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Preschool anxiety disorders in pediatric primary care: prevalence and comorbidity.

Publication ,  Journal Article
Franz, L; Angold, A; Copeland, W; Costello, EJ; Towe-Goodman, N; Egger, H
Published in: J Am Acad Child Adolesc Psychiatry
December 2013

OBJECTIVE: We sought to establish prevalence rates and detail patterns of comorbidity for generalized anxiety disorder, separation anxiety disorder, and social phobia in preschool-aged children. METHOD: The Duke Preschool Anxiety Study, a screen-stratified, cross-sectional study, drew from pediatric primary care and oversampled for children at risk for anxiety. A total of 917 parents of preschool children (aged 2-5 years) completed the Preschool Age Psychiatric Assessment. RESULTS: Generalized anxiety disorder, separation anxiety disorder, and social phobia are common in preschool-aged children attending pediatric primary care. Three-fourths of preschoolers with an anxiety disorder only had a single anxiety disorder. Generalized anxiety disorder displayed the greatest degree of comorbidity: with separation anxiety disorder (odds ratio [OR] = 4.1, 95% CI = 2.0-8.5), social phobia (OR = 6.4, 95% CI = 3.1-13.4), disruptive behavior disorders (OR = 5.1, 95% CI = 1.6-15.8), and depression (OR = 3.7, 95% CI = 1.1-12.4). CONCLUSIONS: The weakness of association between generalized anxiety disorder and depression stands in contrast to substantial associations between these 2 disorders reported in older individuals. Attenuated associations in preschool-aged children could translate into clinical opportunities for targeted early interventions, aimed at modifying the developmental trajectory of anxiety disorders.

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Published In

J Am Acad Child Adolesc Psychiatry

DOI

EISSN

1527-5418

Publication Date

December 2013

Volume

52

Issue

12

Start / End Page

1294 / 1303.e1

Location

United States

Related Subject Headings

  • Primary Health Care
  • Prevalence
  • Phobic Disorders
  • Male
  • Humans
  • Female
  • Developmental & Child Psychology
  • Cross-Sectional Studies
  • Comorbidity
  • Child, Preschool
 

Citation

APA
Chicago
ICMJE
MLA
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Franz, L., Angold, A., Copeland, W., Costello, E. J., Towe-Goodman, N., & Egger, H. (2013). Preschool anxiety disorders in pediatric primary care: prevalence and comorbidity. J Am Acad Child Adolesc Psychiatry, 52(12), 1294-1303.e1. https://doi.org/10.1016/j.jaac.2013.09.008
Franz, Lauren, Adrian Angold, William Copeland, E Jane Costello, Nissa Towe-Goodman, and Helen Egger. “Preschool anxiety disorders in pediatric primary care: prevalence and comorbidity.J Am Acad Child Adolesc Psychiatry 52, no. 12 (December 2013): 1294-1303.e1. https://doi.org/10.1016/j.jaac.2013.09.008.
Franz L, Angold A, Copeland W, Costello EJ, Towe-Goodman N, Egger H. Preschool anxiety disorders in pediatric primary care: prevalence and comorbidity. J Am Acad Child Adolesc Psychiatry. 2013 Dec;52(12):1294-1303.e1.
Franz, Lauren, et al. “Preschool anxiety disorders in pediatric primary care: prevalence and comorbidity.J Am Acad Child Adolesc Psychiatry, vol. 52, no. 12, Dec. 2013, pp. 1294-1303.e1. Pubmed, doi:10.1016/j.jaac.2013.09.008.
Franz L, Angold A, Copeland W, Costello EJ, Towe-Goodman N, Egger H. Preschool anxiety disorders in pediatric primary care: prevalence and comorbidity. J Am Acad Child Adolesc Psychiatry. 2013 Dec;52(12):1294-1303.e1.
Journal cover image

Published In

J Am Acad Child Adolesc Psychiatry

DOI

EISSN

1527-5418

Publication Date

December 2013

Volume

52

Issue

12

Start / End Page

1294 / 1303.e1

Location

United States

Related Subject Headings

  • Primary Health Care
  • Prevalence
  • Phobic Disorders
  • Male
  • Humans
  • Female
  • Developmental & Child Psychology
  • Cross-Sectional Studies
  • Comorbidity
  • Child, Preschool