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SPECIFYING CHILD ANXIETY DISORDERS NOT OTHERWISE SPECIFIED IN THE DSM-IV

2012; Wiley; Volume: 29; Issue: 12 Linguagem: Inglês

10.1002/da.21981

1520-6394

Jonathan S. Comer, Kaitlin P. Gallo, Priya Korathu-Larson, Donna B. Pincus, Timothy A. Brown,

Youth Substance Use and School Attendance

Depression and AnxietyVolume 29, Issue 12 p. 1004-1013 Research Article SPECIFYING CHILD ANXIETY DISORDERS NOT OTHERWISE SPECIFIED IN THE DSM-IV Jonathan S. Comer Ph.D., Corresponding Author Jonathan S. Comer Ph.D. Department of Psychology, Center for Anxiety and Related Disorders, Boston University, Boston, MassachusettsCorrespondence to: Jonathan S. Comer, Department of Psychology, Center for Anxiety and Related Disorders, Boston University, 648 Beacon Street, 6th Floor, Boston, MA 02446. E-mail: [email protected]Search for more papers by this authorKaitlin P. Gallo M.A., Kaitlin P. Gallo M.A. Department of Psychology, Center for Anxiety and Related Disorders, Boston University, Boston, MassachusettsSearch for more papers by this authorPriya Korathu-Larson B.A., Priya Korathu-Larson B.A. Department of Psychology, University of California, Los Angeles, CaliforniaSearch for more papers by this authorDonna B. Pincus Ph.D., Donna B. Pincus Ph.D. Department of Psychology, Center for Anxiety and Related Disorders, Boston University, Boston, MassachusettsSearch for more papers by this authorTimothy A. Brown Ph.D., Timothy A. Brown Ph.D. Department of Psychology, Center for Anxiety and Related Disorders, Boston University, Boston, MassachusettsSearch for more papers by this author Jonathan S. Comer Ph.D., Corresponding Author Jonathan S. Comer Ph.D. Department of Psychology, Center for Anxiety and Related Disorders, Boston University, Boston, MassachusettsCorrespondence to: Jonathan S. Comer, Department of Psychology, Center for Anxiety and Related Disorders, Boston University, 648 Beacon Street, 6th Floor, Boston, MA 02446. E-mail: [email protected]Search for more papers by this authorKaitlin P. Gallo M.A., Kaitlin P. Gallo M.A. Department of Psychology, Center for Anxiety and Related Disorders, Boston University, Boston, MassachusettsSearch for more papers by this authorPriya Korathu-Larson B.A., Priya Korathu-Larson B.A. Department of Psychology, University of California, Los Angeles, CaliforniaSearch for more papers by this authorDonna B. Pincus Ph.D., Donna B. Pincus Ph.D. Department of Psychology, Center for Anxiety and Related Disorders, Boston University, Boston, MassachusettsSearch for more papers by this authorTimothy A. Brown Ph.D., Timothy A. Brown Ph.D. Department of Psychology, Center for Anxiety and Related Disorders, Boston University, Boston, MassachusettsSearch for more papers by this author First published: 16 July 2012 https://doi.org/10.1002/da.21981Citations: 7 Conflict of interest: No authors have competing financial interests to declare. Contract grant sponsor: National Institutes of Health (NIH); Contract grant number: K23 MH090247. Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Abstract Background Anxiety disorder not otherwise specified (ADNOS) is one of the more common and impairing DSM-IV diagnoses assigned in child practice settings, but it is not clear what percentage of these assignments simply reflect poor diagnostic practices. Methods The present study evaluated patterns and correlates of child ADNOS in a large outpatient treatment seeking sample of anxious youth (N = 650), utilizing structured diagnostic interviewing procedures. Results Roughly, 15% of youth met diagnostic criteria for ADNOS. Overall, these youth exhibited comparable levels of clinical problems relative to youth with DSM-IV–specified anxiety disorders (AD), and roughly two-thirds of ADNOS cases exhibited symptom presentations closely resembling generalized anxiety disorder (GAD). Among ADNOS presentations resembling GAD, those failing to meet the "worries more days than not" or "worries across multiple domains" criteria showed lower internalizing symptoms than GAD youth, but comparable anxious/depressed symptoms, somatic symptoms, social problems, externalizing problems, and total problems as measured by the Child Behavior Checklist. Conclusions Childhood ADNOS cases are prevalent and warrant clinical attention. In many cases there are only a couple, if any, clinical differences between these disorders and the ADs they closely resemble. Future work is needed to improve upon the current taxonomy of childhood ADs to specify a larger proportion of affected youth needing care. Citing Literature Volume29, Issue12December 2012Pages 1004-1013 RelatedInformation