Email this article Prevalence and clinical typology of separation anxiety disorder in adults
- Authors: Arkusha I.A.1, Avedisova A.S.1, Zakharova K.V.1
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Affiliations:
- Federal State Budgetary Institution « V. Serbsky National Medical Research Centre for Psychiatry and Narcology» of the Ministry of Health of the Russian Federation
- Issue: Vol LI, No 3 (2019)
- Pages: 32-35
- Section: Original study arcticles
- URL: https://journals.eco-vector.com/1027-4898/article/view/15861
- DOI: https://doi.org/10.17816/nb15861
- ID: 15861
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Abstract
Aim: To assess the prevalence of separation anxiety disorder (SAD) in adults on an outpatient psychiatric network, to study clinical and psychological characteristics and comorbidity depending on the age at which the disorder began.
Methods: Using clinical-psychopathological and psychometric methods, 366 outpatients over 18 years of age were examined.
Results: The received data testify to high rates of prevalence and comorbidity of SAD, to essential decrease in quality of life of investigated patients. Among the personality traits, negative affectivity and vulnerability to separation prevailed. It is noted that the childhood onset of SAD is associated with greater severity of separation anxiety in adults, a wider range of comorbid disorders, and lower quality of life enjoyment and satisfaction.
Conclusions: There is a high prevalence of SAD in adult patients in the outpatient network. The results obtained are important for classification, clinical identification, and the development of therapeutic approaches.
About the authors
Inna Anatolevna Arkusha
Federal State Budgetary Institution « V. Serbsky National Medical Research Centre for Psychiatry and Narcology» of the Ministry of Health of the Russian Federation
Author for correspondence.
Email: innarkusha@gmail.com
ORCID iD: 0000-0002-8761-6849
junior researcher of therapy of mental and behaviour disorders department
Russian Federation, 119034, Russia, Moskow, Kropotkinskiy per., d. 23Alla Sergeevna Avedisova
Federal State Budgetary Institution « V. Serbsky National Medical Research Centre for Psychiatry and Narcology» of the Ministry of Health of the Russian Federation
Email: aavedisova@gmail.com
ORCID iD: 0000-0002-7940-3712
Professor, Head of therapy of mental and behavior disorders department
Russian Federation, 119034, Russia, Moskow, Kropotkinskiy per., d. 23Ksenia Valerevna Zakharova
Federal State Budgetary Institution « V. Serbsky National Medical Research Centre for Psychiatry and Narcology» of the Ministry of Health of the Russian Federation
Email: ksushkaa@bk.ru
ORCID iD: 0000-0001-6756-735X
Ph.D, Senior researcher of therapy of mental and behaviour disorders department
Russian Federation, 119034, Russia, Moskow, Kropotkinskiy per., d. 23References
- Bögels S, Knappe S, Clark L. Adult separation anxiety disorder in DSM-5. Clin Psychol Rev. 2013;33(5):663-674. doi: 10.1016/j.cpr.2013.03.006
- Shear K. Prevalence and Correlates of Estimated DSM-IV Child and Adult Separation Anxiety Disorder in the National Comorbidity Survey Replication. American Journal of Psychiatry. 2006;163(6):1074. doi: 10.1176/appi.ajp.163.6.1074
- Silove D, Alonso J, Bromet E et al. Pediatric-Onset and Adult-Onset Separation Anxiety Disorder Across Countries in the World Mental Health Survey. American Journal of Psychiatry. 2015;172(7):647-656. doi: 10.1176/appi.ajp.2015.14091185
- Pini S, Abelli M, Shear K et al. Frequency and clinical correlates of adult separation anxiety in a sample of 508 outpatients with mood and anxiety disorders. Acta Psychiatr Scand. 2009;122(1):40-46. doi: 10.1111/j.1600-0447.2009.01480.x
- Lewinsohn P, Holm-denoma J, Small J, Seeley J, Joiner T. Separation Anxiety Disorder in Childhood as a Risk Factor for Future Mental Illness. Journal of the American Academy of Child & Adolescent Psychiatry. 2008;47(5):548-555. doi: 10.1097/chi.0b013e31816765e7
- Silove D, Marnane LM, Wagner R, Manicavasagar V, Rees. The prevalence and correlates of adult separation anxiety disorder in an anxiety clinic. BMC psychiatry. 2010;10(1):21. doi: 10.1186/1471-244x-10-21
- Miniati M, Calugi S, Rucci P et al. Predictors of response among patients with panic disorder treated with medications in a naturalistic follow-up: The role of adult separation anxiety. J Affect Disord. 2012;136(3):675-679. doi: 10.1016/j.jad.2011.10.008
- Аведисова А.С., Аркуша И.А., Захарова К.В. Тревожное расстройство сепарации у взрослых - новая диагностическая категория. Журнал неврологии и психиатрии им. С.С. Корсакова. 2018; 10:54-63. [Avedisova AS, Arkusha IA, Zakharova KV. Separation anxiety disorder in adults - a new diagnostic category. Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova. 2018; 10:54-63. (In Russ.)] doi: 10.17116/jnevro201811810166
- Manicavasagar V, Silove D, Curtis J. Separation anxiety in adulthood: a phenomenological investigation. Comprehensive psychiatry.1997;38(5):274-282. doi: 10.1016/S0010-440X(97)90060-2
- Aisenberg R, Treas J. The Family in Late Life. Psychological and Demographic Consideration. Handbook of the Psychology of Aging.1985.
- Manicavisigar V, Silove D, Marnane C, Wagner R. Adult attachment styles in panic disorder with and without adult separation anxiety disorder. The Australian and New Zealand Journal of Psychiatry. 2009; 43:167–172. doi: 10.1080/00048670802607139
- Troisi A, Massaroni P, Cuzzolaro M. Early separation anxiety and adult attachment style in women with eating disorders. British Journal of Clinical Psychology. 2005;44(1):89-97. doi: 10.1348/014466504X20053
- Bartholomew K, Horowitz L. M. Attachment styles among young adults: attest of a four-category model. Journal of personality and social psychology.1991; 61(2):226.
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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).