RT Book, Section
A1 Puliafico, Anthony C.
A1 Chin, Erica
A1 Canetti, Alexandra
A1 Yanes-Lukin, Paula
A1 Braun, Dylan
A1 Rynn, Moira
A2 Kline, Mark W.
SR Print(0)
ID 1182924876
T1 Anxiety
T2 Rudolph's Pediatrics, 23e
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9781259588594
LK accesspediatrics.mhmedical.com/content.aspx?aid=1182924876
RD 2024/04/25
AB Anxiety  disorders  are  common  throughout  childhood  and  adolescence,  and  the  anxiety  disorders  observed  throughout  the  life  span  often  emerge  during  childhood.  Prevalence  rates  for  pediatric  anxiety  disorders  are  as  high  as  15%  to  20%.  Although  some  fears  and  anxieties  are  developmentally  normative  and  even  adaptive,  they  must  be  differentiated  from  anxiety  disorders,  which  entail  considerable  impairment  in  academic,  social,  and  family  functioning.  Unfortunately,  anxiety  disorders  may  go  unnoticed,  particularly  when  compared  to  the  disruptive  behavior  disorders  (eg,  attention-deficit/hyperactivity  disorder  [ADHD]  and  oppositional  defiant  disorder)  that  are  more  frequently  referred  for  treatment.  Early  identification  and  assessment  of  pediatric  anxiety  disorders  require  an  evaluation  that  includes  clinical  interview,  multi-informant  report  (parent,  child,  and  teacher),  careful  attention  to  developmental  level  and  ability,  an  evaluation  of  the  family  environment  and  the  response  of  the  caregivers  to  the  child’s  anxiety,  and  an  assessment  of  functional  impairment  in  daily  life.  Pediatric  anxiety  disorders  are  highly  comorbid  with  one  another,  and  affected  youth  are  likely  to  meet  criteria  for  multiple  anxiety  disorders.  Moreover,  anxiety  disorders  may  serve  as  a  gateway  to  developing  major  depressive  disorder,  suicidal  ideation  and  behavior,  and  substance  abuse  in  adolescence.  Fortunately,  anxiety  disorders  are  highly  treatable  conditions,  particularly  when  identified  early.  In  this  chapter,  we  review  the  various  types  of  anxiety  disorders,  approaches  to  screening  and  evaluation  of  anxiety,  and  evidence-based  treatment  approaches.