3.1.1 - Comment on the comorbidity of anxiety disorders and depression in children.

Question 1

What types of comorbidities do we see with anxiety disorders?

Answer 1

There is comorbidity with
depression
internalising disorders (somatic problems, anxiety - GAD, SAD,)
externalising behaviour problems (aggression, ODD)

Youth with anxiety are 65% likely to have a comorbid disorder.

Question 2

Prognosis for anxiety disorders when comorbid with another disorder?

Answer 2

Worse if there is comorbidity

Question 3

What are the three explanations for comorbidity of anxiety and depression?

TAC

Answer 3

True comorbidity - shared risk factors, cooccurring fisk factors

Artifactual comorbidity might reflect problems with a precocity of assessment tool

Causal relationship between the two disorders (e.g. - ongoing anxiety may lead to depression).

Question 4

What is the tripartite model which distinguishes amongst three major clusters of affect symptoms?

Answer 4

It emphasises shared and unique components of anxiety and depression

Negative affect (NA) (OVERLAP)
Physiological hyperarousal (PH) (high PH unique to ANX)
Positive affect (PA) (low PA unique to DEP)

Question 5

Who proposed the tripartite model of depression?

Answer 5

Clark and Watson

Think of Jeanette Clark and Sarah Watson