (2001) Epidemiology of psychiatric disability in childhood and adolescence. J Child Psychol Psychiatry 42(7):901–914PubMedCrossRef
3.
go back to reference Van Ameringen M, Mancini C, Farvolden P (2003) The impact of anxiety disorders on educational achievement. J Anxiety Disord 17(5):561–571PubMedCrossRef Van Ameringen M, Mancini C, Farvolden P (2003) The impact of anxiety disorders on educational achievement. J Anxiety Disord 17(5):561–571PubMedCrossRef
4.
go back to reference Bittner A, Egger HL, Erkanli A, Jane costello E, Foley DL, Angold A (2007) What do childhood anxiety disorders predict? J Child Psychol Psychiatry 48(12):1174–1183PubMedCrossRef Bittner A, Egger HL, Erkanli A, Jane costello E, Foley DL, Angold A (2007) What do childhood anxiety disorders predict? J Child Psychol Psychiatry 48(12):1174–1183PubMedCrossRef
5.
go back to reference Costello EJ, Angold A (eds) (1995) Epidemiology. Guilford, New York Costello EJ, Angold A (eds) (1995) Epidemiology. Guilford, New York
6.
go back to reference Ferdinand RF, Verhurlst FC (1995) Psychopathology from adolescence into young adulthood: an 8-year follow-up study. Am J Psychiatry 152:1586–1594PubMed Ferdinand RF, Verhurlst FC (1995) Psychopathology from adolescence into young adulthood: an 8-year follow-up study. Am J Psychiatry 152:1586–1594PubMed
7.
go back to reference Swendsen J, Conway KP, Degenhardt L, Glantz M, Jin R, Merikangas KR et al (2010) Mental disorders as risk factors for substance use, abuse and dependence: results from the 10-year follow-up of the National Comorbidity Survey. Addiction 105(6):1117–1128PubMedCentralPubMedCrossRef Swendsen J, Conway KP, Degenhardt L, Glantz M, Jin R, Merikangas KR et al (2010) Mental disorders as risk factors for substance use, abuse and dependence: results from the 10-year follow-up of the National Comorbidity Survey. Addiction 105(6):1117–1128PubMedCentralPubMedCrossRef
8.
go back to reference Woodward LJ, Fergusson DM (2001) Life course outcomes of young people with anxiety disorders in adolescence. J Am Acad Child Adolesc Psychiatry 40(9):1086–1093PubMedCrossRef Woodward LJ, Fergusson DM (2001) Life course outcomes of young people with anxiety disorders in adolescence. J Am Acad Child Adolesc Psychiatry 40(9):1086–1093PubMedCrossRef
9.
go back to reference Beidel DC, Christ MAG, Long PJ (1991) Somatic complaints in anxious children. J Abnorm Child Psychol 19:659–670PubMedCrossRef Beidel DC, Christ MAG, Long PJ (1991) Somatic complaints in anxious children. J Abnorm Child Psychol 19:659–670PubMedCrossRef
10.
go back to reference Ginsburg GS, Riddle MA, Davies M (2006) Somatic symptoms in children and adolescents with anxiety disorders. J Am Acad Child Adolesc Psychiatry 45(10):1179–1187PubMedCrossRef Ginsburg GS, Riddle MA, Davies M (2006) Somatic symptoms in children and adolescents with anxiety disorders. J Am Acad Child Adolesc Psychiatry 45(10):1179–1187PubMedCrossRef
11.
go back to reference Hofflich SA, Hughes AA, Kendall PC (2006) Somatic complaints and childhood anxiety disorders. Int J Clin Health Psychol 6:229–242 Hofflich SA, Hughes AA, Kendall PC (2006) Somatic complaints and childhood anxiety disorders. Int J Clin Health Psychol 6:229–242
12.
go back to reference American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders: DSM-IV-TR (4th ed.). Author, Washington American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders: DSM-IV-TR (4th ed.). Author, Washington
13.
go back to reference Garber J, Walker LS, Zeman J (1991) Somatization symptoms in a community sample of children and adolescents: further validation of the Children’s Somatization Inventory. Psychol Assess 3(4):588–595CrossRef Garber J, Walker LS, Zeman J (1991) Somatization symptoms in a community sample of children and adolescents: further validation of the Children’s Somatization Inventory. Psychol Assess 3(4):588–595CrossRef
14.
go back to reference Kingery JN, Ginsburg GS, Alfano CA (2007) Somatic symptoms and anxiety among African American adolescents. J Black Psychol 33(4):363–378CrossRef Kingery JN, Ginsburg GS, Alfano CA (2007) Somatic symptoms and anxiety among African American adolescents. J Black Psychol 33(4):363–378CrossRef
15.
go back to reference Last CG (1991) Somatic complaints in anxiety disordered children. J Anxiety Disord 5(2):125–138CrossRef Last CG (1991) Somatic complaints in anxiety disordered children. J Anxiety Disord 5(2):125–138CrossRef
16.
go back to reference Storch EA, Merlo LJ, Keeley ML, Grabill K, Milsom VA, Geffken GR et al (2008) Somatic symptoms in children and adolescents with obsessive-compulsive disorder: associations with clinical characteristics and cognitive-behavioral therapy response. Behav Cogn Psychother 36(03):283–297CrossRef Storch EA, Merlo LJ, Keeley ML, Grabill K, Milsom VA, Geffken GR et al (2008) Somatic symptoms in children and adolescents with obsessive-compulsive disorder: associations with clinical characteristics and cognitive-behavioral therapy response. Behav Cogn Psychother 36(03):283–297CrossRef
17.
go back to reference Hughes AA, Lourea-Waddell B, Kendall PC (2008) Somatic complaints in children with anxiety disorders and their unique prediction of poorer academic performance. Child Psychiatry Hum Dev 39(2):211–220PubMedCrossRef Hughes AA, Lourea-Waddell B, Kendall PC (2008) Somatic complaints in children with anxiety disorders and their unique prediction of poorer academic performance. Child Psychiatry Hum Dev 39(2):211–220PubMedCrossRef
18.
go back to reference Bernstein GA, Massie ED, Thuras PD, Perwien AR, Borchardt CM, Crosby RD (1997) Somatic symptoms in anxious-depressed school refusers. J Am Acad Child Adolesc Psychiatry 36(5):661–668PubMedCrossRef Bernstein GA, Massie ED, Thuras PD, Perwien AR, Borchardt CM, Crosby RD (1997) Somatic symptoms in anxious-depressed school refusers. J Am Acad Child Adolesc Psychiatry 36(5):661–668PubMedCrossRef
19.
go back to reference Masia-Warner C, Colognori D, Kim RE, Reigada LC, Klein RG, Browner-Elhanan KJ et al (2011) Cognitive-behavioral treatment of persistent functional somatic complaints and pediatric anxiety: an initial controlled trial. Depress Anxiety 28(7):551–559PubMedCentralCrossRef Masia-Warner C, Colognori D, Kim RE, Reigada LC, Klein RG, Browner-Elhanan KJ et al (2011) Cognitive-behavioral treatment of persistent functional somatic complaints and pediatric anxiety: an initial controlled trial. Depress Anxiety 28(7):551–559PubMedCentralCrossRef
20.
go back to reference Walkup JT, Albano AM, Piacentini J, Birmaher B, Compton SN, Sherrill JT et al (2008) Cognitive behavioral therapy, sertraline, or a combination in childhood anxiety. N Engl J Med 359(26):2753–2766PubMedCentralPubMedCrossRef Walkup JT, Albano AM, Piacentini J, Birmaher B, Compton SN, Sherrill JT et al (2008) Cognitive behavioral therapy, sertraline, or a combination in childhood anxiety. N Engl J Med 359(26):2753–2766PubMedCentralPubMedCrossRef
21.
go back to reference Silverman WK, Albano AM (1996) The anxiety disorders interview schedule for DSM-IV-child and parent versions. Graywind Publications, San Antonio Silverman WK, Albano AM (1996) The anxiety disorders interview schedule for DSM-IV-child and parent versions. Graywind Publications, San Antonio
22.
go back to reference Compton SN, Walkup JT, Albano AM, et al. Child/adolescent anxiety multimodal study (CAMS): rationale, design, and methods. Child Adolesc Psychiatry Ment Health 4(1): 1–15 Compton SN, Walkup JT, Albano AM, et al. Child/adolescent anxiety multimodal study (CAMS): rationale, design, and methods. Child Adolesc Psychiatry Ment Health 4(1): 1–15
23.
go back to reference Hollingshead AB (1975). Four factor index of social status. Unpublished manuscript. Department of Sociology, Yale University Hollingshead AB (1975). Four factor index of social status. Unpublished manuscript. Department of Sociology, Yale University
24.
go back to reference Kendall PC, Compton SN, Walkup JT, Birmaher B, Albano AM, Sherrill J et al (2010) Clinical characteristics of anxiety disordered youth. J Anxiety Disord 24(3):360–365PubMedCentralPubMedCrossRef Kendall PC, Compton SN, Walkup JT, Birmaher B, Albano AM, Sherrill J et al (2010) Clinical characteristics of anxiety disordered youth. J Anxiety Disord 24(3):360–365PubMedCentralPubMedCrossRef
25.
go back to reference Silverman WK, Nelles WB (1988) The anxiety disorders interview schedule for children. J Am Acad Child Adolesc Psychiatry 27(6):772–778PubMedCrossRef Silverman WK, Nelles WB (1988) The anxiety disorders interview schedule for children. J Am Acad Child Adolesc Psychiatry 27(6):772–778PubMedCrossRef
26.
go back to reference Silverman WK, Eisen AR (1992) Age differences in the reliability of parent and child reports of child anxious symptomatology using a structured interview. J Am Acad Child Adolesc Psychiatry 31(1):117–124PubMedCrossRef Silverman WK, Eisen AR (1992) Age differences in the reliability of parent and child reports of child anxious symptomatology using a structured interview. J Am Acad Child Adolesc Psychiatry 31(1):117–124PubMedCrossRef
27.
go back to reference Emslie G, Kratochvil C, Vitiello B, Silva S, Mayes T, McNulty S et al (2006) Treatment for adolescents with depression study (TADS): safety results. J Am Acad Child Adolesc Psychiatry 45(12):1440–1455PubMedCentralPubMedCrossRef Emslie G, Kratochvil C, Vitiello B, Silva S, Mayes T, McNulty S et al (2006) Treatment for adolescents with depression study (TADS): safety results. J Am Acad Child Adolesc Psychiatry 45(12):1440–1455PubMedCentralPubMedCrossRef
28.
go back to reference Research Units on Pediatric Psychopharmacology Anxiety Study (2002) The pediatric anxiety rating scale (PARS): development and psychometric properties. J Am Acad Child Adolesc Psychiatry 41:1061–1069CrossRef Research Units on Pediatric Psychopharmacology Anxiety Study (2002) The pediatric anxiety rating scale (PARS): development and psychometric properties. J Am Acad Child Adolesc Psychiatry 41:1061–1069CrossRef
29.
go back to reference Ginsburg GS, Keeton CP, Drazdowski TK, Riddle MA (2011) The utility of clinicians ratings of anxiety using the pediatric anxiety rating scale (PARS). Child Youth Care Forum 40(2):93–105CrossRef Ginsburg GS, Keeton CP, Drazdowski TK, Riddle MA (2011) The utility of clinicians ratings of anxiety using the pediatric anxiety rating scale (PARS). Child Youth Care Forum 40(2):93–105CrossRef
30.
go back to reference Shaffer D (1983) A children’s global assessment scale (CGAS). Arch Gen Psychiatry 40(11):1228–1231PubMedCrossRef Shaffer D (1983) A children’s global assessment scale (CGAS). Arch Gen Psychiatry 40(11):1228–1231PubMedCrossRef
31.
go back to reference Bird HR (1987) Further measures of the psychometric properties of the children’s global assessment scale. Arch Gen Psychiatry 44(9):821–824PubMedCrossRef Bird HR (1987) Further measures of the psychometric properties of the children’s global assessment scale. Arch Gen Psychiatry 44(9):821–824PubMedCrossRef
32.
go back to reference Guy W (1976) ECDEU assessment manual for psychopharmacology, revised. National Institute of Mental Health, Rockville Guy W (1976) ECDEU assessment manual for psychopharmacology, revised. National Institute of Mental Health, Rockville
33.
go back to reference Kendall PC, Hedtke K (2006) Cognitive-behavioral therapy for anxious children: therapist manual (3rd ed). Workbook Publishing, Ardmore Kendall PC, Hedtke K (2006) Cognitive-behavioral therapy for anxious children: therapist manual (3rd ed). Workbook Publishing, Ardmore
34.
go back to reference Kendall PC, Hedtke K (2006) Coping cat workbook (2nd ed.). Workbook Publishing, Ardmore Kendall PC, Hedtke K (2006) Coping cat workbook (2nd ed.). Workbook Publishing, Ardmore
35.
go back to reference Kendall PC, Choudhury M, Hudson J, Webb A (2002) The C.A.T project workbook for the cognitive-behavioral treatment of anxious adolescents. Workbook Publishing, Ardmore Kendall PC, Choudhury M, Hudson J, Webb A (2002) The C.A.T project workbook for the cognitive-behavioral treatment of anxious adolescents. Workbook Publishing, Ardmore
36.
go back to reference Podell JL, Kendall PC, Gosch EA, Compton SN, March JS, Albano AM, Piacentini JC (2013) Therapist factors and outcomes in CBT for anxiety in youth. Prof Psychol Res Pract 44(2):89CrossRef Podell JL, Kendall PC, Gosch EA, Compton SN, March JS, Albano AM, Piacentini JC (2013) Therapist factors and outcomes in CBT for anxiety in youth. Prof Psychol Res Pract 44(2):89CrossRef
37.
go back to reference Safer DJ, Zito JM (2006) Treatment-emergent adverse effects from selective serotonin reuptake inhibitors by age group: children versus adolescents. J Child Adolesc Psychopharmacol 16:159–169PubMedCrossRef Safer DJ, Zito JM (2006) Treatment-emergent adverse effects from selective serotonin reuptake inhibitors by age group: children versus adolescents. J Child Adolesc Psychopharmacol 16:159–169PubMedCrossRef
38.
go back to reference Ialongo N, Edelsohn G, Werthamer-Larsson L, Crockett L, Kellam S (1995) The significance of self-reported anxious symptoms in first grade children: prediction to anxious symptoms and adaptive functioning in fifth grade. J Child Psychol Psychiatry 36(3):427–437PubMedCrossRef Ialongo N, Edelsohn G, Werthamer-Larsson L, Crockett L, Kellam S (1995) The significance of self-reported anxious symptoms in first grade children: prediction to anxious symptoms and adaptive functioning in fifth grade. J Child Psychol Psychiatry 36(3):427–437PubMedCrossRef
39.
go back to reference Strauss CC, Frame CL, Forehand R (1987) Psychosocial impairment associated with anxiety in children. J Clin Child Psychol 16(3):235–239CrossRef Strauss CC, Frame CL, Forehand R (1987) Psychosocial impairment associated with anxiety in children. J Clin Child Psychol 16(3):235–239CrossRef
Metagegevens
Titel
Somatic Complaints in Anxious Youth
Auteurs
Sarah A. Crawley
Nicole E. Caporino
Boris Birmaher
Golda Ginsburg
John Piacentini
Anne Marie Albano
Joel Sherrill
Dara Sakolsky
Scott N. Compton
Moira Rynn
James McCracken
Elizabeth Gosch
Courtney Keeton
John March
John T. Walkup
Philip C. Kendall
Publicatiedatum
01-08-2014
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 4/2014
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-013-0410-x

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