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Early childhood trajectories of separation anxiety: Bearing on mental health, academic achievement, and physical health from mid-childhood to preadolescence

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Battaglia, M. et Garon-Carrier, G. et Côté, S. M. et Dionne, G. et Touchette, E. et Vitaro, F. et Tremblay, R. E. et Boivin, M. (2017). Early childhood trajectories of separation anxiety: Bearing on mental health, academic achievement, and physical health from mid-childhood to preadolescence. Depression and Anxiety, 34 (10). p. 918-927. ISSN 1091-4269 DOI 10.1002/da.22674

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Résumé

Background: Separation anxiety disorder is the most prevalent childhood anxiety condition, but no study assessed children for separation anxiety at preschool age and followed them longitudinally and directly until mid-childhood/early adolescence. Methods: Multi-informant (children, teachers, family), multipoint (at age 8, 10, 12, 13) assessments of 1,290 children of the Quebec Longitudinal Study of Child Development, who had been categorized between age 1.5 and 6 into four specific separation anxiety trajectories (1, low-persistent; 2, low-increasing; 3, high-decreasing, and the less common: 4, high-increasing) by growth mixture modeling. Participants in the high-increasing trajectory were compared to participants in the other three trajectories for: (a) child's internalizing and externalizing problem behavior; (b) physical health; (c) academic achievement; (d) maternal anxiety. Results: Multivariate analyses of variance/covariance at separate time points showed the high-increasing trajectory mostly associated with: (a) higher internalizing, but not externalizing, behavior; (b) worse academic achievement (most consistently by comparisons to the normative low-persistent trajectory; (c) higher rates of maternal panic/agoraphobic anxiety; (d) worse physical health (most consistently by comparisons to the low-persistent trajectory). The high-increasing trajectory had twofold to threefold higher incidences of physical illnesses than the normative low-persistent group; this was specific for headaches at age 12 years, chronic asthma at age 10 and 13, and having received asthma-related medication during the past 12 months. Conclusions: High-increasing separation anxiety in preschool maintains longitudinal relationships to independent health and academic outcomes, at least until preadolescence. This knowledge can inform the deployment of clinical resources at the earlier signs of the more impairing manifestations. © 2017 Wiley Periodicals, Inc.

Type de document: Article
Mots-clés libres: academic achievement agoraphobia maternal psychopathology mental health physical health separation anxiety adolescent Article asthma Canada child child behavior child health controlled study family female headache human illness trajectory infant longitudinal study major clinical study panic priority journal teacher academic success behavior disorder health status male preschool child Quebec risk factor Anxiety, Separation Child Behavior Disorders Child, Preschool Humans Longitudinal Studies Risk Factors
Date de dépôt: 09 juill. 2019 14:21
Dernière modification: 30 juill. 2019 20:01
Version du document déposé: Post-print (version acceptée)
URI: http://depot-e.uqtr.ca/id/eprint/8784

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