PMID- 9549964
OWN - NLM
STAT- MEDLINE
DCOM- 19980507
LR  - 20041117
IS  - 0890-8567 (Print)
IS  - 0890-8567 (Linking)
VI  - 37
IP  - 4
DP  - 1998 Apr
TI  - Individual and familial predictors of impairment in childhood anxiety disorders.
PG  - 428-34
AB  - OBJECTIVE: To determine which correlates of childhood anxiety disorders are 
      predictive of impaired functioning as judged by clinicians. METHOD: Seventy-four 
      families of children with anxiety disorders attending a hospital outpatient 
      clinic completed questionnaires measuring child symptoms of anxiety and 
      depression, maternal psychopathology, maternal ratings of child psychopathology, 
      and developmental and environmental difficulties. Clinicians completed the Global 
      Assessment of Functioning (GAF) for each child, and correlations between it and 
      the other measures were ascertained. RESULTS: Maternal ratings of child conduct 
      problems, child symptoms of depression, maternal phobic anxiety, developmental 
      difficulties, and psychosocial adversity were significantly correlated with GAF. 
      Results of a multiple regression analysis revealed that these variables accounted 
      for 25% of the variance in GAF scores. The first four variables were significant 
      predictors of impairment in children with phobic disorders. Psychosocial 
      adversity was the only significant predictor of impairment in children with 
      generalized anxiety disorder. CONCLUSIONS: In addition to child depression and 
      developmental or psychosocial adversity, impairment in childhood anxiety 
      disorders appears to be related to parental anxiety and behavior management 
      difficulties, particularly in phobic disorders. Addressing the latter factors may 
      enhance treatment efficacy.
FAU - Manassis, K
AU  - Manassis K
AD  - Department of Psychiatry, Hospital for Sick Children, Toronto, Ontario, Canada.
FAU - Hood, J
AU  - Hood J
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Am Acad Child Adolesc Psychiatry
JT  - Journal of the American Academy of Child and Adolescent Psychiatry
JID - 8704565
SB  - IM
MH  - Adolescent
MH  - Analysis of Variance
MH  - Anxiety Disorders/*epidemiology/psychology
MH  - Child
MH  - *Family Health
MH  - Female
MH  - Humans
MH  - Male
MH  - Parents/psychology
MH  - Phobic Disorders/epidemiology/psychology
MH  - Regression Analysis
MH  - Risk Factors
EDAT- 1998/04/29 00:00
MHDA- 1998/04/29 00:01
CRDT- 1998/04/29 00:00
PHST- 1998/04/29 00:00 [pubmed]
PHST- 1998/04/29 00:01 [medline]
PHST- 1998/04/29 00:00 [entrez]
AID - S0890-8567(09)63051-3 [pii]
AID - 10.1097/00004583-199804000-00021 [doi]
PST - ppublish
SO  - J Am Acad Child Adolesc Psychiatry. 1998 Apr;37(4):428-34. doi: 
      10.1097/00004583-199804000-00021.