Pediatric Anxiety — Underrecognized and Undertreated  

Oleh:

Emslie, Graham J.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The New England Journal of Medicine (keterangan: ada di Proquest) vol. 359 no. 26 (Dec. 2008), page 2835-2836.
Topik: Pediatric anxiety

Ketersediaan

Perpustakaan FK Nomor Panggil: N08.K.2008.06 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Generalized anxiety disorder, separation anxiety disorder, and social phobia are relatively prevalent disorders that affect 6 to 20% of children and adolescents. However, these disorders frequently go unrecognized by medical professionals. This is a critical problem, since a younger age of onset and severity of illness result in poor outcomes in adolescents and adults. Furthermore, the failure to identify these disorders early in life leads to increased rates of anxiety disorders, depression, and substance abuse later in life, as well as to educational underachievement. In this issue of the Journal, the report by Walkup et al. on the Child–Adolescent Anxiety Multimodal Study (CAMS) addresses the need of early treatment for these disorders. It is important to understand that clinicians did not always consider anxiety disorders among children to be related to adult anxiety disorders. Once similar diagnostic criteria for anxiety disorders were developed for children and adults with the publication of the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV), it was recognized that adult anxiety disorders often have their origins in childhood. For example, "overanxious disorder of childhood," once considered an age-bound condition, was then understood as part of a continuum of generalized anxiety disorder that began in childhood. After generalized anxiety disorder and social phobia were labeled with DSM-IV criteria consistent across the life span, it was clear that early onset, particularly in preadolescents, was an indicator of poor prognosis. In all, the changes in diagnostic categories that stemmed from the DSM-IV criteria have led to increasing awareness of the longitudinal effect of anxiety disorders and have permitted extrapolation of treatments from research in adults to children.

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