Is There an Adult form of Separation Anxiety Disorder? A Brief Clinical Report

1997 ◽  
Vol 31 (2) ◽  
pp. 299-303 ◽  
Author(s):  
Vijaya Manicavasagar ◽  
Derrick Silove
Keyword(s):  
Anxiety Disorder ◽  
Separation Anxiety ◽  
Separation Anxiety Disorder ◽  
Anxiety Symptoms ◽  
Panic Attacks ◽  
Clinical Report ◽  
Behavioural Treatment ◽  
Dependent Personality Disorder ◽  
Dependent Personality ◽  
Cognitive Behavioural

Objective: The aim of this clinical report is to investigate whether symptoms of separation anxiety disorder can occur in adulthood. Clinical picture: Three cases are described to illustrate that adults may experience: wide-ranging separation anxiety symptoms, such as extreme anxiety and fear, when separated from major attachment figures; avoidance of being alone; and fears that harm will befall those close to them. Symptoms of panic appeared to be secondary to separation anxiety, and none of the patients fulfilled criteria for dependent personality disorder. Treatment: Group cognitive behavioural treatment focusing on preventing panic attacks and generalised anxiety did not appear to have an impact on core separation anxiety symptoms. Outcome: Exacerbations of separation anxiety appeared to be closely linked to actual or threatened ruptures to primary bonds. Conclusions: Separation anxiety disorder may be a neglected diagnosis in adulthood. Formal nosological systems such as the DSM may need to be revised to incorporate adult manifestations of the disorder.

Comorbid Externalising Disorders and Child Anxiety Treatment Outcomes

2004 ◽  
Vol 21 (1) ◽  
pp. 14-25 ◽  
Author(s):  
Ellen Flannery-Schroeder ◽  
Cynthia Suveg ◽  
Scott Safford ◽  
Philip C. Kendall ◽  
Alicia Webb
Keyword(s):  
Anxiety Disorder ◽  
Separation Anxiety ◽  
Child Anxiety ◽  
Separation Anxiety Disorder ◽  
Behavioural Treatment ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Oppositional Defiant ◽  
Cognitive Behavioural ◽  
Externalising Disorders

AbstractExamined the effects of comorbid externalising disorders (i.e., attention-deficit/hyperactivity disorder [ADHD], oppositional defiant disorder [ODD], conduct disorder [CD]) on the long-term outcome (7.4 years) of individuals treated for anxiety disorders as youth. Ninety-four anxiety-disordered children (aged 8-13) were provided with a 16-session manual-based cognitive behavioural treatment (CBT). Assessments were completed at pretreatment, posttreatment, 1-year posttreatment (see Kendall, et al., 1997) and for 88 of the original 94 subjects at 7.4-years posttreatment (see Kendall, Safford, Flannery-Schroeder, & Webb, in press). At pretreatment, all participants received principal anxiety diagnoses (generalised anxiety disorder, separation anxiety disorder, social phobia). Nineteen had comorbid externalising disorders (11 ADHD, 7 ODD and 1 CD). These 19 subjects were matched on age (within an average of 3 months), gender and race with 19 previously treated youths who were not comorbid with an externalising disorder. Examining parent- and child-reports, respectively, comparable rates of comorbid versus non-comorbid cases were free of their principal anxiety disorder at the 7.4-year follow-up on all dependent measures. Parents of anxiety-disordered children with a comorbid externalising disorder reported higher levels of child externalising behaviour than did parents of anxiety-disordered children without comorbidity. Comorbid children reported greater self-efficacy in coping with anxiety-provoking situations than did non-comorbid children. Thus, it appears that overall anxiety-disordered children with and without comorbid externalising disorders showed comparable improvements following CBT.

Comorbidity of Dependent Personality Disorder and Separation Anxiety Disorder in Addictive Disorders and in Healthy Subjects

2002 ◽  
Vol 35 (4) ◽  
pp. 249-253 ◽  
Author(s):  
Gwenolé Loas ◽  
Frédéric Atger ◽  
Fabienne Perdereau ◽  
Annie Verrier ◽  
Julien-Daniel Guelfi ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Personality Disorder ◽  
Healthy Subjects ◽  
Separation Anxiety ◽  
Separation Anxiety Disorder ◽  
Addictive Disorders ◽  
Dependent Personality Disorder ◽  
Dependent Personality

The relationship between agoraphobia symptoms and panic disorder in a non-clinical sample of adolescents

2003 ◽  
Vol 33 (4) ◽  
pp. 733-738 ◽  
Author(s):  
C. HAYWARD ◽  
J. D. KILLEN ◽  
C. B. TAYLOR
Keyword(s):  
Anxiety Disorder ◽  
Panic Disorder ◽  
Anxiety Sensitivity ◽  
Separation Anxiety ◽  
Clinical Sample ◽  
Negative Affectivity ◽  
Separation Anxiety Disorder ◽  
Panic Attacks ◽  
Clinical Samples ◽  
Clinical Correlates

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.

Dependent personality, separation anxiety disorder and other anxiety disorders in OCD

2015 ◽  
Vol 10 (1) ◽  
pp. 22-28 ◽  
Author(s):  
M. M. Mroczkowski ◽  
F. S. Goes ◽  
M. A. Riddle ◽  
M. A. Grados ◽  
O. J. Bienvenu ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Anxiety Disorders ◽  
Separation Anxiety ◽  
Separation Anxiety Disorder ◽  
Dependent Personality

Cognitive-Behavioral Treatments for Anxiety and Phobic Disorders in Children and Adolescents: A Review

2005 ◽  
Vol 30 (3) ◽  
pp. 241-257 ◽  
Author(s):  
Neville J. King ◽  
David Heyne ◽  
Thomas H. Ollendick
Keyword(s):  
Anxiety Disorder ◽  
Separation Anxiety ◽  
Child Anxiety ◽  
Separation Anxiety Disorder ◽  
School Refusal ◽  
Cognitive Behavioral ◽  
Behavioral Strategies ◽  
Active Components ◽  
Empirically Supported ◽  
Cognitive Behavioural

This article provides an overview of cognitive-behavioural strategies used in the treatment of child-anxiety problems, emphasizing the need for exposure and caregiver involvement. Most of the paper focuses on developments in empirically supported cognitive-behavioral intervention protocols for generalized anxiety disorder, separation anxiety disorder, social phobia, specific phobia, and school refusal. The research status of interventions for phobias and anxiety disorders of children with disabilities, a much neglected area, is also considered. Particular attention is given to randomized controlled trials. Analogue studies are not included in this particular review, thus strengthening conclusions regarding treatment efficacy. In general, cognitive and behavioral strategies appear to be useful for these distressing child-anxiety problems; however, there is a limited understanding of the active components in treatment, treatment mechanisms of change, and prediction of treatment outcome.

scholarly journals Infant stranger fear trajectories predict anxious behaviors and diurnal cortisol rhythm during childhood

2017 ◽  
Vol 29 (3) ◽  
pp. 1119-1130 ◽  
Author(s):  
Carol A. Van Hulle ◽  
Mollie N. Moore ◽  
Kathryn Lemery-Chalfant ◽  
H. Hill Goldsmith ◽  
Rebecca J. Brooker
Keyword(s):  
Anxiety Disorder ◽  
Middle Childhood ◽  
Separation Anxiety ◽  
Separation Anxiety Disorder ◽  
Anxiety Symptoms ◽  
Developmental Pathways ◽  
Community Based ◽  
Diurnal Cortisol ◽  
Alternative Pathways ◽  
Increased Risk

AbstractAlthough a robust literature has linked stable, high levels of fear across childhood to increased risk for anxiety problems, less is known about alternative pathways to anxiety. We tested two putatively normative developmental pathways of early fearfulness for their distinct associations with behavioral (anxiety-related behaviors and symptoms) and biological (diurnal cortisol) markers of anxiety risk in middle childhood in a community-based sample (n = 107). Steeper increases in fear from 6 to 36 months predicted more parent-reported anxiety symptoms at age 8 years. In addition, children who exhibited steep increases in fear during infancy were overrepresented among children with diagnoses of separation anxiety disorder at age 8 years. Finally, we showed that steeper increases in fearfulness in infancy predicted flatter slopes of diurnal cortisol at age 8 years for girls. Thus, differences in stranger fear across infancy may indicate varying degrees of risk for anxious behaviors in later childhood.

scholarly journals CHILDHOOD SEPARATION ANXIETY DISORDER AND ADULT ONSET PANIC ATTACKS SHARE A COMMON GENETIC DIATHESIS

2012 ◽  
Vol 29 (4) ◽  
pp. 320-327 ◽  
Author(s):  
Roxann Roberson-Nay ◽  
Lindon J. Eaves ◽  
John M. Hettema ◽  
Kenneth S. Kendler ◽  
Judy L. Silberg
Keyword(s):  
Anxiety Disorder ◽  
Separation Anxiety ◽  
Separation Anxiety Disorder ◽  
Panic Attacks ◽  
Adult Onset

Overview of Anxiety Disorders

2018 ◽  
Author(s):  
Jon E Grant
Keyword(s):  
United States ◽  
Anxiety Disorder ◽  
Panic Disorder ◽  
Anxiety Disorders ◽  
Separation Anxiety ◽  
The United States ◽  
Specific Phobia ◽  
Separation Anxiety Disorder ◽  
Generalized Anxiety ◽  
Psychosocial Impairment

Anxiety disorders are the most common psychiatric disorders among adults in the United States. Although anxiety disorders generally result in significant psychosocial impairment, most adults do not seek treatment until many years after the onset of the anxiety disorder. The treatment literature for anxiety disorder has grown tremendously since the 1980s, and both psychotherapy and medications may prove beneficial for people with anxiety disorders. This review presents a general overview of the anxiety disorders. This review contains 7 tables, and 33 references. Key words: agoraphobia, anxiety disorder, generalized anxiety disorder, panic disorder, separation anxiety disorder, social anxiety disorder, specific phobia, treatment of anxiety

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