Burden of anxiety disorders in pediatric medical settings: prevalence, phenomenology, and a research agenda
- PMID: 20921356
- PMCID: PMC3106429
- DOI: 10.1001/archpediatrics.2010.170
Burden of anxiety disorders in pediatric medical settings: prevalence, phenomenology, and a research agenda
Abstract
The current review describes the phenomenology of several common anxiety disorders in children and adolescents as they present in medical settings. Anxiety disorders and associated features in children are described, along with epidemiology, functional impairment, common somatic complaints, medical comorbidity, health care utilization, and presentation in general and in specialty pediatric medical settings. Recommendations for clinical management in pediatric settings are presented, and evidence-based interventions and emerging treatments for pediatric anxiety disorders are described. The review concludes with a discussion of future research directions that may lead to increased recognition and improved management of anxiety disorders in pediatric medical settings.
References
-
- Kessler RC, Berglund P, Demler O, Jin R, Walters EE. Lifetime prevalence and age-of-onset distributions’ of DSM-IV disorders in the national comorbidity survey replication. J Pers Disord. 2005;62:593–602. - PubMed
-
- Angold A, Erkanli A, Farmer EMZ, et al. Psychiatric disorder, impairment, and service use in rural African American and white youth. J Pers Disord. 2002;59:893–901. - PubMed
-
- Costello EJ, Mustillo S, Erkanli A, Keeler G, Angold A. Prevalence and development of psychiatric disorders in childhood and adolescence. J Pers Disord. 2003;60:837–844. - PubMed
-
- Shaffer D, Fisher P, Dulcan MK, et al. The NIMH Diagnostic Interview Schedule for Children Version 2.3 (DISC-2.3): Description, acceptability, prevalence rates, and performance in the MECA study. J Am Acad Child Adolesc Psychiatry. 1996;35:865–877. - PubMed