Explore chapters and articles related to this topic
Separation Anxiety Disorder (SAD) and Adult Separation Anxiety Disorder (ASAD)
Published in Judy Z. Koenigsberg, Anxiety Disorders, 2020
Symptoms of separation anxiety disorder include chronic distress when an individual separates from home or from primary attachment persons (APA, 2013). Individuals with separation anxiety disorder may be afraid to be by themselves or without their primary attachment persons either when they are at home or when they are in other settings (Carmassi et al., 2015). Children with symptoms of separation anxiety disorder frequently display behaviors that are disruptive or avoidant that disturb their own academic and social development as well as the daily life of the family unit (Pincus, Santucci, Ehrenreich, & Eyberg, 2008). Children with separation anxiety disorder frequently refuse to attend school, and, generally, do not participate in age appropriate activities such as birthday parties and sleepovers (Doobay, 2008; Kapalka & Peters, 2013). They tend to report somatic symptoms such as nausea and stomach pains more frequently than do children with phobias (Last, 1991). Reports of somatic symptoms suggest avoidance or physiological distress, and these children may find it hard to sleep in the absence of a parent as well (Albano, Chorpita, & Barlow, 1996; Black, 1995; Tonge, 1994;). Whereas, generally, the attachment figures of children with separation anxiety disorder are their parents, and symptoms include school refusal, tantrums, and crying, the attachment figures of adults are a child or a spouse, and symptoms include repeated attempts to stay in close contact even when not practical (Pini et al., 2010; Rochester & Baldwin, 2015).
Anxiety, worry, fears and phobias
Published in Quentin Spender, Judith Barnsley, Alison Davies, Jenny Murphy, Primary Child and Adolescent Mental Health, 2019
Quentin Spender, Judith Barnsley, Alison Davies, Jenny Murphy
As a child develops, the things that frighten her change. As a young infant, it may be loud noises or bumping into things that generate a fearful reaction, shown by the startle response or bursting into tears. Fear of strangers starts at about nine months. Separation anxiety starts at about the same time and should subside gradually by four to five years. It is shown by distress when an attachment figure leaves and clinginess when it looks as if the carer is about to leave: some children follow the carer around everywhere. These behaviours are more marked when there is an insecure attachment, and more apparent in unfamiliar circumstances, or when the child is hungry, tired or unwell.
Case 84: She is so clingy. It’s like having a shadow
Published in Barry Wright, Subodh Dave, Nisha Dogra, 100 Cases in Psychiatry, 2017
Barry Wright, Subodh Dave, Nisha Dogra
It is likely that there may be a strong family history of anxiety and/or mood disorders. Children with separation anxiety disorder are at greater risk of developing mood disorders and other anxiety disorders such as panic disorder, social phobia and/or agoraphobia in later life. Separation anxiety is developmentally normal from about 7–9 months of age and declines with time, but separation anxiety disorder goes on for longer and can interfere with social functioning. It can be understood from an attachment theory perspective.
Emotional and cognitive conflict resolution and disruptive mood dysregulation disorder in adolescent offspring of parents diagnosed with major depressive disorder, bipolar disorder, and matched healthy controls
Published in Nordic Journal of Psychiatry, 2021
Zehra Topal, Nuran Demir, Evren Tufan, Taha Can Tuman, Bengi Semerci
The most common diagnoses among our sample of adolescents were ADHD, separation anxiety, and oppositional defiant disorder. All tended to be more common among high-risk offspring without significant differences among MDD and BD. Recent studies suggest that oppositionality and thought problems may be elevated among BDoff while anxiety may be elevated in both BDoff and MDDoff [56]. Also, some of the anxiety disorders may form a prodrome of BP [57]. The relationship between ADHD, disruptive behavior disorders, anxiety disorders and mood disorders is well known, but the number of studies conducted specifically for separation anxiety disorder (SepAD) is very few [58]. The rates of SepAD co-morbidity were found to be 61.7% in mood disorders, 40.8% in major depression and 19.4% in BD [59]. Patients with BD and comorbid SepAD may have an earlier age of onset [60]. Previous studies conducted among offspring of Turkish parents with mood disorders found that ADHD and anxiety disorders were the most common diagnoses [61,62]. Rates of ADHD and anxiety disorders (including SepAD) in those studies varied between 5.7 and 29.4% and 5.7 and 19.4%, respectively. In this study, separation anxiety disorder was one of the most common disorders in high-risk adolescents for mood disorders, but no significant difference was found between MDDoff and BDoff.
A mixed-methods study of the disease experience in hematopoietic stem cell transplantation survivors: the contribution of text analysis
Published in Journal of Psychosocial Oncology, 2020
Francesco Sinatora, Nicoletta Di Florio, Annalisa Traverso, Silvia Zanato, Alessio Porreca, Marta Tremolada, Manuela Tumino, Antonio Marzollo, Chiara Mainardi, Maria Gabelli, Elisabetta Calore, Marta Pillon, Chiara Cattelan, Chiara Messina, Giuseppe Basso
According to the literature, transplantation could have negative effects on a child’s physical, emotional and social well-being.3 Following the stressful period of the therapy, the long hospitalization and the separation from family members, children may experience high levels of anxiety.4 Moreover, younger children may have particular difficulties with separation anxiety, especially in relation to separation from the mother. Post-traumatic stress symptoms are also reported5 and in many cases symptoms of an “after-stress reaction” have been traced far beyond HSCT.6 Studies agree that extended hospital stays are associated with symptoms of withdrawal and depression, which is enhanced during hospitalization, and often continues for months after HSCT.7 Furthermore, studies8,9 have shown that survivors are described by peers and by parents as more isolated and with impaired social competence.
Validity and reliability of the Turkish version of the DSM-5 Separation Anxiety Disorder Severity Scale–child form
Published in Psychiatry and Clinical Psychopharmacology, 2019
Şermin Yalın Sapmaz, Handan Özek Erkuran, Masum Öztürk, Dilek Ergin, Nesrin Şen Celasin, Duygu Karaarslan, Ertuğrul Köroğlu, Ömer Aydemir
The strength for distinguishing between community and clinical samples was shown by the receiver operating characteristic (ROC) curve. Measures of the area under the ROC curve equal to or above 0.9 indicate good discriminative strength, while measures between 0.8 and 0.9 are regarded as acceptable [19]. In addition, correlation between the Separation Anxiety Disorder Severity Scale–Child Form and SCARED was assessed for concurrent validity. For validity and reliability analyses, data from 141 children were used.