Behaviorial inhibition and history of childhood anxiety disorders in Brazilian adult patients with panic disorder and social anxiety disorder

Revista Brasileira de Psiquiatria

Luciano Rassier Isolan¹  Cristian Patrick Zeni¹  Kelin Mezzomo¹  Carolina Blaya¹  Leticia Kipper¹  Elizeth Heldt¹  Gisele Gus Manfro¹ 

[1] ,Hospital de Clínicas de Porto AlegrePorto Alegre RS ,Brazil

关键词: Panic disorder;    Anxiety disorder;    Inhibition (psychology);    Phobic disorders;    Child;    Transtorno do pânico;    Transtornos de ansiedade;    Inibição (psicológica);    Transtornos fóbicos;    Criança;   

DOI  :  10.1590/S1516-44462005000200005

来源: SciELO

【 摘 要 】

PURPOSE: To evaluate the presence of behavioral inhibition and anxiety disorders during childhood in Brazilian adult patients with panic disorder and social anxiety disorder compared to a control group. METHODS: Fifty patients with panic disorder, 50 patients with social anxiety disorder, and 50 control subjects were included in the study. To assess the history of childhood anxiety, the Schedule for Affective Disorders and Schizophrenia for School Age Children, Epidemiologic Version (K-SADS-E), and the Diagnostic Interview for Children and Adolescents-Parent Version (DICA-P) were used. The presence of behavioral inhibition in childhood was assessed by the self-reported scale of Behavioral Inhibition Retrospective Version (RSRI-30). RESULTS: Patients showed significantly higher prevalence of anxiety disorders and behavioral inhibition in childhood compared to the control group. Patients with social anxiety disorder also showed significantly higher rates of avoidance disorder (46% vs. 18%, p = 0.005), social anxiety disorder (60% vs. 26%, p = 0.001), presence of at least one anxiety disorder (82% vs. 56%, p = 0.009) and global behavioral inhibition (2.89 ± 0.61 vs. 2.46 ± 0.61, p < 0.05) and school/social behavioral inhibition (3.56 ± 0.91 vs. 2.67 ± 0.82, p < 0.05) in childhood compared to patients with panic disorder. CONCLUSION: Our data are in accordance to the literature and corroborates the theory of an anxiety diathesis, suggesting that a history of anxiety disorders in childhood is associated with an anxiety disorder diagnosis, mainly social anxiety disorder, in adulthood.

【 授权许可】

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