Anxiety disorders in childhood

Autor	doc. MUDr. Eva Malá, CSc.
Organisation	Denní psychoterapeutické sanatorium Ondřejov
Year	2011
Research type	study
Annotation	When diagnosing pathological anxiety in children one needs to consider the following aspects: development, maturity, society and communication. Behavioral inhibition (extreme shyness) is a permanent temperament trait, often combined with poor recognition of emotional facial expressions. It is defined by biological markers and reflects a specific susceptibility to neurotic disorders. Analyzing the response to emotional facial expressions by imaging techniques shows, unlike the control groups, the activation of the following areas: gyrus fusiformis, orbitofrontal cortex, amygdala and hippocampus. Children with anxiety suffer from a behavioral inhibition related to persistent fear and show a marked body reaction to stress. In adolescence such children will be at higher risk of chronic anxiety, depression and substance abuse. A treatment would include a combination of psychotherapy, pharmacotherapy and sociotherapy Pharmacotherapy is important for children with bad school performance, poor social adaptability and where comorbidity has been ascertained. Pharmacotherapy of emotional disorders is based on a specific algorithm. The article looks at the drugs that were prescribed, even though off-label, still remarkably efficient.
Keywords	Behavioral inhibition, emotional facial expressions, PET and MRI in children with anxiety, therapy
Research type	quantitative
Start date	1. 1. 2011
End date	31. 12. 2011
Obor	ED physiology
Note	Malá, E. Úzkostné poruchy v dětství. Čes a slov Psychiat 2011; 107(2): 99–105
Email	mala.e@volny.cz
Availability	available in the NRVDM electronic library
Download research	1348558673.pdf
Research location	Denní psychoterapeutické sanatorium Ondřejov
Organisation	Denní psychoterapeutické sanatorium Ondřejov
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