Child and Adolescent Psychiatric Clinics of North America
Vulnerability Factors for Anxiety Disorders in Children and Adolescents
Section snippets
Community studies of anxiety disorders
There are an increasing number of community studies of children and adolescents. It is difficult to draw conclusions across the aggregate data because of differences in diagnostic criteria and instruments, and variations in the source, and age and sex composition of the sample. Table 1 presents the methods of contemporary large-scale community studies of children and adolescents [4], [11], [12], [13], [14], [15], [16], [17], [18], [19], [20], [21], [22], [23], [24], [25], [26], [27], [28], [29]
Vulnerability factors
A summary of individual and contextual risk factors for the development of anxiety disorders is presented in Box 1. The following section summarizes the current knowledge base for each of these vulnerability factors. It is likely, however, that combinations of individual and environmental factors play a more important role in influencing children who develop anxiety disorders in adulthood.
Perinatal exposures
There is no evidence that either prenatal factors or delivery complications enhance the risk for the development of anxiety disorders. The results of three studies that retrospectively assessed perinatal events converged in linking such exposures to behavioral outcomes but not to subsequent anxiety. For example, Allen and colleagues [137] found that children who suffered from various exposures, which ranged from prenatal substance use to postnatal injuries, were more likely to develop
Summary
Anxiety disorders are the most common mental disorder in the general population of children and adolescents. In general, approximately 20% of youth suffer from one of the anxiety disorders, and half as many have impairment in functioning that results from anxiety or phobias. The most common anxiety disorder is specific phobia, followed by social phobia and overanxious disorder. Similar to the sex ratio for adults, girls tend to have more of all subtypes of anxiety disorders across all
Acknowledgments
The author appreciates the editorial assistance of Erin Knight, BA.
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