Anxiety Disorders Seen in 39% of Teens Screened at One ED

By Tucker, Miriam E. | Clinical Psychiatry News, May 2010 | Go to article overview

Anxiety Disorders Seen in 39% of Teens Screened at One ED


Tucker, Miriam E., Clinical Psychiatry News


ATLANTA--More than one-third of 74 adolescents who presented to the pediatric emergency department of a Southern California hospital screened positive for a probable anxiety disorder.

Anxiety disorders are common in medical settings, where they often co-occur with somatic complaints, such as abdominal pain and headache. This finding is from an ongoing study believed to be the first to examine anxiety disorders among adolescents in emergency department settings, Holly J. Ramsawh, Ph.D., said in an interview during her poster presentation at the annual meeting of the Anxiety Disorders Association of America.

"There does seem to be a high prevalence of occult anxiety disorders among adolescents. It's a lot more common than depression. Anxiety may not kill you or make you commit suicide, but it might lead to increased utilization of health care services for things like somatic pain," said Dr. Ramsawh, who is affiliated with the department of psychiatry at the University of California, San Diego.

Study participants were medically stable English-speaking adolescents aged 13-17 who presented to the pediatric ED between February 2009 and February 2010 for nonpsychiatric chief complaints. The participants were screened with the validated 5-item Screen for Child Anxiety Related Emotional Disorders, Child and Parent versions (SCARED-C &-P). Children with scores of 3 or greater were considered positive for an anxiety disorder.

Twenty-two percent of the participants screened positive for a probable anxiety disorder by parent report on the SCARED-P, while 30% screened positive by child report on the SCARED-C. Agreement between the parent and child report on anxiety status was fair, with a kappa statistic of 0.298. Overall, 39% of the adolescents screened positive for a probable anxiety disorder by either parent or child report, Dr. Ramsawh and her colleague Dr. Murray B. Stein reported in their poster.

While it is possible that patients may have overreported anxiety symptoms in a stressful setting like the ED, the SCARED is designed to capture trait, rather than state symptoms of anxiety, she noted in the interview.

There was no difference in mean age between those who screened positive and those who did not (14 years for both), but there was a big gender difference: 23 of the total 29 who screened positive were female (79%), compared with 21 of the 45 (47%) of those screening negative. …

The rest of this article is only available to active members of Questia

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

Anxiety Disorders Seen in 39% of Teens Screened at One ED
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.