Disturbo d’ansia di separazione dell’adulto: evidenze di letteratura e implicazioni cliniche
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A partire dalla metà degli anni ’90, numerosi studi hanno comprovato l’esistenza di una forma del disturbo d’ansia di separazione dell’adulto (DASA) che ancora attende di essere riconosciuta nosologicamente nei sistemi classificativi internazionali (DSM e ICD). In particolare, si è rilevato, con sempre maggiori evidenze, che il disturbo d’ansia di separazione (DAS) può esordire a qualunque età e che solo in una parte dei casi esso rappresenta la continuazione del corrispondente disturbo dell’infanzia. Si renderà quindi necessario in futuro ridefinire i criteri classificativi del disturbo, per il quale viene attualmente richiesto che l’esordio avvenga entro i 18 anni. Per la valutazione del DASA sono stati sviluppati diversi strumenti: 1) la Adult Separation Anxiety Structured Interview (ASA-SI), intervista semistrutturata i cui item sono derivati dai criteri del DSM-IV-TR per il DAS dell’infanzia e adattati all’età adulta; 2) la Adult Separation Anxiety-27 (ASA-27), scala di valutazione autosomministrata che contiene gli stessi item dell’ASA-SI; 3) la Structured Clinical Interview for Separation Anxiety Symptoms (SCI-SAS), intervista strutturata con due distinti moduli per l’infanzia e l’età adulta. Tuttavia, secondo le evidenze disponibili, l’ansia di separazione potrebbe essere meglio rappresentata da una dimensione trasversale, rintracciabile in tutte le principali categorie dei disturbi d’ansia e dell’umore, che si associa a maggiore disfunzione personale e ridotta sensibilità ai trattamenti. Inoltre, una comprensione più approfondita della natura psicobiologica dell’ansia di separazione dovrebbe orientare nuovi e più efficaci interventi terapeutici. In questo lavoro viene effettuata una revisione dei dati di letteratura in attesa della pubblicazione del DSM-V.
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Accumulating evidence supports the conceptualization of separation anxiety disorder as a condition that occurs in adults as well as in children.
“Accumulating evidence supports the conceptualization of separation anxiety disorder as a condition that occurs in adults as well as in children.[86,87]”
From The Classification of Anxiety and Fear-Related Disorders in the ICD-11: Review: Anxiety and Fear-Related Disorders in ICD-11 (2016) · cites this paper as [86]
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Adaptación y Validación al Español del Cuestionario de Ansiedad por Separación en el Adulto (ASA-27)
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Self-citation
- Authors
- Bruschi, A., De Angelis, A., Grandinetti, P., Pascucci, M., Janiri, L., & Pozzi, G.
- Affiliations
- Università Cattolica del Sacro Cuore (IT)
- Venue
- Rivista di Psichiatria
- Publisher
- Il Pensiero Scientifico Editore
- Published
- 2012-09-01
- Volume
- 47
- Issue
- 5
- Pages
- 355-64
- ISSN
- 0035-6484 (ISSN-L)
- OpenAlex
- W114599079
- Cited by
- 7
- References
- 44
- Citations by year
- 2021: 1 · 2019: 2 · 2018: 1 · 2016: 1 · 2014: 2
- FWCI
- 0.09
- Type
- journal article
- Language
- it
- Open access
- bronze
- doi.org
- Locations
- Rivista di psichiatria (publishedVersion)
- PubMed (publishedVersion)
- PubMed
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- adult separation anxiety disorder, separation anxiety, diagnostic criteria, treatment response, DSM-V
- MeSH terms
- Adult, Aged, Aged, 80 and over, Anxiety, Separation, Humans, Middle Aged
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