scholarly journals Relationship between adult social phobia and childhood anxiety

2003 ◽  
Vol 25 (2) ◽  
pp. 96-99 ◽  
Author(s):  
Gisele Gus Manfro ◽  
Luciano Isolan ◽  
Carolina Blaya ◽  
Sandra Maltz ◽  
Elizeth Heldt ◽  
...  
Keyword(s):  
Risk Factor ◽  
Anxiety Disorder ◽  
Family History ◽  
Anxiety Disorders ◽  
Social Phobia ◽  
Psychiatric Disorders ◽  
Childhood Anxiety ◽  
Adult Patients ◽  
Childhood Anxiety Disorders ◽  
History Of

OBJECTIVE: The aim of this study was to evaluate the prevalence of traumas and the presence of childhood anxiety disorders in adult patients with social phobia and investigate their influence on the presentation of the disorder. METHODS: Twenty-four adult patients with social phobia were asked about the presence of trauma before the age of 16. The K-SADS-E and the DICA-P interviews were used to assess these patients regarding childhood anxiety disorders. RESULTS: Twelve (50%) patients reported a history of trauma before the age of 16. The presence of trauma did not influence the presentation of the disorder. Seventy-five percent of patients had a history of anxiety disorders in childhood. Patients with a history of at least 2 childhood anxiety disorders had an increased lifetime prevalence of major depression (10 vs. 3; p=.04) and family history of psychiatric disorders (13 vs. 6; p=.02). CONCLUSION: Anxiety disorder in childhood is associated with family history of psychiatric disorders. The presence of more than one diagnosis of anxiety disorder in childhood can be considered a risk factor for the development of depression in adult patients with social phobia.

scholarly journals Using a Smartphone App and Clinician Portal to Enhance Brief Cognitive Behavioral Therapy for Childhood Anxiety Disorders

2019 ◽  
Author(s):  
Jennifer Susan Silk ◽  
Gede Pramana ◽  
Stefanie Sequeira ◽  
Oliver Lindhiem ◽  
Philip C. Kendall ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Cognitive Behavioral Therapy ◽  
Anxiety Disorders ◽  
Behavioral Therapy ◽  
Controlled Trial ◽  
Child Anxiety ◽  
Childhood Anxiety ◽  
Post Treatment ◽  
Cognitive Behavioral ◽  
Childhood Anxiety Disorders

Cognitive behavioral therapy (CBT) is an efficacious treatment for child anxiety disorders, but 40-50% of youth do not respond fully to treatment, and time commitments for standard CBT can be prohibitive for some families and lead to long waiting lists for trained CBT therapists in the community. SmartCAT 2.0 is an adjunctive mobile health program designed to improve and shorten CBT treatment for anxiety disorders in youth by providing them with the opportunity to practice CBT skills outside of session using an interactive and gamified interface. It consists of an app and an integrated clinician portal connected to the app for secure 2-way communication with the therapist. The goal of the present study was to evaluate SmartCAT 2.0 in an open trial to establish usability, feasibility, acceptability, and preliminary efficacy of brief (8 sessions) CBT combined with SmartCAT. We also explored changes in CBT skills targeted by the app. Participants were 34 youth (ages 9-14) who met DSM-5 criteria for generalized, separation, and/or social anxiety disorder. Results demonstrated strong feasibility and usability of the app/portal and high satisfaction with the intervention. Youth used the app an average of 12 times between each therapy session (M = 5.8 mins per day). At post-treatment, 67% of youth no longer met diagnostic criteria for an anxiety disorder, with this percentage increasing to 86% at two-month follow-up. Youth showed reduced symptom severity over time across raters and also improved from pre- to post-treatment in CBT skills targeted by the app, demonstrating better emotion identification and thought challenging and reductions in avoidance. Findings support the feasibility of combining brief CBT with SmartCAT. Although not a controlled trial, when benchmarked against the literature, the current findings suggest that SmartCAT may enhance the utility of brief CBT for childhood anxiety disorders. This paper is currently in press in Behavior Therapy.

scholarly journals Psychiatric disorders in myasthenia gravis

2011 ◽  
Vol 69 (2a) ◽  
pp. 176-179 ◽  
Author(s):  
Mariana Inés Ybarra ◽  
Arthur Kummer ◽  
Elizabeth Regina Comini Frota ◽  
José Teotônio de Oliveira ◽  
Rodrigo Santiago Gomez ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Depressive Disorder ◽  
Anxiety Disorders ◽  
Myasthenia Gravis ◽  
Social Phobia ◽  
Psychiatric Disorders ◽  
Disease Duration ◽  
Psychiatric Interview

OBJECTIVE: To investigate the prevalence of psychiatric disorders in patients with myasthenia gravis (MG). METHOD: Forty-one patients with MG answered to a structured psychiatric interview (MINI-Plus). RESULTS: Eleven (26.1%) patients were diagnosed with a depressive disorder and 19 (46.3%) were diagnosed with an anxiety disorder. Patients with dysthymia were older (p=0.029) and had longer disease duration (p=0.006). Patients with social phobia also had longer disease duration (p=0.039). CONCLUSION: Psychiatric disorders in MG are common, especially depressive and anxiety disorders.

scholarly journals Associations between family factors, childhood adversity, negative life events and child anxiety disorders: an exploratory study of diagnostic specificity

2019 ◽  
Vol 48 (3) ◽  
pp. 253-267
Author(s):  
Jenny Draisey ◽  
Brynjar Halldorsson ◽  
Peter Cooper ◽  
Cathy Creswell
Keyword(s):  
Anxiety Disorder ◽  
Anxiety Disorders ◽  
Life Events ◽  
Separation Anxiety ◽  
Negative Life Events ◽  
Childhood Adversity ◽  
Childhood Anxiety ◽  
Childhood Anxiety Disorders ◽  
Chronic Childhood ◽  
Parenting Behaviours

AbstractBackground:Chronic childhood adversity, negative life events, and anxiogenic parenting behaviours have all been implicated in the development and maintenance of childhood anxiety disorders. However, few studies have addressed whether these factors are associated with particular types of childhood anxiety disorders.Aims:The aims of this study were to investigate whether specific associations were obtained between specific types of childhood anxiety disorder – namely, social anxiety disorder (SOC), separation anxiety disorder (SEP) and generalized anxiety disorder (GAD) – and the nature of particular forms of psycho-social risk – namely, chronic childhood adversity, negative life events, and particular forms of parenting behaviours.Method:Two-hundred and ten children (aged 7–12 years) who met diagnostic criteria for SOC, SEP or GAD and their primary caregivers completed questionnaire measures on chronic childhood adversity and negative life events. In addition, dyads participated in two laboratory-based assessments of parent–child interactions.Results:We found little evidence for disorder specificity for chronic childhood adversity and negative life events, except in the case of separation anxiety disorder. Anxious children with separation anxiety were more likely than children with other forms of anxiety disorders to live with a single parent, experience more frequent parent arguments, and more negative life events. No group differences in observed parenting behaviours were found.Conclusions:Childhood SEP may be particularly associated with family challenges which may need specific consideration to optimize prevention and/or treatment. Beyond this, there is limited evidence of specific associations between family and environmental factors and specific types of childhood anxiety disorders.

Anxiety Disorders in Children and Young People

2021 ◽  
Author(s):  
Cathy Creswell ◽  
Sasha Walters ◽  
Brynjar Halldorsson ◽  
Peter J. Lawrence
Keyword(s):  
Young People ◽  
Anxiety Disorders ◽  
Psychiatric Disorders ◽  
Childhood Anxiety ◽  
Good Evidence ◽  
Financial Cost ◽  
Children And Young People ◽  
Childhood Anxiety Disorders ◽  
Prevention And Treatment ◽  
Behavioral Treatments

Anxiety disorders are the most common psychiatric disorders among children and young people, affecting an estimated 6.5% of children and young people worldwide. Childhood anxiety disorders often persist into adulthood if left untreated and are associated with a significant emotional and financial cost to individuals, their families, and wider society. Models of the development and maintenance of childhood anxiety disorders have underpinned prevention and treatment approaches, and cognitive behavioral treatments have good evidence for their efficacy. Ongoing challenges for the field include the need to improve outcomes for those that do not benefit from current prevention and treatment, and to increase access to those who could benefit.

scholarly journals Behaviorial inhibition and history of childhood anxiety disorders in Brazilian adult patients with panic disorder and social anxiety disorder

2005 ◽  
Vol 27 (2) ◽  
pp. 97-100 ◽  
Author(s):  
Luciano Rassier Isolan ◽  
Cristian Patrick Zeni ◽  
Kelin Mezzomo ◽  
Carolina Blaya ◽  
Leticia Kipper ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Social Anxiety ◽  
Panic Disorder ◽  
Anxiety Disorders ◽  
Social Anxiety Disorder ◽  
Behavioral Inhibition ◽  
Childhood Anxiety ◽  
Control Group ◽  
History Of Childhood ◽  
History Of

PURPOSE: To evaluate the presence of behavioral inhibition and anxiety disorders during childhood in Brazilian adult patients with panic disorder and social anxiety disorder compared to a control group. METHODS: Fifty patients with panic disorder, 50 patients with social anxiety disorder, and 50 control subjects were included in the study. To assess the history of childhood anxiety, the Schedule for Affective Disorders and Schizophrenia for School Age Children, Epidemiologic Version (K-SADS-E), and the Diagnostic Interview for Children and Adolescents-Parent Version (DICA-P) were used. The presence of behavioral inhibition in childhood was assessed by the self-reported scale of Behavioral Inhibition Retrospective Version (RSRI-30). RESULTS: Patients showed significantly higher prevalence of anxiety disorders and behavioral inhibition in childhood compared to the control group. Patients with social anxiety disorder also showed significantly higher rates of avoidance disorder (46% vs. 18%, p = 0.005), social anxiety disorder (60% vs. 26%, p = 0.001), presence of at least one anxiety disorder (82% vs. 56%, p = 0.009) and global behavioral inhibition (2.89 ± 0.61 vs. 2.46 ± 0.61, p < 0.05) and school/social behavioral inhibition (3.56 ± 0.91 vs. 2.67 ± 0.82, p < 0.05) in childhood compared to patients with panic disorder. CONCLUSION: Our data are in accordance to the literature and corroborates the theory of an anxiety diathesis, suggesting that a history of anxiety disorders in childhood is associated with an anxiety disorder diagnosis, mainly social anxiety disorder, in adulthood.

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