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What is seperation anxiety disorder? (Symptoms (Symptom dimensions (Fear…
What is seperation anxiety disorder?
Treatment
CBT
Education
Practice thought principles
Relapse prevention
Family based treatment
Promotes child autonomy
Altering parenting factors
Pharmalogical Treatment measures
SSRIs are most common
Study shows, they are more effective in combination with CBT
Etiology
Risk factors
Biological/genetic factors
Temperament
Family processes and attachment
Parental anxiety and depression
Presence of certain stressors in family environment
ASAD
Lifetime prevalence rate = 6.6%
Onset before or after the age of 18
Does not exist in DSM-IV
Comorbidity
PTSD
GAD
SAD
Symptoms
Distress before and during seperation
School refusal
Anxiety about seperation
Clinging
Nightmares
Somatic complaints
Excessive worry about oneself and/or major attachment figures
Symptom dimensions
Fear of being alone
Fear of abandonment
Fear of physical illness
Worry about calamitous events
Epidemology
Lifetime prevalance: 4.1%
Varies across gender
In girls: 6.8%
In boys: 3.2%
Varies across age
14 years: 6.5%
14-16 years: 2.9&
Onset around 7-12 years
Assessment
Structured interviews
Child self-report measures
Parent measures
Cliinican rating scales
Observational methods
Distinction from school refusal behaviour
75% SAD patients experience school refusal behavior
School refusal is usually acute and mild
Chronic school refusal can be associated with depression, ...
Can occur with or without SAD
Comorbidity
OCD
GAD
ADHD
Depressive disorders
Oppositional-defiant disorder
Conduct disorder
SAD - Subtypes
Follower
Visitor
Misfortune teller
Timekeeper