Thedevelopmental epidemiology of anxiety disorders: phenomenology, prevalence, and comorbidity

Costello, E. Jane; Egger, Helen L.; Copeland, William E.; Erkanli, Alaattin; Angold, Adrian

doi:10.1017/cbo9780511994920.004

Cited by 161 publications

(116 citation statements)

References 78 publications

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“…A further challenge is disentangling the relationship between child anxiety and family functioning when comorbidities are present. It is well documented that children with anxiety disorders have high rates of comorbid anxiety disorders, depression, conduct disorder, oppositional defiant disorder, attention deficit hyperactivity disorder (ADHD) (Angold et al 1999;Costello et al 2005;Jarrett and Ollendick 2008;Kovacs and Devlin 1998), learning disabilities (Sundheim and Voeller 2004), and medical illnesses (Chavira et al 2008). Although the presence of comorbid conditions has been shown to contribute to higher levels of symptom severity, somatic complaints, and functional impairment relative to children without comorbidities (Chavira et al 2008;Guberman and Manassis 2011;O'Neil et al 2010), little is known about how co-occurring conditions impact the family environment or the parent-child relationship.…”

Section: Challenges and Future Directionsmentioning

confidence: 99%

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Family Factors in the Development, Treatment, and Prevention of Childhood Anxiety Disorders

Drake

Ginsburg

2012

Clin Child Fam Psychol Rev

151

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It is now widely accepted that anxiety disorders run in families, and current etiological models have proposed both genetic and environmental pathways to anxiety development. In this paper, the familial role in the development, treatment, and prevention of anxiety disorders in children is reviewed. We focus on three anxiety disorders in youth, namely, generalized, separation, and social anxiety as they often co-occur both at the symptom and disorder level and respond to similar treatments. We begin by presenting an overview of a broad range of family factors associated with anxiety disorders. Findings from these studies have informed intervention and prevention strategies that are discussed next. Throughout the paper we shed light on the challenges that plague this research and look toward the future by proposing directions for much needed study and discussing factors that may improve clinical practice and outcomes for affected youth and their families.

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Section: Challenges and Future Directionsmentioning

confidence: 99%

“…Keywords Children Á Anxiety Á Family Á Parenting Á Treatment Á Prevention Anxiety disorders in children are among the most common psychiatric illnesses with prevalence rates averaging 10% of the youth population (Costello et al 2004(Costello et al , 2005Velting et al 2002). These illnesses confer significant impairment in several domains of functioning.…”

mentioning

confidence: 99%

Family Factors in the Development, Treatment, and Prevention of Childhood Anxiety Disorders

Drake

Ginsburg

2012

Clin Child Fam Psychol Rev

151

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“…Prevalence rates vary according to each disorder, estimating that between 5 and 18% of children and adolescents meet the criteria for an anxiety disorder [4][5][6][7]. Although some anxiety problems, such as separation anxiety or specific phobias, tend to disappear with age, in some children they persist and adversely affect the child's life becoming a risk factor for the development of other anxiety disorders in adolescence and adulthood [8].…”

Section: Introductionmentioning

confidence: 99%

Spanish Validation of the Spence Children’s Anxiety Scale

Orgilés

Méndez

Spence

et al. 2011

Child Psychiatry Hum Dev

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The purpose of this study was to investigate the factorial structure and psychometric properties of the Spence Children's Anxiety Scale (SCAS) in a sample of 1,708 Spanish children aged between 8 and 12 years. The SCAS was demonstrated to have satisfactory internal consistency with the Spanish sample, and factor analysis confirmed the six-factor original model. Convergent validity was supported by correlations with the State-Trait Anxiety Inventory for Children and the welfare dimension of the Child Health and Illness Profile-Children Edition. Low correlations between the SCAS and the Children's Depression Inventory supported the divergent validity. Analysis suggested that anxiety scores decrease with age, and girls reported higher scores than boys. Overall, the SCAS was shown to have good psychometric properties for use with Spanish children by clinicians and researchers.

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“…Among the internalizing disorders, the prevalence of co -occurrence is somewhat lower with 10% to 20% of children with ADHD exhibiting mood disorder (Acosta et al, 2004;Eiraldi, Power, & Nezu, 1997;Sanders et al, 2005;. In addition, the association of ADHD with both depressive disorders and anxiety disorders has been replicated by new epidemiological studies (Angold, Costello, & Erkanli, 1999;Costello, Egger, & Angold, 2005). It is now clear that assessment of the underlying structure of these disorders, to discriminate natural symptom aggregation across ADHD domains and provide insight into the cause of comorbidity, is necessary to better understand the psychopathology of these entities.…”

Section: Childhood Adhdmentioning

confidence: 99%