Somatic Symptoms in Children and Adolescents With Anxiety Disorders
Abstract
Objective To evaluate the prevalence of somatic symptoms (SSs) in children and adolescents with anxiety disorders; the relationship between SSs and anxiety severity, impairment, and child global functioning; and the impact of fluvoxamine (FLV) versus pill placebo (PBO) on reducing SSs. Method As part of a double-blind, placebo-controlled trial, 128 children (mean age, 10.8 years; range, 6-17) with DSM-IV anxiety disorders (i.e., social, separation, and generalized anxiety) were assessed by expert clinicians on 16 SSs using the Pediatric Anxiety Rating Scale. Results The most common SSs at baseline were restlessness (74%), stomachaches (70%), blushing (51%), palpitations (48%), muscle tension (45%), sweating (45%), and trembling/shaking (43%). Older children (age 12 and older) reported more SSs than younger children, boys and girls reported similar numbers of SSs, and SSs were higher among children with than without generalized anxiety disorder. SSs were significantly and positively correlated with anxiety severity, impairment, and global functioning. Pre-/postreductions in SSs were statistically significant in both PBO and FLV conditions; however, FLV was superior to PBO in reducing SSs. Conclusions SSs are highly prevalent among children and adolescents with anxiety disorders and are associated with greater anxiety severity and impairment. Treatment with FLV was effective in reducing rather than increasing SSs. The high rates of SSs in youths with each of the three anxiety d…
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Physical symptoms of GAD are frequently reported in children and adolescents.
“physical symptoms of GAD are frequently reported in children and adolescents (Ginsburg et al., 2006).”
From Applicability of the intolerance of uncertainty model to Generalized Anxiety Disorder symptoms in young people (2021) · cites this paper as Ginsburg et al., 2006
Cites
A Children's Global Assessment Scale (CGAS)
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Fluvoxamine for the Treatment of Anxiety Disorders in Children and Adolescents
Walkup, J. T., Labellarte, M. J., Riddle, M. A., Pine, D. S., Greenhill, L., Klein, R., Davies, M., Sweeney, M., Abikoff, H., Hack, S., et al. (2001) · New England Journal of Medicine · doi:10.1056/nejm200104263441703 · Cited by 588 · see citing works
Self-citationThe Pediatric Anxiety Rating Scale (PARS): development and psychometric properties
P, T. R. U. O. P. (2002) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200209000-00006 · Cited by 532 · see citing works
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Katzman, M. A., Bleau, P., Blier, P., Chokka, P., Kjernisted, K., Van Ameringen, M., & the Canadian Anxiety Guidelines Initiative Group on behalf of the Anxiety Disorders Association of Canada/Association Canadienne des troubles anxieux and McGill University (2014) · BMC Psychiatry · doi:10.1186/1471-244x-14-s1-s1 · Cited by 1,090 · see citing works
“Anxiety and related disorders among younger patients are associated with high rates of comorbid psychiatric conditions [1162-1165], SUD [1166-1169], sleep problems [1170-1173], somatic symptoms [1174], and suicidality [1175], as well as problems with cognition/ attention [1164,1176,1177], academic performance [1178,11…”
BackgroundAnxiety and somatic complaints in children with recurrent abdominal pain and anxiety disorders
Dufton, L. M., Dunn, M. J., & Compas, B. E. (2008) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsn064 · Cited by 151 · see citing works
Misophonia: A scoping review of research
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Common and specific emotion-related predictors of anxious and depressive symptoms in youth
Suveg, C., Hoffman, B., Zeman, J. L., & Thomassin, K. (2009) · Child Psychiatry and Human Development · doi:10.1007/s10578-008-0121-x · Cited by 101 · see citing works
Pediatric joint hypermobility: a diagnostic framework and narrative review
Tofts, L. J., Simmonds, J., Schwartz, S. B., Richheimer, R. M., O’Connor, C., Elias, E., Engelbert, R., Cleary, K., Tinkle, B. T., Kline, A. D., et al. (2023) · Orphanet Journal of Rare Diseases · doi:10.1186/s13023-023-02717-2 · Cited by 74 · see citing works
“Anxiety [36] 45% muscle tension 35% 70% stomach ache, 17% swallowing difficulties 25% urge incontinence 25% dizziness”
BackgroundPeer victimization among children and adolescents with anxiety disorders
Cohen, J. S., & Kendall, P. C. (2015) · Child Psychiatry & Human Development · doi:10.1007/s10578-014-0479-x · Cited by 39 · see citing works
Reigada, L. C., Polokowski, A. R., Walder, D. J., Szigethy, E. M., Benkov, K. J., Bruzzese, J.-M., & Masia Warner, C. (2015) · Clinical Practice in Pediatric Psychology · doi:10.1037/cpp0000116 · Cited by 17 · see citing works
Watts, R., Cossar, J., & Ferreira, N. (2021) · Mediterranean Journal of Clinical Psychology · doi:10.13129/2282-1619/mjcp-2978 · Cited by 3 · see citing works
- Authors
- GINSBURG, G. S., RIDDLE, M. A., & DAVIES, M.
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2006-10
- Volume
- 45
- Issue
- 10
- Pages
- 1179-1187
- ISSN
- 0890-8567
- Cited by
- 152
- References
- 3
- Language
- en
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