Conflict of interest: No authors have competing financial interests to declare.
SPECIFYING CHILD ANXIETY DISORDERS NOT OTHERWISE SPECIFIED IN THE DSM-IV
Article first published online: 16 JUL 2012
© 2012 Wiley Periodicals, Inc.
Depression and Anxiety
Volume 29, Issue 12, pages 1004–1013, December 2012
How to Cite
Comer, J. S., Gallo, K. P., Korathu-Larson, P., Pincus, D. B. and Brown, T. A. (2012), SPECIFYING CHILD ANXIETY DISORDERS NOT OTHERWISE SPECIFIED IN THE DSM-IV. Depress. Anxiety, 29: 1004–1013. doi: 10.1002/da.21981
Contract grant sponsor: National Institutes of Health (NIH); Contract grant number: K23 MH090247.
- Issue published online: 3 DEC 2012
- Article first published online: 16 JUL 2012
- Manuscript Accepted: 21 JUN 2012
- Manuscript Revised: 4 JUN 2012
- Manuscript Received: 23 APR 2012
- National Institutes of Health (NIH). Grant Number: K23 MH090247
- anxiety disorders;
- diagnostic and statistical manual of mental disorders;
Anxiety disorder not otherwise specified (ADNOS) is one of the more common and impairing DSM-IV diagnoses assigned in child practice settings, but it is not clear what percentage of these assignments simply reflect poor diagnostic practices.
The present study evaluated patterns and correlates of child ADNOS in a large outpatient treatment seeking sample of anxious youth (N = 650), utilizing structured diagnostic interviewing procedures.
Roughly, 15% of youth met diagnostic criteria for ADNOS. Overall, these youth exhibited comparable levels of clinical problems relative to youth with DSM-IV–specified anxiety disorders (AD), and roughly two-thirds of ADNOS cases exhibited symptom presentations closely resembling generalized anxiety disorder (GAD). Among ADNOS presentations resembling GAD, those failing to meet the "worries more days than not" or "worries across multiple domains" criteria showed lower internalizing symptoms than GAD youth, but comparable anxious/depressed symptoms, somatic symptoms, social problems, externalizing problems, and total problems as measured by the Child Behavior Checklist.
Childhood ADNOS cases are prevalent and warrant clinical attention. In many cases there are only a couple, if any, clinical differences between these disorders and the ADs they closely resemble. Future work is needed to improve upon the current taxonomy of childhood ADs to specify a larger proportion of affected youth needing care.