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Research Review: Pediatric anxiety disorders - what have we learnt in the last 10 years?


ABSTRACT:

Background

Anxiety disorders first emerge during the critical developmental periods of childhood and adolescence. This review synthesizes recent findings on the prevalence, risk factors, and course of the anxiety disorders; and their neurobiology and treatment.

Methods

For this review, searches were conducted using PubMed, PsycINFO, and clinicaltrials.gov. Findings related to the epidemiology, neurobiology, risk factors, and treatment of pediatric anxiety disorders were then summarized.

Findings

Anxiety disorders are high prevalence, and early-onset conditions associated with multiple risk factors including early inhibited temperament, environment stress, and structural and functional abnormalities in the prefrontal-amygdala circuitry as well as the default mode and salience networks. The anxiety disorders are effectively treated with cognitive behavioral therapy (CBT), selective serotonin reuptake inhibitors (SSRIs), and serotonin-norepinephrine reuptake inhibitors (SNRIs).

Conclusions

Anxiety disorders are high prevalence, early-onset conditions associated with a distinct neurobiological fingerprint, and are consistently responsive to treatment. Questions remain regarding who is at risk of developing anxiety disorders as well as the way in which neurobiology predicts treatment response.

SUBMITTER: Strawn JR 

PROVIDER: S-EPMC7718323 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature

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Research Review: Pediatric anxiety disorders - what have we learnt in the last 10 years?

Strawn Jeffrey R JR   Lu Lu L   Peris Tara S TS   Levine Amir A   Walkup John T JT  

Journal of child psychology and psychiatry, and allied disciplines 20200605 2


<h4>Background</h4>Anxiety disorders first emerge during the critical developmental periods of childhood and adolescence. This review synthesizes recent findings on the prevalence, risk factors, and course of the anxiety disorders; and their neurobiology and treatment.<h4>Methods</h4>For this review, searches were conducted using PubMed, PsycINFO, and clinicaltrials.gov. Findings related to the epidemiology, neurobiology, risk factors, and treatment of pediatric anxiety disorders were then summa  ...[more]

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