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Epidemiology of childhood anxiety disorders

Published online by Cambridge University Press:  16 April 2020

I Jalenques
Affiliation:
Centre Médico-Psychologique, CHU Saint-Jacques, Clermont-Ferrand Cedex
AJ Coudert
Affiliation:
Centre Médico-Psychologiue, CRU Saint-Jacques BP 69, 63003Clermont-Ferrand Cedex, France
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Summary

This review studies the epidemiology of anxiety disorders of childhood and adolescence, including prevalence rates, comorbidity patterns, risk factors and course. Comorbidity is very important: most children with anxiety disorders also have one or several other anomalies, usually anxiety or mood disorders. The authors point out the main evidence suggesting that a number of risk factors are associated with childhood anxiety disorders: age, sex, low socioeconomic setting; child's personality, and lastly, familial risk factors which have a very strong influence: children of parents with current or past anxiety disorders are more at risk of having anxiety disorders. Concerning the course of disorders, we have tentatively defined subsets of children or adolescents with anxiety disorders, and tried to clarify the recovery rate of these subsets. Future directions for research are suggested.

Type
Review
Copyright
Copyright © Elsevier, Paris 1993

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References

Agras, SChapin, HNoliveau, DC (1972) The natural history of phobia: course and prognosis. Arch Gen Psychiatry 26, 315317CrossRefGoogle ScholarPubMed
American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (Third Edition). American Psychiatric Association, Washington, DCGoogle Scholar
American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (Third Edition Revised). American Psychiatric Association, Washington, DCGoogle Scholar
Anderson, JCWilliams, SMc Gee, RSilva, PA (1987) DSM III disorders in pre-adolescent children. Arch Gen Psychiatry, 44, 6976CrossRefGoogle Scholar
Beitchman, JHWekerle, CHood, J (1987) Diagnostic continuity from preschool to middle childhood. J Am Acad Child Adoles Psychiatry 26, 694699CrossRefGoogle ScholarPubMed
Berg, I (1976) School phobia in the children of agoraphobic women. Br J Psychiatry 128, 8689CrossRefGoogle ScholarPubMed
Berg, IButler, AHall, g (1976).The outcome of adolescent school phobia. Br J Psychiatry 128, 8085CrossRefGoogle ScholarPubMed
Berg, IButler, APritchard, J (1974). Psychiatric illness in the mothers of school phobic adolescents. Br J Psychiatry 125,466467CrossRefGoogle ScholarPubMed
Berg, IMarks, IMc Guire, RLipsedge, M (1974) School phobia and agoraphobia, Psychol Med 4, 428–134CrossRefGoogle ScholarPubMed
Bernstein, GA (1991). Comorbidity and severity of anxiety and depressive disorders in a clinic sample.J Am Acad Child Adoles Psychiatry 30, 4350CrossRefGoogle Scholar
Biederman, JRosembaum, JFBolduc, EAFaraone, SVHirshfeld, DR (1991) A high risk study of young children of parents with panic disorder and agoraphobia with and without comorbid major depression. Psychiatry Res 37,333348CrossRefGoogle ScholarPubMed
Biederman, JRosembaum, JFHirschfeld, DRBolduc, EAFaraone, SVKagan, J (1990) Further evidence of an association between behavioral inhibition and anxiety disorders: results from a family study of children from a non-clinical sample. Scientific Proceedings of the Annual Meeting of the American Academy of Child and Adolescent Psychiatry, 6,56Google Scholar
Bird, HRCanino, GRubio-Stipec, M (1988) Estimates of the prevalence of childhood maladjustment in a community survey in Puerto-Rico. Arch Gen Psychiatry 45,11201126CrossRefGoogle Scholar
Cantwell, DPBaker, L (1989) Stability and natural history of DSM III childhood diagnoses. J Am Acad Child Adoles Psychiatry 28, 691700CrossRefGoogle ScholarPubMed
Chess, SThomas, A(1977) Temperamental individuality from childhood to adolescence. J Am Acad Child Adoles Psychiatry, 16,218226CrossRefGoogle ScholarPubMed
Costello, EJ (1989) Child psychiatric disorders and their correlates: a primary care pediatric ssample. J Am Acad Child Adoles Psychiatry 28, 851855CrossRefGoogle Scholar
Flament, MFWhitaker, ARapoport, JL (1988) Obsessive compulsive disorder in adolescence: an epidemiological study.J Am Acad Child Adoles Psychiatry 27, 764771CrossRefGoogle Scholar
Francis, GLast, CGStrauss, CC (1987) Expression of separation anxiety disorder: the roles of age and gender. Child Psychiatry Hum Dev 18, 8289CrossRefGoogle ScholarPubMed
Gittelman-Klein, R(1975) Psychiatrics characteristics of the relatives of school phobic children. In: Mental Health in Children (Sankar, DVS ed) (vol 1). Westbury PJD Publications NY, pp 325334Google Scholar
Gittelman-Klein, RKlein, DF (1980) Separation anxiety in school refusal and its treatment with drugs. In: Out of School (Hersov, LBerg, I eds). London, Wiley 321341Google Scholar
Hollingsworth, CETangay, PEGrossman, LPabst, P (1980) Long-term outcome of obsessive-compulsive disorder in childhood. J Am Acad Child Adoles Psychiatry 19, 134144CrossRefGoogle ScholarPubMed
Jalenques, ILachal, ChCoudert, AJ (1992) Les états anxieux de l’enfant. Paris, MassonGoogle Scholar
Kashani, JHOrvaschel, H (1988) Anxiety disorders in mild-adolescence: a community sample. Am J Psychiatry 145, 960964Google ScholarPubMed
Kashani, JHOrvaschel, H (1990) A community study of anxiety in children and adolescents. Am J Psychiatry 147,313318Google ScholarPubMed
Klein, DF (1964) Delineation of two drug-responsive anxiety syndromes. Psychopharmacologia 3, 397408CrossRefGoogle Scholar
Kovacs, MGatsonis, CPaulanskas, SLRichards, C (1989) Depressive disorders in childhood. IV. A longitudinal study of comorbidity with and risk for anxiety disorders. Arch Gen Psychiatry 46, 776782Google ScholarPubMed
Lapouse, RMonk, MA (1958) An epidemiologic study of behavior characteristics in children. Am J Public Health, 48, 11341144CrossRefGoogle ScholarPubMed
Lapouse, RMonk, MA (1959) Fears and worries in a representative sample of children. Am J Orthopsychiatry 29,803818CrossRefGoogle Scholar
Last, CGHersen, MKazdin, AEFinkelstein, RStrauss, CC (1987a) Comparison of DSM III separation 9 anxiety and overanxious disorders: demographic characteristics and patterns of comorbidity. J Am Acad Child Adoles Psychiatry 26, 4, 527531CrossRefGoogle Scholar
Last, CGHersen, MKazdin, AEFrancis, GGrubb, HJ (1987b) Psychiatric illness in the mothers of anxious children. Am J Psychiatry 144, 12, 15801583-24Google Scholar
Last, CGPerrin, SHersen, MKazdin, AE (1992) DSM-III- R anxiety disorders in children: sociodemographic and clinical characteristics, J Am Acad Child Adoles Psychiatry, 31,6, 10701076CrossRefGoogle ScholarPubMed
Last, CGStrauss, CC (1989c) Obsessive-compulsive disorder in childhood. J Anx Disorders 3, 295330CrossRefGoogle Scholar
Last, CGStrauss, CCFrancis, G (1987d) Comorbidity among childhood anxiety disorders. J Nerv Ment Disease 175,12,726730CrossRefGoogle Scholar
Livingston, RNugent, HRader, LSmith, GR (1985) Family histories of depressed and severely anxious children. Am J Psychiatry 142, 12, 14971499Google ScholarPubMed
Macaulay, JLKleinknech, RA (1989) Panic and panic attacks in adolescents. J Anxiety Disord 3, 221241CrossRefGoogle Scholar
Marks, IMGelder, MG (1966) Different ages of onset in varieties of phobia. Am J Psychiatry 123,2,218221CrossRefGoogle ScholarPubMed
Maziade, MCaron, CCôté, RMérette, CBernier, HLaplante, BBoutin, PThivierge, J (1990) Psychiatric status of adolescents who had extreme temperament at age 7 .Am J Psychiatry 147, 15311536Google ScholarPubMed
McGee, RFeehan, MWilliams, SPatridge, FSilva, PAKelly, J (1990) DSM III disorders in a large sample of adolescents. J Am Acad Child Adoles Psychiatry, 29, 611619CrossRefGoogle Scholar
Mitchell, JMcCauley, EBurke, PMMoss, SJ (1988) Phenomenology of depression in children and adolescents. J Am Acad Child Adoles Psychiatry 27, 1220CrossRefGoogle ScholarPubMed
Moreau, DWeissman, M (1992) Panic disorder in children and adolescents; a review. Am J Psychiatry 149, 10, 13061314Google ScholarPubMed
Ollendick, TH (1979) Fear reduction techniques with children. In: l Progress in Behavior Modification, Vol8 (Miller, PEisler, R eds). Academic Press, New YorkGoogle Scholar
Ollendick, THMatson, JLHelsel, WJ (1985) Fears in children and adolescents: normative data. Behav Res Ther 23, 465467CrossRefGoogle ScholarPubMed
Rapoport, JL (1986) Annotation childhood obsessive compulsive disorder. J Child Psychol Psychiatry 27, 289295CrossRefGoogle Scholar
Richman, NStevenson, JEGraham, PJ (1975) Prevalence of behavior problems in three-year old children: an epidemiologic study in a London borough. J Child Psychol Psychiatry 16, 277287CrossRefGoogle Scholar
Riddle, MAScahill, LKing, R (1990) Obsessive compulsive disorder in children and adolescents: phenomenology and family history. J Am Acad Child Adoles Psychiatry 29, 766772CrossRefGoogle ScholarPubMed
Rosembaum, JFBiederman, J.Gersten, MHirshfeld, DRMeminger, SRHerman, JBKagan, JReznik, JSSnidman, N (1988) Behavioral inhibition in children of parents with panic disorder and agoraphobia: a controlled study. Arch Gen Psychiatry 45, 463470CrossRefGoogle Scholar
Rutter, MTizard, JWhitmore, K (1981) Education, health and behaviour. Krieger, New YorkGoogle Scholar
Siverman, WKCerny, JANelles, WBBurke, AE (1988) Behavior problems in children of parents with anxiety disorders. J Am Acad Child Adoles Psychiatry 27, 6, 779784CrossRefGoogle Scholar
Silverman, WKNelles, WB (1988) The influence of gender on children's ratings of fear in self and same-aged peers. J Gen Psychol 148, 1721CrossRefGoogle Scholar
Strauss, CCLast, CGHersen, MKazdin, AE (1988a) Association between anxiety and depression in children and adolescents with anxiety disorders. J Abnorm Child Psychol 16,5768CrossRefGoogle Scholar
Strauss, CCLease, CALast, CGFrancis, G (1988b) Over-anxious disorder: an examination of developmental differences. J Abnorm Child Psychol 16, 433443CrossRefGoogle Scholar
Swedo, SERapoport, JLLeonard, HLenane, MCheslow, D (1989) Obsessive-compulsive disorder in children and adolescents.Arch Gen Psychiatry, 46, 335341CrossRefGoogle ScholarPubMed
Turner, SMBeidel, DCCostello, A (1987) Psychopathology in the offspring of anxiety disorders patients. J Consult Clin Psychol 55, 229235CrossRefGoogle ScholarPubMed
Terr, LC (1985) Children traumatized in small groups. In: Post-Traumatic Stress Disorder in Children (Eth, SPynoos, RS eds). Washington, DC: American Psychiatric Press, Inc, 4770Google Scholar
Tyrer, PTyrer, S (1974) School refusal, truancy, and adult neurotic illness. Psychol Med 4, 416421CrossRefGoogle ScholarPubMed
Velez, CNJohnson, JCohen, P (1989). A longitudinal analysis of selected risk factors for childhood psychopathology. J Am Acad Child Adolesc Psychiatry 28, 861864CrossRefGoogle ScholarPubMed
Verhults, FCAlthaus, M (1985) Mental health in Dutch children II: the prevalence of psychiatric disorder and the relationship between measures, Acta Psvchiatr Scand (suppl 324), 72Google Scholar
Verhults, FCAkkerhuis, GW (1988) Persistence and Epidemiology of childhood anxiety disorders 191 change in behavioral and emotional problems reported by parents of children aged 4-14, Acta Psychiatr Scand (suppl 339), 77Google Scholar
Vitiello, BBehar, DWolfson, SMc Leer, S (1990) Diagnosis of panic disorder in prepubertal children.J Am Acad Child Adoles Psychiatry 29, 5, 782784CrossRefGoogle ScholarPubMed
Von Korff, MREaton, WWKey, PM (1985) The epidemiology of panic attacks and panic disorder. Am J Epidemiol 122,970981CrossRefGoogle ScholarPubMed
Weissman, MMLeckman, JFMerikangas, KRGammon, GDPrusoff, BA (1984) Depression and anxiety disorders in parents and children. Arch Gen Psychiatry 31, 845852CrossRefGoogle Scholar
Werry, JSMethven, RJFitzpatnck, JDixon, H (1983) The interrater reliability of DMS-III in children. J Abnorm Child Psychol 11, 341354CrossRefGoogle Scholar
Whitaker, AJohnson, JShaffer, D (1990) Uncommon troubles in young people: prevalence estimates of selected psychiatric disorders in a non-referred adolescent population. Arch Gen Psychiatry 41, 487496CrossRefGoogle Scholar
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