A Prospective Study of Childhood Anxiety Disorders

Abstract

Overall, results suggest a favorable outcome with respect to diagnostic status for clinically referred children with anxiety disorders. However, these children may be at risk for new psychiatric disorders over time.

Separation anxiety disorder in a 13-year–old boy managed by the Neuro Emotional Technique as a biopsychosocial intervention

“…Given the controversy surrounding the current management approaches for children with anxiety disorders, 4,5,15,32 additional research aimed at the assessment of psychosocial interventions, such as NET, may be of value.…”

Pediatric anxiety disorders: from neuroscience to evidence-based clinical practice

“…33 The frequency of each one of these courses is highly variable from one longitudinal study to another. 1,5,29,32,[34][35][36][37][38][39][40][41][42] Broadly we can say that about one-third of anxious children achieve a long-term remission, another third part persists with strict or broad anxiety continuity (frequently accompanied by comorbid disorders), and about one-third remits from anxiety and develops a sequential heterotypic comorbidity (mainly with major depression and substance abuse). 1,29,38,40 Among a variety of potential moderators of the natural history, unfavorable natural courses have been associated with female gender, symptom severity, duration of illness, early age of onset, severe avoidance and associated impairment, parental history of psychopathology, and inhibited temperament.…”

Familial risk factors in social anxiety disorder: calling for a family-oriented approach for targeted prevention and early intervention

“…For example, among those with a lifetime SAD diagnosis, often less than one third also report SAD within the last 12 months [9], and individuals rarely meet the threshold for SAD consistently at subsequent assessment waves [72]. Accordingly, SAD may fluctuate in severity [9,59], but persists on a symptom level with frequent oscillations around the diagnostic threshold [114]. About half of SAD cases have syndromal shifts [48], which is similarly observed in other anxiety disorders.…”

“…About half of SAD cases have syndromal shifts [48], which is similarly observed in other anxiety disorders. Adolescent SAD is associated with SAD in adulthood [87], other anxiety [59], depressive [10,100], and substance use disorders [55,117], suggesting both homotypic and heterotypic continuity of SAD.…”

“…As time to second relapse was shorter than the time to first relapse, duration of the symptom-free interval appears to decrease over time. In children and adolescents, spontaneous remission rates are usually higher than in adults (up to 50% after 15 month [30]), but reduce when also subthreshold expressions of SAD and subsequent incidence of other anxiety disorders are considered [10,59].…”