Anxious-Irritable Children: A Distinct Subtype of Childhood Anxiety?

Behavior Therapy
Yaara ShimshoniWendy K Silverman

Abstract

Children with anxiety disorders often present with other co-occurring symptom clusters, of which irritability is among the most highly co-occurring. Despite compelling clinical and pathophysiological evidence linking anxiety and irritability, little is known regarding the clinical presentation and associated impairment of children with both anxiety and irritability. In this study, our aims were to confirm the preponderance of irritability in clinically anxious children and compare clinically anxious children with irritability to those without irritability across sociodemographic, clinical, psychosocial, and family domains. Participants were 230 children with anxiety disorders (ages 6-14 years) and their mothers, and 91 healthy controls (ages 6-17 years) and their mothers. Of the clinically anxious children, 121 were anxious and irritable; 109 were anxious but not irritable. Irritability levels were significantly higher in the clinically anxious children compared with the healthy controls. Children with anxiety disorders and irritability presented with greater severity and impairment across clinical phenomenology, psychosocial, and family domains relative to anxious children without irritability. Regression analysis findings wer...Continue Reading

Citations

Jul 11, 2020·International Journal of Environmental Research and Public Health·Armando CoccaMichaela Cocca
Jul 13, 2021·Frontiers in Psychiatry·Daniel A GellerGabrielle Johnson
Jun 18, 2021·Behavior Therapy·Andrew G GuzickEric A Storch

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