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Titolo:
Rages and refusals - Managing the many faces of adolescent anxiety
Autore:
Garland, EJ;
Indirizzi:
British Columbia Childrens Hosp, Mood & Anxiety Disorders Clin, Vancouver,BC V6H 3V4, Canada British Columbia Childrens Hosp Vancouver BC Canada V6H3V4 H 3V4, Canada
Titolo Testata:
CANADIAN FAMILY PHYSICIAN
, volume: 47, anno: 2001,
pagine: 1023 - 1030
SICI:
0008-350X(200105)47:<1023:RAR-MT>2.0.ZU;2-A
Fonte:
ISI
Lingua:
ENG
Soggetto:
COGNITIVE-BEHAVIORAL TREATMENT; COMMUNITY SAMPLE; USE DISORDERS; ALCOHOL-USE; CHILDREN; CANNABIS; FLUOXETINE; WITHDRAWAL; MARIJUANA; FREQUENCY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
37
Recensione:
Indirizzi per estratti:
Indirizzo: Garland, EJ British Columbia Childrens Hosp, Mood & Anxiety Disorders Clin, Vancouver,BC V6H 3V4, Canada British Columbia Childrens Hosp Vancouver BC Canada V6H 3V4 a
Citazione:
E.J. Garland, "Rages and refusals - Managing the many faces of adolescent anxiety", CAN FAM PHY, 47, 2001, pp. 1023-1030

Abstract

OBJECTIVE To provide family physicians with a practical approach to recognition, assessment, and treatment of adolescent anxiety disorders complicated by avoidance or oppositional behaviour. QUALITY OF EVIDENCE Current literature was searched via MEDLINE using the MeSH headings Anxiety and Anxiety Disorders, focusing on epidemiology, clinical presentations in adolescence, and both pharmacologic and nonpharmacologic treatment. In addition, internationally accepted diagnostic criteria, current practice guidelines, and recent textbooks by recognized experts werereviewed. Research evidence and consensus recommendations were integrated with a practical approach developed in a provincial mood and anxiety disorders clinic. MAIN FINDINGS Anxiety disorders are common in adolescents, with estimated prevalence of at least 10%. Substance abuse and avoiding school are common complications, and irritability with behavioural and rage problems can interfere with effective management. Current controlled research is examining the effectiveness of serotonergic medications known to benefit panic disorder, social phobia, and generalized anxiety in adults. While cognitive and behavioural treatments are effective for some child and adolescent anxiety disorders, they can be difficult to administer, and a supportive and psychoeducational approach could be as effective for those who refuse to go to school. CONCLUSION Family physicians' awareness of the role of anxiety in adolescent school avoidance and in intense. oppositional emotional reactions at home can lead to more specific assessment and therapeutic intervention. Practical management strategies are recommended.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/04/20 alle ore 03:21:58