Characteristics of Parent- and Child-Reported Anxiety in Psychostimulant Medication Naïve, Clinically Referred Children with Attention Deficit Hyperactivity Disorder, Combined Type (ADHD-CT)

2002 ◽  
Vol 36 (2) ◽  
pp. 234-239 ◽  
Author(s):  
Alasdair Vance ◽  
Jan Costin ◽  
Rebecca Barnett ◽  
Ernest Luk ◽  
Paul Maruff ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Anxiety Disorders ◽  
Child Anxiety ◽  
Parent Report ◽  
School Age Children ◽  
Systematic Research ◽  
Child Report ◽  
Hyperactivity Disorder ◽  
Primary School Age

Objective: Anxiety is a frequent comorbid condition in referred primary school-age children with attention deficit hyperactivity disorder, combined type (ADHD-CT), yet there has been relatively little systematic research of the nature of this comorbid anxiety. We describe the characteristics of parent-reported child anxiety disorders and child-reported anxiety disorders in primary school-age children with ADHD-CT. Method: A cross-sectional study of 75 clinically-referred psychostimulant medication naïve children with ADHD-CT examining separately parent and child reports of anxiety, defined categorically and dimensionally. A two-year follow up of 12 children with parent-reported child anxiety and 12 children with child-reported anxiety was also completed. Results: There was no significant association between the child and parent reports of anxiety. Generalized anxiety disorder (GAD), separation anxiety disorder (SAD), specific phobia (SpPh) and social phobia (SoPh) were the most common anxiety disorder diagnoses reported by parents and children. Two-year follow-up data revealed no decrease in the parent report but a significant decrease in the child report of anxiety disorders. Conclusions: The dissonance between the parent report of child anxiety and the child report of anxiety, emphasizes the importance of careful and thorough clinical assessment of the child's perspective. The nature of parent-reported child anxiety and children's self-report of anxiety requires further systematic research.

Which Anxiety Disorders May Differentiate Attention Deficit Hyperactivity Disorder, Combined Type with Dysthymic Disorder from Attention Deficit Hyperactivity Disorder, Combined Type Alone?

2003 ◽  
Vol 37 (5) ◽  
pp. 563-569 ◽  
Author(s):  
Alasdair Vance ◽  
Katrina Harris ◽  
Marilyn Boots ◽  
Jessica Talbot ◽  
Mary Karamitsios
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Anxiety Disorders ◽  
Primary School ◽  
Attention Deficit ◽  
Dysthymic Disorder ◽  
School Age Children ◽  
School Age ◽  
Children With Adhd ◽  
Hyperactivity Disorder ◽  
Primary School Age

Objective: Attention deficit hyperactivity disorder, combined type (ADHD-CT), dysthymic disorder, and anxiety disorders frequently co-occur in primary school age children, although there have been no published data describing their association. We investigated the association of anxiety, defined from a parent or child perspective, with primary school-age children with ADHD-CT with and without dysthymic disorder. Method: One hundred and forty-six medication naïve children with ADHD-CT were studied. Two groups with and without dysthymic disorder were formed to compare parent and child reports of anxiety, using categorical and continuous measures of anxiety, using logistic regression. Results: Separation anxiety disorder and social phobia were associated with primary school-age children with ADHD-CT and dysthymic disorder, compared to children with ADHD-CT without dysthymic disorder. Conclusions: The recognition of dysthymic disorder and anxiety disorders and their management in primary school-age children with ADHD-CT is generally poorly understood. The identification and elucidation of composite anxiety and depressive phenomena that may be systematically investigated through longitudinal studies of epidemiologically derived samples is needed in this particular group of children.

scholarly journals Anxiety disorders in an attention-deficit/hyperactivity disorder clinical sample

2005 ◽  
Vol 63 (2b) ◽  
pp. 407-409 ◽  
Author(s):  
Isabella Souza ◽  
Maria Antônia Pinheiro ◽  
Paulo Mattos
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Anxiety Disorder ◽  
Anxiety Disorders ◽  
Children And Adolescents ◽  
Attention Deficit ◽  
Clinical Sample ◽  
Structured Interview ◽  
Separation Anxiety Disorder ◽  
Clinical Samples ◽  
Hyperactivity Disorder

OBJECTIVE: To evaluate the prevalence of anxiety disorders in a clinical referred sample of children and adolescents with attention deficit/hyperactivity disorder (ADHD). METHOD: 78 children and adolescents with ADHD according to DSM-IV criteria were investigated with a semi-structured interview (P-CHIPS), complemented by clinical interviews with the children or adolescents and their parents. Their IQ was calculated with neuropsychological testing. RESULTS: A high prevalence of anxiety disorders (23.05%) was found in the sample. Generalized anxiety disorder was the most prevalent disorder (12,8%), followed by social phobia (3,84%) and separation anxiety disorder (3,8%). Two children showed more than one anxiety disorder. CONCLUSION: Children and adolescents with ADHD seem to be more prone to have comorbid anxiety disorders, at least in clinical samples referred to specialized units.

Stresspac: A Controlled Trial of a Self-Help Package for the Anxiety Disorders

1995 ◽  
Vol 23 (2) ◽  
pp. 89-107 ◽  
Author(s):  
Jim White
Keyword(s):  
Anxiety Disorder ◽  
Anxiety Disorders ◽  
Controlled Trial ◽  
Individual Therapy ◽  
Anxiety Management ◽  
Ways Of Coping ◽  
Self Help ◽  
Management Advice ◽  
Post Therapy

In order to test the efficacy of a self-help anxiety management package, sixty-two individuals meeting DSM-III-R criteria for an anxiety disorder were randomly allocated to one of three conditions: Stresspac patients were given a self-help/information package. Advice only patients were offered verbal advice on ways of coping with anxiety. Patients in both conditions were seen on one occasion shortly after referral for assessment and management advice. They were then placed back on the waiting list for a three month period. Patients in the No intervention condition also completed measures during this time. They were not seen until the end of this period when formal assessment took place. All patients were then followed through individual therapy and to 12 month follow-up. Results clearly support the superiority of the Stresspac condition after the waiting period, at post therapy and at follow-up on a range of measures. Possible explanations for the results are discussed.

scholarly journals Exploratory trial of a school-based alcohol prevention intervention with a family component

2016 ◽  
Vol 116 (4) ◽  
pp. 410-431 ◽  
Author(s):  
Jeremy Segrott ◽  
Heather Rothwell ◽  
Ilaria Pignatelli ◽  
Rebecca Playle ◽  
Gillian Hewitt ◽  
...  
Keyword(s):  
Primary School ◽  
Family Communication ◽  
Alcohol Misuse ◽  
School Age Children ◽  
Effectiveness Trial ◽  
Content Type ◽  
Exploratory Trial ◽  
School Based ◽  
Primary School Age

Purpose – Involvement of parents/carers may increase effectiveness of primary school-based alcohol-misuse prevention projects through strengthening family-based protective factors, but rates of parental engagement are typically low. This paper reports findings from an exploratory trial of a school-based prevention intervention – Kids, Adults Together (KAT), based on the Social Development Model, which aimed to promote pro-social family communication in order to prevent alcohol misuse, and incorporated strategies to engage parents/carers. The purpose of this paper is to assess the feasibility and value of conducting an effectiveness trial of KAT. Design/methodology/approach – The study was a parallel-group cluster randomised exploratory trial with an embedded process evaluation. The study took place in south Wales, UK, and involved nine primary schools, 367 pupils in Years 5/6 (aged 9-11 years) and their parents/carers and teachers. Questionnaires were completed by pupils at baseline and four month follow-up, and by parents at six month follow-up. Findings – Overall KAT was delivered with good fidelity, but two of five intervention schools withdrew from the study without completing implementation. In total, 50 per cent of eligible parents participated in the intervention, and KAT had good acceptability among pupils, parents and teachers. However, a number of “progression to effectiveness trial” criteria were not met. Intermediate outcomes on family communication (hypothesised to prevent alcohol misuse) showed insufficient evidence of an intervention effect. Difficulties were encountered in identifying age appropriate outcome measures for primary school-age children, particularly in relation to family communication processes. The study was unable to find comprehensive methodological guidance on exploratory trials. Research limitations/implications – It would not be appropriate to conduct an effectiveness trial as key progression criteria relating to intervention and trial feasibility were not met. There is a need for new measures of family communication which are suitable for primary school-age children, and more guidance on the design and conduct of exploratory/feasibility trials. Originality/value – KAT achieved high rates of parental involvement, and its theoretical framework and processes could be adapted by other interventions which experience difficulties with recruitment of parents/carers.

Anxiety disorders and the onset of depression among adults in the community

2002 ◽  
Vol 32 (6) ◽  
pp. 1121-1124 ◽  
Author(s):  
RENEE D. GOODWIN
Keyword(s):  
Anxiety Disorder ◽  
Major Depression ◽  
Anxiety Disorders ◽  
Panic Attack ◽  
Panic Attacks ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Sociodemographic Differences ◽  
Co Morbidity

Objective. To determine the association between anxiety disorders, panic attack and the risk of major depression among adults in the community.Method. Data were drawn from the Epidemiologic Catchment Area Program survey waves 1 (N = 20291) and 2 (N = 15849). Multivariate logistic regression analyses were used to determine the risk of incident major depression at 12-month follow-up (wave 2) associated with each anxiety disorder and panic attacks assessed at wave 1, adjusting for differences in sociodemographic characteristics, and then controlling simultaneously for all anxiety disorders, and other psychiatric co-morbidity.Results. Specific phobia (OR = 1.7 (1.6, 1.8)), agoraphobia (OR = 2.3 (2.2, 2.5)), obsessive–compulsive disorder (OR = 5.4 (5.0, 5.8)) and panic attack (OR = 1.9 (1.8, 2.1)) each made an independent contribution to the risk of major depression, which persisted after adjusting simultaneously for sociodemographic differences and other psychiatric co-morbidity. Conclusions. Each anxiety disorder and panic attacks appear to confer an independent risk for the onset of major depression within 12-months among adults in the community. Understanding the key role played by anxiety in depression onset is needed for prevention strategies.

Caffeine abstention in the management of anxiety disorders

1989 ◽  
Vol 19 (1) ◽  
pp. 211-214 ◽  
Author(s):  
M. S. Bruce ◽  
M. Lader
Keyword(s):  
Anxiety Disorder ◽  
Anxiety Disorders ◽  
Increased Sensitivity

SynopsisCaffeine toxicity remains a rarely reported condition, which may mimic anxiety disorders. Anxiety disorder patients do not consume toxic amounts of caffeine. However, increased sensitivity to caffeine in these patients has been suggested as contributing to their symptoms. Six cases of anxiety disorder are presented who improved with only caffeine abstention, and remained well for at least a six-month follow-up period.

scholarly journals A Clinical Study on the Role of Homoeopathy in Managing Anxiety Disorders in School Going Children of Kanniyakumari District

2020 ◽  
pp. 41-50
Author(s):  
Dr. Vineetha Sreekumar ◽  
Dr. Vasanth C Kurup
Keyword(s):  
Anxiety Disorder ◽  
Anxiety Disorders ◽  
Emotional Disorders ◽  
Tamil Nadu ◽  
School Health ◽  
Child Anxiety ◽  
Sampling Technique ◽  
Childhood Anxiety ◽  
Medical College ◽  
School Health Programs

Childhood anxiety disorder is one of the emotional disorders which are not due to any abnormalities in brain development or function but improper thoughts and emotions. It has become very common in this world of competition. But these are usually not identified and treated in children. The prime aim of the study is to assess the effective use of individualized Homoeopathic medicines in treating anxiety disorders in school going children of Kanniyakumari district of Tamil Nadu. This study also aims to determine the probable causes and also the type of anxiety disorder prevalent in school-going children. A sample of 30 cases presenting with anxiety disorders was selected using purposive sampling technique from school health programs conducted at Sarada Krishna Homoeopathic Medical College, Kanniyakumari district. Every case is subjected to screening using a basic diagnostic tool Screen for child anxiety related emotional disorders (SCARED), and those cases identified with anxiety disorders will be sent for detailed case taking. Medicine was prescribed according to the individualization and totality of symptoms. The improvement was monitored after 3 to 6 months of prescription by recording the variations in the scoring criteria of the SCARED tool.

scholarly journals The efficacy and safety of 'Antianxiety Granule' for anxiety disorder: A multicentre, randomized, double-blind, placebo-controlled, parallel-group trial

2019 ◽  
Author(s):  
Zhongwei Sha ◽  
Yiping Hou ◽  
Chunchun Xue ◽  
Ou Li ◽  
Zhimin Li ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Anxiety Disorders ◽  
Double Blind ◽  
Double Blind Placebo ◽  
Parallel Group ◽  
Parallel Group Trial ◽  
Group Trial

Abstract Abstract Background: Anxiety disorders are the most prevalent class of lifetime disorders in China, and generalized anxiety disorder (GAD) is one of the most common but frequently overlooked anxiety disorders. Conventional pharmacological treatments for GAD have varying degrees of side effects, dependency, and/or withdrawal syndromes. Traditional Chinese Medicine (TCM) therapy is considered a valuable therapeutic option for anxiety disorders and a potentially effective technique to reduce the side effects associated with antipsychotic drugs. This trial aimed to evaluate the clinical efficacy and safety of Antianxiety Granule, a granular Chinese medicine compound, for GAD. Methods/Design: The current work is a multicentre, randomized, double-blind, placebo-controlled, parallel-group clinical trial with a 6-week treatment schedule. The study consists of three periods: a 1- to 7-day screening period, a 6-week primary treatment period, and a 1-week follow-up period. Follow-up assessments will be conducted one week after the last visit with a face-to-face interview or by telephone. The clinical efficacy of Antianxiety Granule for the treatment of GAD will be evaluated by examining the change in the Hamilton anxiety scale (HAMA) score, state-trait anxiety inventory (STAI) score, and TCM symptom scale in GAD patients who receive the daily TCM treatment. Moreover, an intention-to-treat (ITT) analysis will also be used in this randomized controlled trial (RCT). Discussion: Our study is a multicentre, randomized, double-blind, placebo-controlled, parallel-group trial to evaluate the safety and efficacy of Antianxiety Granule for the treatment of GAD. The results of this trial will provide valuable clinical evidence for the treatment of GAD. Trial registration: The trial was registered with Chinese Clinical Trial Registry (http://www.chictr.org.cn/showproj.aspx?proj=27210) under the registration number ChiCTR1800016039 on 8 May 2018. The study was approved by the Ethics Committee of the Shanghai Municipal Hospital of Traditional Chinese Medicine (2017SHL-KY-14). Keywords: Generalized anxiety disorder (GAD), Traditional Chinese Medicine (TCM), RCT, Efficacy, Safety

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