Associations Among Anxiety Disorders and Non-anxiety Disorders,Functional Impairment and Medication in Children and Adolescents |
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Authors: | Lourdes Ezpeleta Josep Toro |
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Institution: | (1) Unitat d’Epidemiologia i de Diagnòstic en Psicopatologia del Desenvolupament, Departament de Psicologia Clínica i de la Salut, Universitat Autònoma de Barcelona, 08193, Bellaterra, Barcelona, Spain;(2) Departament de Psiquiatria i Psicobiologia Clínica, Universitat de Barcelona, Barcelona, Spain |
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Abstract: | This is a study of comorbid anxiety disorders and how they affect the clinical picture of comorbid cases. The sample consisted
of 576 Spanish children aged 8 to 17 years receiving psychiatric outpatient consultation that were evaluated using a semi-structured
diagnostic interview for both parents and children. A specific association of homotypic comorbidity among anxiety disorders
that was independent of the presence of other disorders was found. There was heterotypic comorbidity between anxiety and depressive
disorders, ADHD, anorexia and tic disorders. Relationships between non-anxiety disorders were, in general, independent of
anxiety, but anxiety moderated the relationship between ADHD-Conduct disorder and Conduct disorder-enuresis. Comorbid anxiety
increased difficulties in social interaction, was related with higher global impairment and had an impact on consultation
and medication. Anxiety disorder comorbidity should be well recognized in order not to disregard the treatment of all present
disorders. |
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Keywords: | Anxiety disorders Comorbidity Functional impairment Consultation Medication |
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