Stability of childhood anxiety disorder diagnoses: a follow-up naturalistic study in psychiatric care

Autor: Antonio Artés-Rodríguez, Moira A. Rynn, Carlos Blanco, Miguel Angel Jiménez Arriero, David Shaffer, Maria A. Oquendo, M. Mercedes Perez-Rodriguez, Enrique Baca-García, Juan J. Carballo
Přispěvatelé: Department of Psychiatry, Department of Psychiatry at Fundacion Jimenez Diaz Hospital-Autonoma University, Universidad Autonoma de Madrid (UAM), Columbia University [New York]-New York State Psychiatric Institute, Centro de Investigación Biomédica en Red de Salud Mental, Centro de Investigación Biomédica en Red Salud Mental [Madrid] (CIBER-SAM), Hospital Universitario Ramón y Cajal [Madrid], Universidad de Alcalá - University of Alcalá (UAH)-Universidad de Alcalá - University of Alcalá (UAH), Mental Health Center of Arganzuela District, Universidad Complutense de Madrid = Complutense University of Madrid [Madrid] (UCM), Department of Signal Theory and Communications, Universidad Carlos III de Madrid [Madrid] (UC3M)
Rok vydání: 2009
Předmět:
Male
Reproducibility of results
Severity of Illness Index
Cohort Studies
0302 clinical medicine
Catchment Area
Health
ddc:150
Ambulatory Care
Developmental and Educational Psychology
Child and adolescent psychiatry
Psychology
Prospective Studies
Child
Psychological Disorders
Mental Health Treatment and Prevention
05 social sciences
Social anxiety
General Medicine
Mental disorders diagnosed in childhood
3. Good health
Psychiatry and Mental health
psychische Störungen
Behandlung und Prävention
Child
Preschool
Anxiety
Female
medicine.symptom
Anxiety disorder
050104 developmental & child psychology
Clinical psychology
Mental Health Services
medicine.medical_specialty
Generalized anxiety disorder
Adolescent
Phobic disorder
03 medical and health sciences
International Classification of Diseases
medicine
Humans
0501 psychology and cognitive sciences
Psychiatry
Panic disorder
Anxiety disorders
medicine.disease
030227 psychiatry
Psychologie
Spain
Pediatrics
Perinatology and Child Health
Follow-Up Studies
Zdroj: European Child & Adolescent Psychiatry
European Child and Adolescent Psychiatry
European Child and Adolescent Psychiatry, Springer Verlag (Germany), 2009, 19 (4), pp.395-403. ⟨10.1007/s00787-009-0064-1⟩
ISSN: 1435-165X
1018-8827
DOI: 10.1007/s00787-009-0064-1
Popis: International audience; Few studies have examined the stability of major psychiatric disorders in pediatric psychiatric clinical populations. The objective of this study was to examine the long-term stability of anxiety diagnoses starting with pre-school age children through adolescence evaluated at multiple time points. Prospective cohort study was conducted of all children and adolescents receiving psychiatric care at all pediatric psychiatric clinics belonging to two catchment areas in Madrid, Spain, between 1 January, 1992 and 30 April, 2006. Patients were selected from among 24,163 children and adolescents who received psychiatric care. Patients had to have a diagnosis of an ICD-10 anxiety disorder during at least one of the consultations and had to have received psychiatric care for the anxiety disorder. We grouped anxiety disorder diagnoses according to the following categories: phobic disorders, social anxiety disorders, obsessive–compulsive disorder (OCD), stress-related disorders, and “other” anxiety disorders which, among others, included generalized anxiety disorder, and panic disorder. Complementary indices of diagnostic stability were calculated. As much as 1,869 subjects were included and had 27,945 psychiatric/psychological consultations. The stability of all ICD-10 anxiety disorder categories studied was high regardless of the measure of diagnostic stability used. Phobic and social anxiety disorders showed the highest diagnostic stability, whereas OCD and “other” anxiety disorders showed the lowest diagnostic stability. No significant sex differences were observed on the diagnostic stability of the anxiety disorder categories studied. Diagnostic stability measures for phobic, social anxiety, and “other” anxiety disorder diagnoses varied depending on the age at first evaluation. In this clinical pediatric outpatient sample it appears that phobic, social anxiety, and stress-related disorder diagnoses in children and adolescents treated in community outpatient services may have high diagnostic stability.
Databáze: OpenAIRE
Externí odkaz: