Homotypic Versus Heterotypic Continuity of Anxiety Symptoms in Young Adolescents: Evidence for Distinctions Between DSM-IV Subtypes |
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Authors: | Robert F Ferdinand Gwen Dieleman Johan Ormel Frank C Verhulst |
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Institution: | (1) Department of Child and Adolescent Psychiatry, Erasmus Medical Center, Rotterdam/Sophia Children’s Hospital, Dr. Molewaterplein 60, P.O. Box 2060, 3000 CB Rotterdam, The Netherlands;(2) Department of Social Psychiatry, University of Groningen, Groningen, The Netherlands |
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Abstract: | Objective: to investigate homotypic and heterotypic longitudinal patterns of symptoms of separation anxiety disorder (SAD), generalized
anxiety disorder (GAD), social phobia (SoPh), panic disorder (PD), and obsessive compulsive disorder (OCD) in young adolescents
from the Dutch general population.
Method: 2,067 individuals (51.4% girls) from a Dutch community sample, who were assessed for the first time when they were aged
10 to 12 years, were followed up across a period of two years. At both assessments, anxiety symptoms were assessed with the
RCADS, a self-report questionnaire.
Results: Regression analyses indicated that homotypic continuity was relatively high for SAD, GAD, and SoPh symptoms, and for PD
in girls.
Conclusions: In many studies, anxiety disorders are treated as one group of disorders, and some widely used assessment instruments, such
as the Child Behavior Checklist, do not even contain scales that tap different anxiety dimensions. In the present study, evidence
for homotypic continuity was found, especially for symptoms of separation, social, and generalized anxiety, and for symptoms
of panic disorder in girls, underscoring the usefulness of making distinctions between different anxiety constructs.
An erratum to this article can be found at |
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Keywords: | Adolescence Anxiety Taxonomy |
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