neuropsychiatrie

, Volume 29, Issue 1, pp 23–28 | Cite as

Psychopathology among parents of children and adolescents with separation anxiety disorder

  • P. Sackl-Pammer
  • C. Popow
  • B. Schuch
  • M. Aigner
  • M. Friedrich
  • J. Huemer
original article

Summary

Objective

To examine psychopathology among parents of children and adolescents with separation anxiety disorder (SAD).

Method

A case-control design was applied: parents of children and adolescents suffering from SAD (n = 30; age: 10.7 ± 1.8 a) were compared with parents of youth without any psychiatric disease (n = 30; age: 11.2 ± 1.8 a). The SCID-I, a structured clinical interview to assess psychopathology, was applied among the parents group.

Results

Parents of children and adolescents suffering from SAD exhibited a significantly higher prevalence of psychopathology, mainly anxiety disorders and mood disorders, in comparison with the control group. Within anxiety disorders, mothers predominantly suffered from social phobia and specific phobia. Fathers most frequently suffered from obsessive-compulsive disorder and social phobia. Maternal anxiety disorder (current and lifetime) and maternal affective disorder (lifetime) proved to be significant predictors of SAD in youth.

Conclusions

The associations between parents’ psychopathology and the development of SAD in their children are discussed in the light of clinical implications, both in terms of psychotherapeutic care as well as treatment outcome.

Keywords

Separation anxiety disorder (SAD) Parental psychopathology Predictors Children 

Psychopathologische Auffälligkeiten von Eltern mit Kindern und Jugendlichen mit einer diagnostizierten Emotionalen Störung mit Trennungsangst

Zusammenfassung

Ziel

In dieser Studie wird die Psychopathologie der Eltern von Kindern und Jugendlichen mit einer diagnostizierten Emotionalen Störung mit Trennungsangst untersucht.

Methode

In diesem Studiendesign werden Eltern und Jugendliche, welche die diagnostischen Kriterien einer Emotionalen Störung mit Trennungsangst erfüllten (n = 30; Alter: 10,7 ± 1,8 a) und gesunde Probanden (n = 30; Alter: 11,2 ± 1,8 a) verglichen. Das SKID-I, ein strukturiertes klinisches Interview für psychische Störungsbilder, wird für die Evaluierung der psychopathologischen Auffälligkeiten der Eltern verwendet.

Ergebnisse

Die Eltern von Kindern und Jugendlichen mit einer diagnostizierten Emotionalen Störung mit Trennungsangst haben verglichen mit der Kontrollgruppe eine signifikant höhere Prävalenz für psychiatrische Erkrankungen, vor allem im Bereich der Angststörungen und der affektiven Störungen.

Bezüglich der Angststörungen erfüllen hierbei die Mütter häufig die diagnostischen Kriterien für Soziale Phobie und Spezifische Phobie. Die Väter hingegen zeigen zum Untersuchungszeitpunkt häufiger Zwangserkrankungen und Soziale Phobien. Mütterliche Angststörungen (current und lifetime) und affektive Erkrankungen (lifetime) haben sich als signifikante Prädiktoren erwiesen.

Schlussfolgerung

Der Zusammenhang zwischen elterlicher Psychopathologie und der Entwicklung einer Emotionalen Störung mit Trennungsangst wird hinsichtlich der psychotherapeutischen Interventionsmöglichkeiten und des damit zusammenhängenden Behandlungserfolges diskutiert.

Schlüsselwörter

Emotionale Störung mit Trennungsangst Elterliche Psychopathologie Prädiktoren Kinder 

References

  1. 1.
    Beesdo K, Knappe S, Pine DS. Anxiety and anxiety disorders in children and adolescents: developmental issues and implications for DSM-V. Psychiatr Clin North Am. 2009;32(3):483–524. doi:10.1016/j.psc.2009.06.002.CrossRefPubMedCentralPubMedGoogle Scholar
  2. 2.
    Allen JL, Lavallee KL, Herren C, Ruhe K, Schneider S. DSM-IV criteria for childhood separation anxiety disorder: informant, age, and sex differences. J Anxiety Disord. 2010;24(8):946–52. doi:10.1016/j.janxdis.2010.06.022.CrossRefPubMedGoogle Scholar
  3. 3.
    Association AP. Diagnostic and statistical manual of mental disorders: DSM-IV-TR. Washington DC: American Psychiatric Association; 1994.Google Scholar
  4. 4.
    Henin A, Biederman J, Mick E, Sachs GS, Hirshfeld-Becker DR, Siegel RS, et al. Psychopathology in the offspring of parents with bipolar disorder: a controlled study. Biol Psychiatry. 2005;58(7):554–61. doi:10.1016/j.biopsych.2005.06.010.CrossRefPubMedGoogle Scholar
  5. 5.
    Slattery MJ, Klein DF, Mannuzza S, Moulton JL, III, Pine DS, Klein RG. Relationship between separation anxiety disorder, parental panic disorder, and atopic disorders in children: a controlled high-risk study. J Am Acad Child Adolesc Psychiatry. 2002;41(8):947–54. doi:10.1097/00004583-200208000-00013.CrossRefPubMedGoogle Scholar
  6. 6.
    Biederman J, Faraone SV, Hirshfeld-Becker DR, Friedman D, Robin JA, Rosenbaum JF. Patterns of psychopathology and dysfunction in high-risk children of parents with panic disorder and major depression. Am J Psychiatry. 2001;158(1):49–57.CrossRefPubMedGoogle Scholar
  7. 7.
    Hughes AA, Furr JM, Sood ED, Barmish AJ, Kendall PC. Anxiety, mood, and substance use disorders in parents of children with anxiety disorders. Child Psychiatry Hum Dev. 2009;40(3):405–19. doi:10.1007/s10578-009-0133-1.CrossRefPubMedGoogle Scholar
  8. 8.
    Cooper PJ, Fearn V, Willetts L, Seabrook H, Parkinson M. Affective disorder in the parents of a clinic sample of children with anxiety disorders. J Affect Disord. 2006;93(1–3):205–12. doi:10.1016/j.jad.2006.03.017.CrossRefPubMedGoogle Scholar
  9. 9.
    Bernstein GA, Layne AE, Egan EA, Nelson LP. Maternal phobic anxiety and child anxiety. J Anxiety Disord. 2005;19(6):658–72. doi:10.1016/j.janxdis.2004.09.001.CrossRefPubMedGoogle Scholar
  10. 10.
    Schneider S, Margraf J. Diagnostic interview for psychiatric disorders in children and adolescents (DSM-IV and ICD-10), parent and child version. Göttingen: Hogrefe; 2005.Google Scholar
  11. 11.
    Wittchen H, Zaudig M, Fydrich T. SKID Structured Clinical Interview for DSM-IV Axis I and II instruction manual. Göttingen: Hogrefe; 1997.Google Scholar
  12. 12.
    Martin C, Cabrol S, Bouvard MP, Lepine JP, Mouren-Simeoni MC. Anxiety and depressive disorders in fathers and mothers of anxious school-refusing children. J Am Acad Child Adolesc Psychiatry. 1999;38(7):916–22. doi:10.1097/00004583-199907000-00023.CrossRefPubMedGoogle Scholar
  13. 13.
    Last CG. Somatic complaints in anxiety disordered children. J Anxiety Disord. 1991;5:125–38.CrossRefGoogle Scholar
  14. 14.
    Lenane MC, Swedo SE, Leonard H, Pauls DL, Sceery W, Rapoport JL. Psychiatric disorders in first degree relatives of children and adolescents with obsessive compulsive disorder. J Am Acad Child Adolesc Psychiatry. 1990;29(3):407–12. doi:10.1097/00004583-199005000-00012.CrossRefPubMedGoogle Scholar
  15. 15.
    Bernstein GA, Garfinkel BD. Pedigrees, functioning, and psychopathology in families of school phobic children. Am J Psychiatry. 1988;145(1):70–4.CrossRefPubMedGoogle Scholar
  16. 16.
    Kearney CA, Sims KE, Pursell CR, Tillotson CA. Separation anxiety disorder in young children: a longitudinal and family analysis. J Clin Child Adolesc Psychol. 2003;32(4):593–8. doi:10.1207/S15374424JCCP3204_12.CrossRefPubMedGoogle Scholar
  17. 17.
    Poulton R, Milne BJ, Craske MG, Menzies RG. A longitudinal study of the etiology of separation anxiety. Behav Res Ther. 2001;39(12):1395–410.CrossRefPubMedGoogle Scholar
  18. 18.
    Manicavasagar V, Silove D, Rapee R, Waters F, Momartin S. Parent-child concordance for separation anxiety: a clinical study. J Affect Disord. 2001;65(1):81–4.CrossRefPubMedGoogle Scholar
  19. 19.
    Silove D, Manicavasagar V, OʼConnell D, Morris-Yates A. Genetic factors in early separation anxiety: implications for the genesis of adult anxiety disorders. Acta Psychiatr Scand. 1995;92(1):17–24.CrossRefPubMedGoogle Scholar
  20. 20.
    Kendall PC, Safford S, Flannery-Schroeder E, Webb A. Child anxiety treatment: outcomes in adolescence and impact on substance use and depression at 7.4-year follow-up. J Consult Clin Psychol. 2004;72(2):276–87. doi:10.1037/0022-006X.72.2.276.CrossRefPubMedGoogle Scholar
  21. 21.
    Deas-Nesmith D, Brady KT, Campbell, S. Comorbid substance use and anxiety disorders in adolescents. J Psychopathol Behav Assess. 1998;20(S):139–48.CrossRefGoogle Scholar
  22. 22.
    Caudill BD, Kong FH. Social approval and facilitation in predicting modeling effects in alcohol consumption. J Subst Abuse. 2001;13(4):425–41.CrossRefPubMedGoogle Scholar
  23. 23.
    Beck KH, Thombs DL, Mahoney CA, Fingar KM. Social context and sensation seeking: gender differences in college student drinking motivations. Int J Addict. 1995;30(9):1101–15.PubMedGoogle Scholar
  24. 24.
    Lavallee K, Herren C, Blatter-Meunier J, Adornetto C, In-Albon T, Schneider S. Early predictors of separation anxiety disorder: early stranger anxiety, parental pathology and prenatal factors. Psychopathology. 2011;44(6):354–61. doi:10.1159/000326629.CrossRefPubMedGoogle Scholar
  25. 25.
    Connell AM, Goodman SH. The association between psychopathology in fathers versus mothers and childrenʼs internalizing and externalizing behavior problems: a meta-analysis. Psychol Bull. 2002;128(5):746–73.CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Wien 2015

Authors and Affiliations

  • P. Sackl-Pammer
    • 1
  • C. Popow
    • 1
  • B. Schuch
    • 1
  • M. Aigner
    • 2
  • M. Friedrich
    • 1
  • J. Huemer
    • 1
  1. 1.Department of Child and Adolescent PsychiatryMedical University of ViennaViennaAustria
  2. 2.Department of PsychiatryLandesklinikum TullnTullnAustria

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