Homotypic versus heterotypic continuity of anxiety symptoms in young adolescents: evidence for distinctions between DSM-IV subtypes

Robert F Ferdinand, Gwen Dieleman, Johan Ormel, Frank C Verhulst, Robert F Ferdinand, Gwen Dieleman, Johan Ormel, Frank C Verhulst

Abstract

Objective: to investigate homotypic and heterotypic longitudinal patterns of symptoms of separation anxiety disorder (SAD), generalized anxiety disorder (GAD), social phobia (SoPh), panic disorder (PD), and obsessive compulsive disorder (OCD) in young adolescents from the Dutch general population.

Method: 2,067 individuals (51.4% girls) from a Dutch community sample, who were assessed for the first time when they were aged 10 to 12 years, were followed up across a period of two years. At both assessments, anxiety symptoms were assessed with the RCADS, a self-report questionnaire.

Results: Regression analyses indicated that homotypic continuity was relatively high for SAD, GAD, and SoPh symptoms, and for PD in girls.

Conclusions: In many studies, anxiety disorders are treated as one group of disorders, and some widely used assessment instruments, such as the Child Behavior Checklist, do not even contain scales that tap different anxiety dimensions. In the present study, evidence for homotypic continuity was found, especially for symptoms of separation, social, and generalized anxiety, and for symptoms of panic disorder in girls, underscoring the usefulness of making distinctions between different anxiety constructs.

References

    1. Achenbach T. M. Manual for the child behavior checklist/4-18 and 1991 profiles. Burlington: Department of Psychiatry, University of Vermont; 1991.
    1. Achenbach T. M. Manual for the youth self-report and 1991 profiles. Burlington: University of Vermont Department of Psychiatry; 1991.
    1. Diagnostic and statistical manual of mental disorders. 4th. Washington: American Psychiatric Association; 1994.
    1. Barrett P. M., Duffy A. L., Dadds M. R., Rapee R. M. Cognitive-behavioral treatment of anxiety disorders in children: Long-term (6-year) follow-up. Journal of Consulting Clinical Psychology. 2001;69(1):135–141. doi: 10.1037/0022-006X.69.1.135.
    1. Biederman J., Faraone S. V., Marrs A., Moore P., Garcia J., Ablon S., Mick E., Gershon J., Kearns M. E. Panic disorder and agoraphobia in consecutively referred children and adolescents. Journal of the American Academy of Child & Adolescent Psychiatry. 1997;36:214–223.
    1. Bruce S. E., Yonkers K. A., Otto M. W., Eisen J. L., Weisberg R. B., Pagano M., Shea M. T., Keller M. B. Influence of psychiatric comorbidity on recovery and recurrence in generalized anxiety disorder, social phobia, and panic disorder: A 12-year prospective study. American Journal of Psychiatry. 2005;162:1179–1187. doi: 10.1176/appi.ajp.162.6.1179.
    1. Canino G., Shrout P. E., Rubio-Stipec M., Bird H. R., Bravo M., Ramirez R., Chavez L., Alegria M., Bauermeister J. J., Hohmann A., Ribera J., Garcia P., Martinez-Taboas A. The DSM-IV rates of child and adolescent disorders in Puerto Rico: prevalence, correlates, service use, and the effects of impairment. Arch Gen Psychiatry. 2004;61(1):85–93. doi: 10.1001/archpsyc.61.1.85.
    1. Chorpita B. F. The tripartite model and dimensions of anxiety and depression: An examination of structure in a large school sample. Journal of Abnormal Child Psychology. 2002;30:177–190. doi: 10.1023/A:1014709417132.
    1. Chorpita B. F., Daleiden E. L. Properties of the Childhood Anxiety Sensitivity Index in children with anxiety disorders: Autonomic and nonautonomic factors. Behavior Therapy. 2000;31(2):327–349. doi: 10.1016/S0005-7894(00)80018-0.
    1. Clark L. A. Temperament as a unifying basis for personality and psychopathology. Journal of Abnormal Psychology. 2005;114:505–521. doi: 10.1037/0021-843X.114.4.505.
    1. Clark L. A., Watson D. Tripartite model of anxiety and depression: Psychometric evidence and taxonomic implications. Journal of Abnormal Psychology. 1991;100:316–336. doi: 10.1037/0021-843X.100.3.316.
    1. Cohen J. Power Analysis for the Behavioral Sciences. 2nd. Hillsdale: Lawrence Erlbaum Associates, Inc; 1988.
    1. Compton S. N., Nelson A. H., March J. S. Social phobia and separation anxiety symptoms in community and clinical samples of children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry. 2000;39(8):1040–1046. doi: 10.1097/00004583-200008000-00020.
    1. Costello E. J., Angold A., Burns B. J., Stangl D. K., Tweed D. L., Erkanli A., Worthman C. M. The great smoky mountains study of youth. Goals, design, methods, and the prevalence of DSM-III-R disorders. Archive of General Psychiatry. 1996;53(12):1129–1136.
    1. Costello E. J., Mustillo S., Erkanli A., Keeler G., Angold A. Prevalence and development of psychiatric disorders in childhood and adolescence. Archives of General Psychiatry. 2003;60:837–844. doi: 10.1001/archpsyc.60.8.837.
    1. de Winter A. F., Oldehinkel A. J., Veenstra R., Brunnekreef A., Verhulst F. C., Ormel J. Analysis of nonresponse bias in mental health determinants and outcomes in a large sample of preadolescents. European Journal of Epidemiology. 2005;20:173–181. doi: 10.1007/s10654-004-4948-6.
    1. Essau C. A., Conradt J., Petermann F. Frequency of panic attacks and panic disorder in adolescents. Depress Anxiety. 1999;9(1):19–26. doi: 10.1002/(SICI)1520-6394(1999)9:1<19::AID-DA3>;2-#.
    1. Essau C. A., Conradt J., Petermann F. Frequency, comorbidity, and psychosocial impairment of anxiety disorders in German adolescents. Journal of Anxiety Disorders. 2000;14(3):263–279. doi: 10.1016/S0887-6185(99)00039-0.
    1. Feigon S. A., Waldman I. D., Levy F., Hay D. A. Genetic and environmental influences on separation anxiety disorder symptoms and their moderation by age and sex. Behavior Genetics. 2001;31(5):403–411. doi: 10.1023/A:1012738304233.
    1. Ferdinand, R. F., Bongers, I. L., Van Der Ende, J., van Gastel, W., Tick, N., Utens, E., & Verhulst, F. C. (2006). Distinctions between separation anxiety and social anxiety in children and adolescents. Behavior Research and Therapy, 2006 Jan 11; [Epub ahead of print].
    1. Ferdinand R. F., Van Lang N. D. J., Ormel J., Verhulst F. C. No distinctions between different types of anxiety symptoms in pre-adolescents from the general population. Journal of Anxiety Disorders. 2006;20:207–221. doi: 10.1016/j.janxdis.2004.12.003.
    1. Ferdinand R. F., Verhulst F. C. Psychopathology from adolescence into young adulthood: An 8-year follow-up study. American Journal of Psychiatry. 1995;152(11):1586–1594.
    1. Ferdinand R. F., Verhulst F. C., Wiznitzer M. Continuity and change of self-reported problem behaviors from adolescence into young adulthood. Journal of the American Academy of Child and Adolescent Psychiatry. 1995;34(5):680–690. doi: 10.1097/00004583-199505000-00020.
    1. Goodwin, R. D., Faravelli, C., Rosi, S., Cosci, F., Truglia, E., de Graaf, R., & Wittchen, H. U. (2005). The epidemiology of panic disorder and agoraphobia in Europe. European Neuropsychopharmacology, 27 (in press).
    1. Hettema J. M., Prescott C. A., Myers J. M., Neale M. C., Kendler K. S. The structure of genetic and environmental risk factors for anxiety disorders in men and women. Archives of General Psychiatry. 2005;62:182–189. doi: 10.1001/archpsyc.62.2.182.
    1. Heyman I., Fombonne E., Simmons H., Ford T., Meltzer H., Goodman R. Prevalence of obsessive-compulsive disorder in the British nationwide survey of child mental health. British Journal of Psychiatry. 2001;179:324–329. doi: 10.1192/bjp.179.4.324.
    1. Krueger R. F. The structure of common mental disorders. Archives of General Psychiatry. 1999;56:921–926. doi: 10.1001/archpsyc.56.10.921.
    1. Laurent J., Ettelson R. An examination of the tripartite model of anxiety and depression and its application to youth. Clinical Child and Family Psychology Review. 2001;4:209–230. doi: 10.1023/A:1017547014504.
    1. Lipman E. L., MacMillan H. L., Boyle M. H. Childhood abuse and psychiatric disorders among single and married mothers. Am J Psychiatry. 2001;158(1):73–77. doi: 10.1176/appi.ajp.158.1.73.
    1. Lonigan C. J., Hooe E. S., David C. F., Kistner J. A. Positive and negative affectivity in children: confirmatory factor analysis of a two-factor model and its relation to symptoms of anxiety and depression. Journal fo Consulting and Clinical Psychology. 1999;67:374–386. doi: 10.1037/0022-006X.67.3.374.
    1. Lonigan C. J., Phillips B. M., Hooe E. S. Relations of positive and negative affectivity to anxiety and depression in children: Evidence from a latent variable longitudinal study. Journal of Consulting & Clinical Psychology. 2003;71:465–481. doi: 10.1037/0022-006X.71.3.465.
    1. MacMillan H. L., Fleming J. E., Streiner D. L., Lin E., Boyle M. H., Jamieson E., Duku E. K., Walsh C. A., Wong M. Y., Beardslee W. R. Childhood abuse and lifetime psychopathology in a community sample. Am J Psychiatry. 2001;158(11):1878–1883. doi: 10.1176/appi.ajp.158.11.1878.
    1. Masi G., Mucci M., Favilla L., Romano R., Poli P. Symptomatology and comorbidity of generalized anxiety disorder in children and adolescents. Compr Psychiatry. 1999;40(3):210–215. doi: 10.1016/S0010-440X(99)90005-6.
    1. McGee R., Stanton W. Parent reports of disability among 13-year olds with DSM-III disorders. Journal of Child Psychology and Psychiatry. 1990;31(5):793–801. doi: 10.1111/j.1469-7610.1990.tb00818.x.
    1. Muris P., Schmidt H., Engelbrecht P., Perold M. DSM-IV-defined anxiety disorder symptoms in South African children. Journal of the American Academy of Child And Adolescent Psychiatry. 2002;41(11):1360–1368. doi: 10.1097/00004583-200211000-00018.
    1. Nauta M. H., Scholing A., Rapee R. M., Abbott M., Spence S. H., Waters A. A parent-report measure of children’s anxiety: psychometric properties and comparison with child-report in a clinic and normal sample. Behavior Research and Therapy. 2004;42:813–839. doi: 10.1016/S0005-7967(03)00200-6.
    1. Newman D. L., Moffitt T. E., Caspi A., Magdol L., Silva P. A., Stanton W. R. Psychiatric disorder in a birth cohort of young adults: prevalence, comorbidity, clinical significance, and new case incidence from ages 11 to 21. Journal of Consulting And Clinical Psychology. 1996;64(3):552–562. doi: 10.1037/0022-006X.64.3.552.
    1. Pine D. S., Cohen P., Brook J. Adolescent fears as predictors of depression. Biological Psychiatry. 2001;50(9):721–724. doi: 10.1016/S0006-3223(01)01238-0.
    1. Pine D. S., Cohen P., Gurley D., Brook J. S., Ma Y. The risk for early-adulthood anxiety and depressive disorders in adolescents with anxiety and depressive disorders. Archives of General Psychiatry. 1998;55:56–64. doi: 10.1001/archpsyc.55.1.56.
    1. Roza S. J., Hofstra M. B., Van Der Ende J., Verhulst F. C. Stable prediction of mood and anxiety disorders based on behavioral and emotional problems in childhood: a 14-year follow-up during childhood, adolescence, and young adulthood. American Journal of Psychiatry. 2003;160(12):2116–2121. doi: 10.1176/appi.ajp.160.12.2116.
    1. Sheehan D. V., Sheehan K. E., Minichiello W. E. Age of onset of phobic disorders: A reevaluation. Comprehensive Psychiatry. 1981;22:544–553. doi: 10.1016/0010-440X(81)90002-X.
    1. Shortt A. L., Barrett P. M., Fox T. L. Evaluating the FRIENDS program: A cognitive-behavioral group treatment for anxious children and their parents. Journal of Clinical Child Psychology. 2001;30:525–535. doi: 10.1207/S15374424JCCP3004_09.
    1. Silberg J. L., Rutter M., Eaves L. Genetic and environmental influences on the temporal association between earlier anxiety and later depression in girls: Erratum. Biological Psychiatry. 2001;50(5):393. doi: 10.1016/S0006-3223(01)01233-1.
    1. Spence S. H. Structure of anxiety symptoms among children: a confirmatory factor-analytic study. Journal of Abnormal Psychology. 1997;106(2):280–297. doi: 10.1037/0021-843X.106.2.280.
    1. Tukel R., Polat A., Ozdemir O., Aksut D., Turksoy N. R. Comorbid conditions in obsessive-compulsive disorder. Comprehensive Psychiatry. 2002;43:204–209. doi: 10.1053/comp.2002.32355.
    1. Verduin T. L., Kendall P. C. Differential occurrence of comorbidity within childhood anxiety disorders. Journal of Clinical Child Adolescence Psychology. 2003;32(2):290–295. doi: 10.1207/S15374424JCCP3202_15.
    1. Verhulst F. C., Van Der Ende J., Ferdinand R. F., Kasius M. C. The prevalence of DSM-III-R diagnoses in a national sample of Dutch adolescents. Archives of General Psychiatry. 1997;54(4):329–336.
    1. Vollebergh W. A., Iedema J., Bijl R. V., de Graaf R., Smit F., Ormel J. The structure and stability of common mental disorders: the NEMESIS study. Archives of General Psychiatry. 2001;58:597–603. doi: 10.1001/archpsyc.58.6.597.

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