Pediatric-Onset and Adult-Onset Separation Anxiety Disorder Across Countries in the World Mental Health Survey

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art_SILOVE_PediatricOnset_and_AdultOnset_Separation_Anxiety_Disorder_Across_Countries_2015.PDF (890.09 KB)
Citações na Scopus
86
Tipo de produção
article
Data de publicação
2015
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
AMER PSYCHIATRIC PUBLISHING, INC
Autores
SILOVE, Derrick
ALONSO, Jordi
BROMET, Evelyn
GRUBER, Mike
SAMPSON, Nancy
SCOTT, Kate
BENJET, Corina
ALMEIDA, Jose Miguel Caldas de
GIROLAMO, Giovanni De
Citação
AMERICAN JOURNAL OF PSYCHIATRY, v.172, n.7, p.647-656, 2015
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Objective: The age-at-onset criterion for separation anxiety disorder was removed in DSM-5, making it timely to examine the epidemiology of separation anxiety disorder as a disorder with onsets spanning the life course, using cross-country data. Method: The sample included 38,993 adults in 18 countries in the World Health Organization (WHO) World Mental Health Surveys. The WHO Composite International Diagnostic Interview was used to assess a range of DSM-IV disorders that included an expanded definition of separation anxiety disorder allowing onsets in adulthood. Analyses focused on prevalence, age at onset, comorbidity, predictors of onset and persistence, and separation anxiety-related role impairment. Results: Lifetime separation anxiety disorder prevalence averaged 4.8% across countries (interquartile range [25th-75th percentiles]=1.4%-6.4%), with 43.1% of lifetime onsets occurring after age 18. Significant time-lagged associations were found between earlier separation anxiety disorder and subsequent onset of internalizing and externalizing DSM-IV disorders and conversely between these disorders and subsequent onset of separation anxiety disorder. Other consistently significant predictors of lifetime separation anxiety disorder included female gender, retrospectively reported childhood adversities, and lifetime traumatic events. These predictors were largely comparable for separation anxiety disorder onsets in childhood, adolescence, and adulthood and across country income groups. Twelve-month separation anxiety disorder prevalence was considerably lower than lifetime prevalence (1.0% of the total sample: interquartile range=0.2%-1.2%). Severe separation anxiety-related 12-month role impairment was significantly more common in the presence (42.4%) than absence (18.3%) of 12-month comorbidity. Conclusions: Separation anxiety disorder is a common and highly comorbid disorder that can have onset across the lifespan. Childhood adversity and lifetime trauma are important antecedents, and adverse effects on role function make it a significant target for treatment.
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URI
https://observatorio.fm.usp.br/handle/OPI/11982
Referências
  1. Battaglia M, 2009, ARCH GEN PSYCHIAT, V66, P64, DOI 10.1001/archgenpsychiatry.2008.513
  2. Bogels SM, 2013, CLIN PSYCHOL REV, V33, P663, DOI 10.1016/j.cpr.2013.03.006
  3. BOWLBY J, 1961, J CHILD PSYCHOL PSYC, V1, P251
  4. Carr CP, 2013, J NERV MENT DIS, V201, P1007, DOI 10.1097/NMD.0000000000000049
  5. Copeland WE, 2014, J AM ACAD CHILD PSY, V53, P21, DOI [10.1016/j.jaac.2013.09.017, 10.1016/j.jaac.2013.10.017]
  6. EFRON B, 1988, J AM STAT ASSOC, V83, P414, DOI 10.2307/2288857
  7. First MB, 2002, USERS GUIDE STRUCTUR
  8. GITTELMAN R, 1984, PSYCHOPATHOLOGY, V17, P56
  9. Gonzalez A, 2013, PAED CHILD HEALT-CAN, V18, P415
  10. Halli SS, 1992, ADV TECHNIQUES POPUL
  11. Harkness J., 2008, The WHO world mental health surveys: global perspectives on the epidemiology of mental disorders, P91
  12. Haro JM, 2006, INT J METH PSYCH RES, V15, P167, DOI 10.1002/mpr.196
  13. Heeringa S. G., 2008, The WHO world mental health surveys: global perspectives on the epidemiology of mental disorders, P14
  14. Hoven CW, 2005, ARCH GEN PSYCHIAT, V62, P545, DOI 10.1001/archpsyc.62.5.545
  15. Karam EG, 2014, DEPRESS ANXIETY, V31, P130, DOI 10.1002/da.22169
  16. Kessler RC, 2007, WORLD PSYCHIATRY, V6, P168
  17. Kessler R. C., 2008, The WHO world mental health surveys: global perspectives on the epidemiology of mental disorders, P58
  18. Kessler RC, 2011, DEPRESS ANXIETY, V28, P29, DOI 10.1002/da.20760
  19. Kessler RC, 2009, EPIDEMIOL PSICHIAT S, V18, P23
  20. Kessler RC, 2011, ARCH GEN PSYCHIAT, V68, P90, DOI 10.1001/archgenpsychiatry.2010.180
  21. Kessler RC, 2010, BRIT J PSYCHIAT, V197, P378, DOI 10.1192/bjp.bp.110.080499
  22. Kirsten LT, 2013, COUNS PSYCHOTHER RES, V8, P36
  23. Knauper B, 1999, INT J METH PSYCH RES, V8, P39, DOI 10.1002/MPR.55
  24. Kossowsky J, 2013, AM J PSYCHIAT, V170, P768, DOI 10.1176/appi.ajp.2012.12070893
  25. Leon AC, 1997, INT J PSYCHIAT MED, V27, P93
  26. Milrod B, 2014, AM J PSYCHIAT, V171, P34, DOI 10.1176/appi.ajp.2013.13060781
  27. Miniati M, 2012, J AFFECT DISORDERS, V136, P675, DOI 10.1016/j.jad.2011.10.008
  28. Pennell B. E., 2008, The WHO world mental health surveys: global perspectives on the epidemiology of mental disorders, P33
  29. Pini S, 2010, ACTA PSYCHIAT SCAND, V122, P40, DOI 10.1111/j.1600-0447.2009.01480.x
  30. Posada D, 2004, SYST BIOL, V53, P793, DOI 10.1080/10635150490522304
  31. Research Triangle Institute, 2009, SUDAAN REL 10 0 1
  32. Roberson-Nay R, 2012, DEPRESS ANXIETY, V29, P320, DOI 10.1002/da.21931
  33. Scheeringa MS, 2008, J CLIN CHILD ADOLESC, V37, P508, DOI 10.1080/15374410802148178
  34. Shear K, 2006, AM J PSYCHIAT, V163, P1074, DOI 10.1176/appi.ajp.163.6.1074
  35. SILOVE D, 1995, PSYCHOL MED, V25, P405
  36. Silove DM, 2010, BMC PSYCHIATRY, V10, DOI 10.1186/1471-244X-10-21
  37. Wolter KM, 2007, STAT SOC BEHAV SC, P1, DOI 10.1007/978-0-387-35099-8

Coleções
Artigos e Materiais de Revistas Científicas - LIM/23
Artigos e Materiais de Revistas Científicas - HC/IPq