February 5, 2008
Potential exam questions:
What is most severe?
What is most resistant to treatment? Panic disorder…. b/c it’s unexpected, illogical
characterized by strong negative emotion and tension in anticipation of future danger or threat
Moderate amounts of anxiety is adaptive; helps us cope with potentially dangerous situations
Anxiety experienced by children with anxiety disorders is excessive and debilitating
Three interrelated anxiety response systems: (Table 7.1)
Physical system-fight or flight response, mediated by the sympathetic nervous system
Cognitive system-attentional shift and hypervigilance, nervousness, difficulty concentrating
Behavioral system-aggression and/or avoidance
Child Behavior Checklist (CBCL) very commonly used, has many different subscales
Anxiety and depression subscale:
Lonely, cries, fears doing something bad, feels need to be perfect, feels unloved, feels other out to get you, feels
worthless, nervous, fearful, guilty, self-conscious, suspicious of others, sad, worries
Negative Affectivity (NA): persistent negative mood
Positive Affectivity (PA): states such as joy, enthusiasm and energy
NA is present in both anxiety and depression, but PA is uncorrelated with anxiety and negatively correlated with
So can be anxious with PA, but if depressed low PA.
Anxiety: future-oriented mood state, which may occur in the absence of realistic danger
Fear: present focused emotional reaction to current danger (fight or flight)
Panic: sudden and not necessarily based on fact?
Normal: all children worry, anxieties common