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Published on: September 12, 2014
Looking to the future of research in pediatric anxiety disorders
1Division of Neurosciences Medicine, Duke Clinical Research Institute, Duke University Medical Center, 2400 Pratt Street, Durham, NC 27705, USA. john.march@duke.edu
Insights
Translational developmental neuroscience is revolutionizing pediatric anxiety disorder research, shifting focus toward personalized medicine and early interventions for anxious youth. This evolution promises more effective treatments and better outcomes.
Area of Science:
- Translational developmental neuroscience
- Mental illness onset
- Pediatric anxiety disorders
Background:
- Emerging neuroscience drives understanding of mental illness onset.
- Restructuring of academic health science centers impacts research.
- Shifts in intervention development affect pediatric anxiety disorders.
Purpose of the Study:
- Outline the future direction of pediatric anxiety disorder research.
- Analyze the impact of neuroscience and healthcare shifts on the field.
- Discuss the evolution of treatment and practice over the next decade.
Main Methods:
- Review of a symposium presentation on pediatric anxiety disorders.
- Analysis of trends in translational neuroscience and intervention development.
- Forecasting future research and clinical practice in the field.
Main Results:
- The field is moving beyond traditional trials towards personalized medicine.
- Translational neuroscience revolutionizes intervention development.
- An efficient discovery-to-translation continuum enhances intervention dissemination.
Conclusions:
- Advances in science and medicine will shape future clinical research.
- Embracing scientific revolutions is crucial for pediatric anxiety disorder research.
- Focusing on anxious youth will lead to preemptive and curative interventions.
Objective:
The rapid emergence of translational developmental neuroscience as the key driver in understanding the onset of mental illness, the restructuring of academic health science centers on the NIH Roadmap, and dramatic shifts in drug, biological, device, and psychosocial intervention development all have important consequences for pediatric anxiety disorders as a field.
Method:
This article, which tracks the final presentation at a day-long symposium on pediatric anxiety disorders at the 2010 annual meeting of the Anxiety Disorders Association of America (ADAA), will try to outline where the field will head over the next decade as these forces combine to shape research and practice.
Results:
After 20 years of large comparative treatment trials that have defined the place of current generation treatments, the field is shifting toward interventions that will emerge from the revolution in translational developmental neuroscience and that herald the dawn of stratified and ultimately personalized medicine. With a much more efficient discovery to translational continuum, intervention development and dissemination will benefit from the concurrent transformation of the clinical and clinical research enterprise.
Conclusion:
Dramatic advances in science and changes in the structure of medicine will condition the future of clinical research across every therapeutic area in medicine. For the field of pediatric anxiety disorders to thrive it will be important to embrace and actively participate in this revolution so that anxious youth are viewed as a key target population and, consequently, preemptive, preventive, and curative interventions will be developed for children by first intent.
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