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首页> 外文期刊>Journal of the American Academy of Child and Adolescent Psychiatry >Longitudinal patterns of anxiety from childhood to adulthood: The great smoky mountains study
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Longitudinal patterns of anxiety from childhood to adulthood: The great smoky mountains study

机译：童年到成年期的纵向焦虑模式：大烟山的研究

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Objective: The aims of this study were 2-fold: to provide a brief introduction to the prospective longitudinal Great Smoky Mountains Study and review recent findings; and to use this sample to conduct an epidemiologic analysis of common childhood anxiety disorders. Method: The population-based Great Smoky Mountains Study assessed 1,420 participants from 11 counties in the southeastern United States up to 11 times between ages 9 and 26 years with the structured Child and Adolescent Psychiatric Assessment and its upward extension, the Young Adult Psychiatric Assessment. Results: The U-shaped age prevalence curve for any anxiety disorder was the product of high levels of childhood separation anxiety and adult panic, agoraphobia, and generalized anxiety. More than 1 in 5 subjects met criteria for an anxiety disorder by early adulthood. In terms of cumulative comorbidity, there was evidence of overlap between anxiety disorders, but the level of overlap was generally consistent with what is seen among other common childhood disorders. All childhood anxiety disorders were associated with adverse functioning in at least 1 young adult functional domain, with the poorest outcomes for childhood generalized anxiety and DSM-III-R overanxious disorder. Conclusion: Clinically significant anxiety is a common mental health problem to have had by adulthood. There was little evidence to support the consolidation of anxiety disorders, and some evidence to justify reintroduction of DSM-III-R overanxious disorder. The transition to young adulthood appears to be a key period for understanding the development of common adult anxiety disorders such as panic and agoraphobia.
机译：目的：这项研究的目的是2倍：提供前瞻性纵向大型烟雾山研究和审查最近发现的简要介绍;并使用此样品进行常见儿童焦虑症的流行病学分析。方法：基于人口的大烟山研究评估了来自东南部的11个县的1,420名参与者在9至26岁之间的11次，结构性儿童和青少年精神病评估及其向上延伸，年轻的成人精神病评估。结果：U形患者患有焦虑症的患病曲线是儿童分离焦虑和成年恐慌，广播恐惧症和广义焦虑的产物。 5个受试者中有超过1人在成年早期满足焦虑症的标准。就累积合并症而言，有证据表明焦虑症之间的重叠，但重叠水平通常与其他常见的童年疾病所见的一致。所有儿童焦虑障碍与至少1名年轻成人功能域中的不利功能有关，儿童时期广泛性焦虑和DSM-III-R过度疾病的最贫困成果。结论：临床上显着的焦虑是成年期具有常见的心理健康问题。几乎没有证据支持焦虑症的巩固，以及一些证据证明了证据重新制定DSM-III-R过度疾病。对年轻成年期的过渡似乎是了解普通成人焦虑症，如恐慌和广视恐慌症的关键期。

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