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What do childhood anxiety disorders predict?
J Child Psychol Psychiatry. 2007 Dec; 48(12):1174-83.JC

Abstract

BACKGROUND

Few longitudinal studies of child and adolescent psychopathology have examined the links between specific childhood anxiety disorders and adolescent psychiatric disorder. In this paper we test the predictive specificity of separation anxiety disorder (SAD), overanxious disorder (OAD), generalized anxiety disorder (GAD), and social phobia.

METHODS

Data come from the Great Smoky Mountains Study (GSMS). A representative population sample of children--ages 9, 11, and 13 years at intake--was followed to age 19. Diagnoses of both childhood (before age 13 years) and adolescent psychiatric disorders (age 13 to 19 years) were available from 906 participants.

RESULTS

Childhood SAD predicted adolescent SAD, whereas OAD was associated with later OAD, panic attacks, depression and conduct disorder (CD). GAD was related only to CD. Social phobia in childhood was associated with adolescent OAD, social phobia, and attention-deficit/hyperactivity disorder (ADHD).

CONCLUSIONS

Anxiety disorders in childhood are predictors of a range of psychiatric disorders in adolescence. It appears that children meriting a well-defined diagnosis are missed by the current rules for the diagnosis of GAD. Future studies should examine whether OAD deserves reconsideration as a nosological entity.

Authors+Show Affiliations

Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany. antje.bittner@uniklinikum-dresden.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18093022

Citation

Bittner, Antje, et al. "What Do Childhood Anxiety Disorders Predict?" Journal of Child Psychology and Psychiatry, and Allied Disciplines, vol. 48, no. 12, 2007, pp. 1174-83.
Bittner A, Egger HL, Erkanli A, et al. What do childhood anxiety disorders predict? J Child Psychol Psychiatry. 2007;48(12):1174-83.
Bittner, A., Egger, H. L., Erkanli, A., Jane Costello, E., Foley, D. L., & Angold, A. (2007). What do childhood anxiety disorders predict? Journal of Child Psychology and Psychiatry, and Allied Disciplines, 48(12), 1174-83.
Bittner A, et al. What Do Childhood Anxiety Disorders Predict. J Child Psychol Psychiatry. 2007;48(12):1174-83. PubMed PMID: 18093022.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - What do childhood anxiety disorders predict? AU - Bittner,Antje, AU - Egger,Helen L, AU - Erkanli,Alaattin, AU - Jane Costello,E, AU - Foley,Debra L, AU - Angold,Adrian, PY - 2007/12/21/pubmed PY - 2008/2/8/medline PY - 2007/12/21/entrez SP - 1174 EP - 83 JF - Journal of child psychology and psychiatry, and allied disciplines JO - J Child Psychol Psychiatry VL - 48 IS - 12 N2 - BACKGROUND: Few longitudinal studies of child and adolescent psychopathology have examined the links between specific childhood anxiety disorders and adolescent psychiatric disorder. In this paper we test the predictive specificity of separation anxiety disorder (SAD), overanxious disorder (OAD), generalized anxiety disorder (GAD), and social phobia. METHODS: Data come from the Great Smoky Mountains Study (GSMS). A representative population sample of children--ages 9, 11, and 13 years at intake--was followed to age 19. Diagnoses of both childhood (before age 13 years) and adolescent psychiatric disorders (age 13 to 19 years) were available from 906 participants. RESULTS: Childhood SAD predicted adolescent SAD, whereas OAD was associated with later OAD, panic attacks, depression and conduct disorder (CD). GAD was related only to CD. Social phobia in childhood was associated with adolescent OAD, social phobia, and attention-deficit/hyperactivity disorder (ADHD). CONCLUSIONS: Anxiety disorders in childhood are predictors of a range of psychiatric disorders in adolescence. It appears that children meriting a well-defined diagnosis are missed by the current rules for the diagnosis of GAD. Future studies should examine whether OAD deserves reconsideration as a nosological entity. SN - 0021-9630 UR - https://www.unboundmedicine.com/medline/citation/18093022/What_do_childhood_anxiety_disorders_predict L2 - https://doi.org/10.1111/j.1469-7610.2007.01812.x DB - PRIME DP - Unbound Medicine ER -