The Impact of COVID on Adolescent Anxiety: Trends, Clinical Considerations, and Treatment Recommendations.
| Autor: | Milaniak I; Perelman School of Medicine at the University of Pennsylvania, Children's Hospital of Philadelphia, CHOP Center for Advanced Behavioral Healthcare, 4601 Market Street, Third Floor, Philadelphia, PA 19139, USA. Electronic address: milaniaki@chop.edu., Davidson S; Perelman School of Medicine at the University of Pennsylvania, Children's Hospital of Philadelphia, CHOP Center for Advanced Behavioral Healthcare, 4601 Market Street, Third Floor, Philadelphia, PA 19139, USA., Leewiwatanakul B; Perelman School of Medicine at the University of Pennsylvania, Children's Hospital of Philadelphia, CHOP Center for Advanced Behavioral Healthcare, 4601 Market Street, Third Floor, Philadelphia, PA 19139, USA., Benton TD; Perelman School of Medicine at the University of Pennsylvania, Children's Hospital of Philadelphia, CHOP Center for Advanced Behavioral Healthcare, 4601 Market Street, Third Floor, Philadelphia, PA 19139, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Pediatric clinics of North America [Pediatr Clin North Am] 2024 Aug; Vol. 71 (4), pp. 601-612. Date of Electronic Publication: 2024 May 23. |
| DOI: | 10.1016/j.pcl.2024.04.003 |
| Abstrakt: | Rates of clinical anxiety have increased during COVID and post-quarantine in youth, with older adolescent girls and youth with minorized racial, gender, and sexuality identities most vulnerable. Given that increased anxiety to a threatening/uncertain environment is adaptive, it is important to conceptualize anxiety from a balanced perspective, evaluating its functionality. For adolescents continuing to struggle with re-integration into their social environments and school avoidance, an exposure framework is necessary to encourage approach behaviors to recalibrate the social environment as safe. Disproportion between demand for services and available providers increased greatly due to the pandemic. Evidence-based treatments for anxiety can be delivered via telehealth, in school, or in primary care settings. Competing Interests: Disclosure Dr T.D. Benton is on the AFSP Board, Friends Central School Board, and Juvenile Law Center Board, serves as AACAP President, and recieves NIH/PCORI funding. (Copyright © 2024 Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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