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Anxiety disorders in children and adolescents: Epidemiology, pathogenesis, clinical manifestations, and course

Authors
Shannon Bennett, PhD
John T Walkup, MD
Section Editor
David Brent, MD
Deputy Editor
Richard Hermann, MD

INTRODUCTION

Worries and fears are a natural and adaptive part of childhood development. Anxiety and fear meet the criteria for a clinical anxiety disorder when the concerns are persistent and excessive, causing notable distress or impairment in day-to-day life.

Anxiety disorders are the most common childhood-onset psychiatric disorders. Anxiety disorders in children (up to 12 years old) and adolescents (13 to 18 years old) are associated with educational underachievement and co-occurring psychiatric conditions, as well as functional impairments that can extend into adulthood.

This topic describes the epidemiology, pathogenesis, clinical manifestations, and course of anxiety disorders in children and adolescents. Assessment and diagnosis of anxiety disorders in children and adolescents are discussed separately. Pharmacotherapy and psychotherapy for anxiety disorders in children and adolescents are also discussed separately. (See "Anxiety disorders in children: Assessment and diagnosis" and "Pharmacotherapy for anxiety disorders in children and adolescents" and "Psychotherapy for anxiety disorders in children and adolescents".)

CLASSIFICATION

The DSM-5 includes seven anxiety disorders seen in children [1]. The diagnosis of these disorders in children is discussed below; their epidemiology, pathogenesis, clinical manifestations, course and diagnosis in adults are described separately. (See "Anxiety disorders in children: Assessment and diagnosis", section on 'Assessment'.)

Generalized anxiety disorder (See 'Generalized anxiety disorder' below and "Generalized anxiety disorder in adults: Epidemiology, pathogenesis, clinical manifestations, course, assessment, and diagnosis".)

                          

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Literature review current through: Nov 2016. | This topic last updated: Wed Jan 20 00:00:00 GMT+00:00 2016.
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