THE RELATIONSHIP BETWEEN ANXIETY DISORDER SYMPTOMS AND NEGATIVE SELF-STATEMENTS IN NORMAL CHILDREN

1998 ◽  
Vol 26 (3) ◽  
pp. 307-316 ◽  
Author(s):  
Peter Muris ◽  
Harald Merckelbach ◽  
Birgit Mayer ◽  
Nienke Snieder
Keyword(s):  
Anxiety Disorder ◽  
Emotional Disorders ◽  
Separation Anxiety ◽  
Child Anxiety ◽  
Separation Anxiety Disorder ◽  
Generalized Anxiety ◽  
Obsessive Compulsive ◽  
Normal Children ◽  
Compulsive Disorder ◽  
The Relationship

The current study examined the relationship between anxiety disorder symptoms and negative self-statements in a sample of normal children (N=119). Children were asked to complete the Screen for Child Anxiety Related Emotional Disorders (SCARED) and the Negative Affect Self-Statement Questionnaire (NASSQ). Results showed that, in normal children, there is a positive relationship between anxiety disorder symptoms, as indexed by the SCARED, and negative self-statements, as measured by the NASSQ. In particular, anxious self-statements were more often present in children who exhibited relatively high levels of anxiety symptoms. Furthermore, depressive and anxiousdepressive self-statements were found to be positively associated with the presence of symptoms of generalized anxiety disorder, obsessive-compulsive disorder, separation anxiety disorder, and panic disorder.

The relationship between obsessive–compulsive disorder and anxiety and affective disorders: results from the Johns Hopkins OCD Family Study

2001 ◽  
Vol 31 (3) ◽  
pp. 481-487 ◽  
Author(s):  
G. NESTADT ◽  
J. SAMUELS ◽  
M. A. RIDDLE ◽  
K.-Y. LIANG ◽  
O. J. BIENVENU ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Obsessive Compulsive Disorder ◽  
Affective Disorders ◽  
Substance Dependence ◽  
Separation Anxiety ◽  
Family Study ◽  
Separation Anxiety Disorder ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
The Relationship

Objective. This study investigates the relationship of specific anxiety and affective disorders to obsessive–compulsive disorder (OCD) in a blind, controlled family study.Method. Eighty case and 73 control probands, as well as 343 case and 300 control first-degree relatives of these probands, participated in the study. Subjects were examined by psychologists or psychiatrists using the Schedule for Affective Disorder and Schizophrenia-Lifetime Anxiety version (SADS-LA). Two experienced psychiatrists independently reviewed all clinical materials, and final diagnoses were made according to DSM-IV criteria, by consensus procedure.Results. Except for bipolar disorder, all anxiety and affective disorders investigated were more frequent in case than control probands. Substance dependence disorders were not more frequent. Generalized anxiety disorder (GAD), panic disorder, agoraphobia, separation anxiety disorder (SAD) and recurrent major depression were more common in case than control relatives. These disorders occurred more frequently if the relative was diagnosed with OCD. Only GAD and agoraphobia were more frequent in case relatives independent of OCD.Conclusion. GAD and agoraphobia share a common familial aetiology with OCD. The other anxiety and affective disorders, when comorbid with OCD, may emerge as a consequence of the OCD or as a more complex syndrome.

scholarly journals Obsessive–compulsive disorder: subclassification based on co-morbidity

2008 ◽  
Vol 39 (9) ◽  
pp. 1491-1501 ◽  
Author(s):  
G. Nestadt ◽  
C. Z. Di ◽  
M. A. Riddle ◽  
M. A. Grados ◽  
B. D. Greenberg ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Obsessive Compulsive Disorder ◽  
Clinical Characteristics ◽  
Latent Class ◽  
Age At Onset ◽  
Separation Anxiety Disorder ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Co Morbidity ◽  
The Relationship

BackgroundObsessive–compulsive disorder (OCD) is probably an etiologically heterogeneous condition. Many patients manifest other psychiatric syndromes. This study investigated the relationship between OCD and co-morbid conditions to identify subtypes.MethodSeven hundred and six individuals with OCD were assessed in the OCD Collaborative Genetics Study (OCGS). Multi-level latent class analysis was conducted based on the presence of eight co-morbid psychiatric conditions [generalized anxiety disorder (GAD), major depression, panic disorder (PD), separation anxiety disorder (SAD), tics, mania, somatization disorders (Som) and grooming disorders (GrD)]. The relationship of the derived classes to specific clinical characteristics was investigated.ResultsTwo and three classes of OCD syndromes emerge from the analyses. The two-class solution describes lesser and greater co-morbidity classes and the more descriptive three-class solution is characterized by: (1) an OCD simplex class, in which major depressive disorder (MDD) is the most frequent additional disorder; (2) an OCD co-morbid tic-related class, in which tics are prominent and affective syndromes are considerably rarer; and (3) an OCD co-morbid affective-related class in which PD and affective syndromes are highly represented. The OCD co-morbid tic-related class is predominantly male and characterized by high conscientiousness. The OCD co-morbid affective-related class is predominantly female, has a young age at onset, obsessive–compulsive personality disorder (OCPD) features, high scores on the ‘taboo’ factor of OCD symptoms, and low conscientiousness.ConclusionsOCD can be classified into three classes based on co-morbidity. Membership within a class is differentially associated with other clinical characteristics. These classes, if replicated, should have important implications for research and clinical endeavors.

scholarly journals A Brazilian version of the "Children's Interview for Psychiatric Syndromes" (ChIPS)

2009 ◽  
Vol 58 (2) ◽  
pp. 115-118 ◽  
Author(s):  
Isabella G. S. de Souza ◽  
Maria Antonia Serra-Pinheiro ◽  
Renata Mousinho ◽  
Paulo Mattos
Keyword(s):  
Anxiety Disorder ◽  
Psychotic Disorders ◽  
Separation Anxiety ◽  
Child And Adolescent Psychiatry ◽  
Brazilian Portuguese ◽  
Separation Anxiety Disorder ◽  
Obsessive Compulsive ◽  
Children And Adolescent ◽  
Compulsive Disorder ◽  
Oppositional Defiant

OBJETIVE: The advance of research in child and adolescent psychiatry in Brazil heavily depends on the existence of instruments for the investigation of psychiatric syndromes adapted to Brazilian Portuguese. METHODS: This article describes a careful process of translation of the Children's Interview for Psychiatric Syndromes for the purpose of use in research in Brazil. The Children's Interview for Psychiatric Syndromes has a version for parents (P-ChIPs) and a version for children (ChIPS). In this article, the sections of P-ChIPS referring to attention-deficit hyperactivity disorder, oppositional-defiant disorder, conduct disorder, mania/hypomania, anorexia nervosa, bulimia nervosa and psychotic disorders were translated to Brazilian Portuguese. The sections of the ChIPS referring to substance use disorders, social anxiety disorder, specific phobias, obsessive-compulsive disorder, generalized anxiety disoder, separation anxiety disorder, post-traumatic disorders and depression/dysthimia were also adapted. Each section was translated by two independent translators and later discussed in a committee composed of experts in the field of Psychiatry and a professional of the field of linguistics. RESULT: A final version containing an interview for the main psychiatric syndromes was defined. CONCLUSION: The translated P-ChIPS is a helpful instrument in children and adolescent clinical evaluation.

scholarly journals Translation and Adaptation of the Spence Children’s Anxiety Scale (SCAS)-Parent Version at a Tertiary Level Hospital

2018 ◽  
Vol 7 (1) ◽  
pp. 40-45
Author(s):  
B.S. Gurung ◽  
M. Rana ◽  
S. Shakya
Keyword(s):  
Anxiety Disorder ◽  
Internal Consistency ◽  
Separation Anxiety ◽  
Separation Anxiety Disorder ◽  
Clinical Samples ◽  
Clinical Group ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Metric Properties ◽  
Specificity And Sensitivity

Introduction: The study has examined the psycho-metric properties of the Nepali translation of SCAS-PV in terms of internal consistency and criterion validity Material and Method: Non probability sampling method was used. Participants were selected purposively under two groups of samples called clinical group and non clinical group. Study population of the study was the patient visiting outdoor and inpatient services of Department of Psychiatry and Mental Health, TUTH. Results: Among 200 (clinical= 98 and a non-clinical=102) sample of Nepalese children and adolescents. The specificity and sensitivity of the tool was assessed. Cronbach Alpha for the total scale (α =0.89), panic disorder (α =0.78), physical injury fear (α =0.72) and separation anxiety disorder (α =0.76) were of acceptable to good range. However, internal consistency of generalized anxiety disorder (α =0.67), obsessive compulsive disorder (α =0.59) and social anxiety disorder (α =0.68) were in questionable range. AUC statistic for total scale was in fair range, with optimum cut off score of 19.5 for the total scale with sensitivity of 65.3% and specificity of 64.7%. Conclusion: The study supports the utility of the SCAS-PV as a measure of anxiety symptoms in children. It can be used to directly compare symptom reporting across children in clinical. Because of the psychometric properties of the SCAS-PV that have been demonstrated in community and clinical samples, it is recommended that the SCAS-PV can be used in clinical and research contexts.

P.4.b.002 Separation anxiety disorder in adult patients with obsessive–compulsive disorder: prevalence and correlates

2014 ◽  
Vol 24 ◽  
pp. S588
Author(s):  
Y. Arzeno Ferrão ◽  
A.P. Franz ◽  
L. Rateke ◽  
T. Hartmann ◽  
N. McLaughlin ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Obsessive Compulsive Disorder ◽  
Separation Anxiety ◽  
Separation Anxiety Disorder ◽  
Adult Patients ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

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

2016 ◽  
Vol 45 (2) ◽  
pp. 124-138 ◽  
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.

Anxiety and Related Disorders in People with Intellectual Disability

2020 ◽  
pp. 129-140
Author(s):  
Sherva Cooray ◽  
Avinash Hiremath
Keyword(s):  
Anxiety Disorder ◽  
Separation Anxiety ◽  
Separation Anxiety Disorder ◽  
Post Traumatic Stress ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Cognitive Limitations ◽  
Treatment Models ◽  
Post Traumatic ◽  
People With Intellectual Disabilities

This chapter provides an overview of anxiety and related disorders including, generalized anxiety disorder, panic disorder, agoraphobia, specific phobia, social anxiety disorder, separation anxiety disorder, hypochondriasis, obsessive compulsive disorder (OCD) and post traumatic stress disorder (PTSD). It covers the diagnosis, clinical features, epidemiology, aetiology, pathophysiology, risk factors, treatment, and prognosis. Due to the cognitive limitations and needs profile of people with intellectual disabilities (ID), the diagnosis of these conditions is particularly challenging, due to which they are under-recognized and poorly treated. The approaches to management are largely modelled on treatment models used in the mainstream populations without ID, although these models have to be adapted appropriately to the needs of the individual’s psychological, biological, and social circumstances.

scholarly journals Confirmatory factor analysis and psychometric properties of the Revised Child Anxiety and Depression Scale−30 (RCADS-30) in clinical and non-clinical samples

2017 ◽  
Vol 22 (3) ◽  
pp. 183 ◽  
Author(s):  
Jose Antonio Piqueras ◽  
David Pineda ◽  
María Martin-Vivar ◽  
Bonifacio Sandín
Keyword(s):  
Anxiety Disorder ◽  
Psychometric Properties ◽  
Emotional Disorders ◽  
Child Anxiety ◽  
Depression Scale ◽  
Separation Anxiety Disorder ◽  
Self Report ◽  
Anxiety And Depression ◽  
Clinical Samples ◽  
Compulsive Disorder

Abstract: The 30-item shortened version of the Revised Child Anxiety and Depression Scale (RCADS-30) is a self-report instrument to assess symptoms of anxiety and depressive disorders. This study examined the factor structure, reliability, and construct validity of the RCADS-30, based on a sample of children and adolescents in clinical and community settings. Results provide evidence for (a) the six factors of the scale (separation anxiety disorder, generalized anxiety disorder, panic disorder, social phobia, obsessive-compulsive disorder, and major depressive disorder), (b) reliability (alpha and omega), and (c) convergent and discriminant validity against self-report and clinical interview criteria. The RCADS-30 demonstrated sound psychometric properties and that it is a suitable instrument to assess depression and anxiety disorder symptoms. Based on established cut-off scores, the scale also showed adequate capacity to differentiate emotional disorders from other mental disorders or the absence of diagnosis.Resumen: Análisis factorial confirmatorio y propiedades psicométricas de la Revised Child Anxiety and Depression Scale (RCADS-30) en muestras clínicas y no clínicas. La versión abreviada de 30 ítems de la Revised Child Anxiety and Depression Scale (RCADS-30) es un instrumento de autoinforme para evaluar síntomas de los trastornos de ansiedad y depresivos. Este estudio examinó la estructura factorial, la fiabilidad y la validez de constructo de la RCADS-30 en una muestra de niños y adolescentes procedentes de muestras clínicas y comunitarias. Los resultados aportan evidencia sobre (a) los seis factores de la escala (trastorno de ansiedad de separación, trastorno de ansiedad generalizada, trastorno de pánico, fobia social, trastorno obsesivo-compulsivo, y trastorno depresivo mayor), (b) fiabilidad (alfa y omega), y (c) validez convergente y discriminante sobre autoinformes y entrevista clínica. La RCADS-30 demostró poseer buenas propiedades psicométricas y ser adecuada para evaluar los síntomas de los trastornos de ansiedad y depresivos. Sobre la base de puntos de corte establecidos, la escala mostró adecuada capacidad para diferenciar los trastornos emocionales de otros problemas mentales o la ausencia de diagnóstico. 

Obsessive–compulsive disorder and separation anxiety co-morbidity in early onset panic disorder

2001 ◽  
Vol 31 (7) ◽  
pp. 1307-1310 ◽  
Author(s):  
R. GOODWIN ◽  
J. D. LIPSITZ ◽  
T. F. CHAPMAN ◽  
S. MANNUZZA ◽  
A. J. FYER
Keyword(s):  
Anxiety Disorder ◽  
Panic Disorder ◽  
Obsessive Compulsive Disorder ◽  
Separation Anxiety ◽  
Age Of Onset ◽  
Separation Anxiety Disorder ◽  
Obsessive Compulsive ◽  
Obsessive Compulsive Symptoms ◽  
Compulsive Disorder ◽  
Co Morbidity

Background. This study was undertaken to examine the relationship between anxiety co-morbidity and age of onset of panic disorder.Methods. Age of onset of panic disorder and co-morbid anxiety disorders were assessed among 201 panic disorder probands with childhood separation anxiety disorder, obsessive–compulsive disorder, obsessive–compulsive symptoms, social phobia and specific phobia as part of a clinician-administered lifetime diagnostic interview. A generalized linear model was used to test the association between each anxiety co-morbidity and age of panic disorder onset while simultaneously controlling for the potential confounding effects of sociodemographic characteristics and other psychiatric co-morbidity.Results. Earlier onset of panic disorder was found in patients with co-morbid obsessive–compulsive disorder, obsessive–compulsive symptoms and separation anxiety disorder, but not simple phobia or social phobia. Patients with both childhood separation anxiety disorder and obsessive–compulsive disorder had an even earlier panic onset than those with either childhood separation anxiety disorder or obsessive–compulsive disorder.Conclusions. The association between anxiety co-morbidity and earlier onset of panic disorder is specific to obsessive–compulsive disorder and childhood separation anxiety disorder.

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