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早期儿童焦虑障碍:青春期的连续性和预测因素
Alexander Grieshaber1, Jamilah Silver2, Sara J Bufferd3
1Department of Psychology, Stony Brook University, Stony Brook, NY, 11790-2500, USA. alexander.grieshaber@stonybrook.edu.
European child & adolescent psychiatry
|August 24, 2023
概括
童年早期的焦虑障碍往往持续到青春期,童年早期的持续是关键预测因素. 识别和干预长期焦虑的幼儿对于更好的结果至关重要.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 发展心理学 发展心理学
- 临床心理学 临床心理学
背景情况:
- 焦虑症在儿童早期很普遍,但其长期的发展轨迹和持续性预测因素尚不清楚.
- 了解早期焦虑的持续性到青春期对于有效的干预策略至关重要.
研究的目的:
- 检查焦虑障碍从幼儿 (3-6岁) 到晚年儿童和青少年 (7-15岁) 的连续性.
- 确定预测焦虑障碍在这个发育时期的持续或复发的因素.
主要方法:
- 对129名3岁和/或6岁被诊断患有焦虑障碍的儿童进行了长度研究.
- 评估了7至15岁之间的焦虑障碍诊断和特定焦虑类型.
- 探索的预测因素包括疾病数量,早期持久性,并发症,气质,母亲焦虑史和育儿风格.
主要成果:
- 超过一半 (50.4%) 患有早期焦虑障碍的儿童在7-15岁之间继续满足标准.
- 社会焦虑,分离焦虑和泛性焦虑障碍 (GAD) 显示同型连续性.
- 儿童早期的焦虑持续性独特地预测了以后的持续性,超过了其他因素.
结论:
- 焦虑障碍经常从童年到青春期持续存在.
- 对于患有持续焦虑症的儿童来说,早期识别和干预至关重要.
- 了解特定疾病的连续性和独特的预测因子,可以为有针对性的治疗方法提供信息.
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