Investigating the Effect of Implementing a Family-Friendly Program (Based on the MBCT Approach with Parent-Child Interaction) on the Reduction of Parental Anxiety Sensitivity and Separation Anxiety Disorder in Children and Adolescents

Background. The purpose of this study was to evaluate the clinical correlates of agoraphobic fear and avoidance and panic disorder in a non-clinical sample of adolescents.Method. In a sample of 2365 high school students, combined data from a questionnaire and a structured clinical interview were used to classify subjects with agoraphobic fear and avoidance. Panic symptoms, major depression, childhood separation anxiety disorder, anxiety sensitivity and negative affectivity were also assessed.Results. Fifteen subjects met study criteria for agoraphobic fear and avoidance in the past year. Only three (20%) of those with agoraphobia symptoms reported histories of panic attacks and there was no overlap between those with agoraphobic fear and avoidance and the 12 subjects who met DSM-III-R criteria for panic disorder. However, subjects with agoraphobia symptoms and those with panic disorder reported similar levels of anxiety sensitivity and negative affectivity. Childhood separation anxiety disorder was more common among those with agoraphobic fear and avoidance compared to those without.Conclusion. Agoraphobic avoidance is rare in non-clinical samples of adolescents and usually not associated with panic attacks. However, adolescents with agoraphobia symptoms and those with panic disorder have similar clinical correlates consistent with a panic/agoraphobia spectrum model.

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The multidimensional evaluation and treatment of anxiety in children and adolescents: rationale, design, methods and preliminary findings

Brazilian Journal of Psychiatry ◽

10.1590/s1516-44462011000200015 ◽

2011 ◽

Vol 33 (2) ◽

pp. 181-195 ◽

Cited By ~ 34

Author(s):

Giovanni Abrahão Salum ◽

Luciano Rassier Isolan ◽

Vera Lúcia Bosa ◽

Andrea Goya Tocchetto ◽

Stefania Pigatto Teche ◽

...

Keyword(s):

Anxiety Disorder ◽

Anxiety Disorders ◽

Children And Adolescents ◽

Separation Anxiety ◽

Treatment Phase ◽

Diagnostic Interview ◽

Separation Anxiety Disorder ◽

Design Methods ◽

Community Screening ◽

Multidimensional Evaluation

OBJECTIVE: This study aims to describe the design, methods and sample characteristics of the Multidimensional Evaluation and Treatment of Anxiety in Children and Adolescents - the PROTAIA Project. METHOD: Students between 10 and 17 years old from all six schools belonging to the catchment area of the Primary Care Unit of Hospital de Clínicas de Porto Alegre were included in the project. It comprises five phases: (1) a community screening phase; (2) a psychiatric diagnostic phase; (3) a multidimensional assessment phase evaluating environmental, neuropsychological, nutritional, and biological factors; (4) a treatment phase, and (5) a translational phase. RESULTS: A total of 2,457 subjects from the community were screened for anxiety disorders. From those who attended the diagnostic interview, we identified 138 individuals with at least one anxiety disorder (apart from specific phobia) and 102 individuals without any anxiety disorder. Among the anxiety cases, generalized anxiety disorder (n = 95; 68.8%), social anxiety disorder (n = 57; 41.3%) and separation anxiety disorder (n = 49; 35.5%) were the most frequent disorders. CONCLUSION: The PROTAIA Project is a promising research project that can contribute to the knowledge of the relationship between anxiety disorders and anxiety-related phenotypes with several genetic and environmental risk factors.

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Parent mediated intervention programmes for children and adolescents with neurodevelopmental disorders in South Asia: A systematic review

PLoS ONE ◽

10.1371/journal.pone.0247432 ◽

2021 ◽

Vol 16 (3) ◽

pp. e0247432

Author(s):

Kamrun Nahar Koly ◽

Susanne P. Martin-Herz ◽

Md. Saimul Islam ◽

Nusrat Sharmin ◽

Hannah Blencowe ◽

...

Keyword(s):

Systematic Review ◽

Children And Adolescents ◽

South Asia ◽

Neurodevelopmental Disorders ◽

Autism Spectrum ◽

Learning Ability ◽

Child Interaction ◽

Parent Child Interaction ◽

The Impact ◽

Parent Child

Objective Parent-mediated programmes have been found to be cost effective for addressing the needs of the children and adolescents with Neurodevelopmental Disorders (NDD) in high-income countries. We explored the impact of parent-mediated intervention programmes in South Asia, where the burden of NDD is high. Methods A systematic review was conducted using the following databases; PUBMED, MEDLINE, PsycINFO, Google Scholar and Web of Science. Predefined MeSH terms were used, and articles were included if published prior to January 2020. Two independent researchers screened the articles and reviewed data. Outcomes measures The review included studies that targeted children and adolescents between 1 and 18 years of age diagnosed with any of four specific NDDs that are commonly reported in South Asia; Autism Spectrum Disorder (ASD), Intellectual Disability (ID), Attention Deficit Hyperactivity Disorder (ADHD) and Cerebral Palsy (CP). Studies that reported on parent or child outcomes, parent-child interaction, parent knowledge of NDDs, or child activities of daily living were included for full text review. Results A total of 1585 research articles were retrieved and 23 studies met inclusion criteria, including 9 Randomized Controlled Trials and 14 pre-post intervention studies. Of these, seventeen studies reported effectiveness, and six studies reported feasibility and acceptability of the parent-mediated interventions. Three studies demonstrated improved parent-child interaction, three studies demonstrated improved child communication initiations, five studies reported improved social and communication skills in children, four studies demonstrated improved parental knowledge about how to teach their children, and four studies reported improved motor and cognitive skills, social skills, language development, learning ability, or academic performance in children. Conclusion This systematic review of 23 studies demonstrated improvements in parent and child skills following parent-mediated intervention in South Asia. Additional evaluations of locally customized parent-mediated programmes are needed to support development of feasible interventions for South Asian countries.

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Phenomenology and Comorbidity of Dysthymic Disorder in 100 Consecutively Referred Children and Adolescents: Beyond DSM-IV

The Canadian Journal of Psychiatry ◽

10.1177/070674370304800206 ◽

2003 ◽

Vol 48 (2) ◽

pp. 99-105 ◽

Cited By ~ 14

Author(s):

Gabriele Masi ◽

Stefania Millepiedi ◽

Maria Mucci ◽

Rosa Rita Pascale ◽

Giulio Perugi ◽

...

Keyword(s):

Anxiety Disorder ◽

Children And Adolescents ◽

Diagnostic Criteria ◽

Clinical Picture ◽

Separation Anxiety ◽

Externalizing Disorders ◽

Separation Anxiety Disorder ◽

Dysthymic Disorder ◽

Consecutive Series ◽

Dsm Iv

Objective: Diagnostic criteria and nosological boundaries of juvenile dysthymic disorder (DD) are underresearched. Two different sets of diagnostic criteria are still discussed in the DSM-IV, the first giving major weight to somatic and vegetative symptoms and the second, included in the appendix, to more affective and cognitive symptoms. The aim of this study was to describe prototypical symptomatology and comorbidity of DD, according to DSM-IV criteria, in a consecutive series of referred children and adolescents, as a function of age and sex. Method: One hundred inpatients and outpatients (36 children and 64 adolescents, 57 males, 43 females, age range 7 to 18 years, mean age 13.3 years) received a diagnosis of DD without comorbid major depressive disorder (MDD), using historical information, the Diagnostic Interview for Children and Adolescents-Revised (DICA-R), and symptoms ratings according to the DSM-IV criteria. Results: Irritability, low self-esteem, fatigue or loss of energy, depressed mood, guilt, concentration difficulties, anhedonia, and hopelessness were present in more than 50% of subjects. Differences in symptomatic profile between male and female patients were not significant. Anxiety disorders were commonly comorbid with DD, mainly generalized anxiety disorder, simple phobias, and in prepuberal children, separation anxiety disorder. Externalizing disorders were reported in 35% of the patients, with higher prevalence in male patients. Adolescents showed more suicidal thoughts and anhedonia than children. Conclusions: The clinical picture of early-onset DD we found, based entirely on a pure sample without current and past MDD, is not totally congruent with the diagnostic criteria according to DSM-IV. A more precise definition of the clinical picture may help early diagnosis and prevention of superimposed mental disorders.

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Prevalence, Comorbidity and Predictor of Separation Anxiety Disorder in Children and Adolescents

Psychiatric Quarterly ◽

10.1007/s11126-020-09778-7 ◽

2020 ◽

Vol 91 (4) ◽

pp. 1415-1429

Author(s):

Mohammad Reza Mohammadi ◽

Rahim Badrfam ◽

Ali Khaleghi ◽

Zahra Hooshyari ◽

Nastaran Ahmadi ◽

...

Keyword(s):

Anxiety Disorder ◽

Children And Adolescents ◽

Separation Anxiety ◽

Separation Anxiety Disorder

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Psychopathology among parents of children and adolescents with separation anxiety disorder

Neuropsychiatrie ◽

10.1007/s40211-014-0133-7 ◽

2015 ◽

Vol 29 (1) ◽

pp. 23-28 ◽

Cited By ~ 6

Author(s):

P. Sackl-Pammer ◽

C. Popow ◽

B. Schuch ◽

M. Aigner ◽

M. Friedrich ◽

...

Keyword(s):

Anxiety Disorder ◽

Children And Adolescents ◽

Separation Anxiety ◽

Separation Anxiety Disorder

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The Relationship Between Worry and Dimensions of Anxiety Symptoms in Children and Adolescents

Behavioural and Cognitive Psychotherapy ◽

10.1017/s1352465816000448 ◽

2016 ◽

Vol 45 (2) ◽

pp. 124-138 ◽

Cited By ~ 8

Author(s):

Jonathan Rabner ◽

Nicholas D. Mian ◽

David A. Langer ◽

Jonathan S. Comer ◽

Donna Pincus

Keyword(s):

Anxiety Disorder ◽

Anxiety Disorders ◽

Regression Model ◽

Children And Adolescents ◽

Separation Anxiety ◽

Child Anxiety ◽

Age Groups ◽

Separation Anxiety Disorder ◽

Older Children ◽

The Relationship

Background: Worry is a common feature across many anxiety disorders. It is important to understand how and when worry presents from childhood to adolescence to prevent long-term negative outcomes. However, most of the existing studies that examine the relationship between worry and anxiety disorders utilize adult samples. Aims: The present study aimed to assess the level of worry in children and adolescents and how relationships between worry and symptoms of separation anxiety disorder (SAD) and social anxiety disorder (Soc) may present differently at different ages. Method: 127 children (age 8–12 years) and adolescents (age 13–18 years), diagnosed with any anxiety disorder, presenting at a child anxiety out-patient clinic, completed measures of worry, anxiety and depression. Results: Worry scores did not differ by age group. Soc symptoms were significantly correlated with worry in both age groups; however, SAD symptoms were only significantly correlated with worry in younger participants. After the inclusion of covariates, SAD symptoms but not Soc symptoms remained significant in the regression model with younger children, and Soc symptoms remained significant in the regression model with older children. Conclusions: The finding that worry was comparable in both groups lends support for worry as a stable construct associated with anxiety disorders throughout late childhood and early adolescence.

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