Chinese Journal of Practical Pediatrics ›› 2022, Vol. 37 ›› Issue (11): 808-812.DOI: 10.19538/j.ek2022110603

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Recognition,prevention and coping strategies of anxiety in children

  

  1. Department of Child Health Care,Children’s Hospital,Capital Institute of Pediatrics,Beijing  100020,China
  • Online:2022-11-06 Published:2022-12-28

儿童焦虑的认识、预防与应对策略

  

  1. 首都儿科研究所附属儿童医院保健科,北京  100020
  • 通讯作者: 王琳,电子信箱:carolin_wang@bjmu.edu.cn
  • 基金资助:
    北京市医院管理中心“登峰”计划专项(DFL20221103);首都卫生发展科研专项(2020-2-2104);北京市属医学科研院所公益发展改革试点项目(京医研2019-11,京医研2021-3);北京市医管局培育项目(PX2022053);首都儿科研究所所级基金(FX-2019-06,QN-2020-08,CXYJ-2021-08,LCPY-2021-11,LCPY-2021-27)

Abstract: Anxiety disorder is a common mental disorder among children and adolescents,which affects the psychological development and interpersonal relationship. Since anxiety disorder is hidden in the early stage of children's life,failure in early identification and intervention may cause serious consequences in adolescence. At the same time, there are various manifestations of anxiety in adolescents,which can co-occur with other psychological and behavioral diseases. At present,there is a general shortage of psychological pediatricians in China. Non-psychological pediatricians are in lack of professional knowledge in recognizing the signs of anxiety in the early stage,and further improvement is also needed in the co-occurrence and comprehensive diagnosis of diseases. The necessary measures to prevent and manage children with this disease include strengthening early identification and promoting multi-dimensional and multi-level active health management and precise intervention in the family,school and hospital.

Key words: child and adolescent, anxiety, neuropsychological characteristics, early identification, multi-dimensional health management

摘要: 焦虑障碍是儿童青少年常见的精神障碍,影响儿童青少年的心理发展、人际关系等。由于焦虑障碍在儿童生命早期表现隐匿,如果未能早期识别干预可能会造成青少年期比较严重的后果;同时,在青少年中焦虑病情表现多样,可共患于其他心理行为疾病。当前,我国心理专科医生力量普遍不足,非心理专科的儿科医生对本类疾病早期识别不够,在疾病共患和全面诊断方面也需要进一步提升。通过加强早期识别,积极开展家-校-医多维度、多层次的主动健康管理和精准干预,是预防和管理本病患儿的必要措施。

关键词: 儿童青少年, 焦虑, 神经心理特点, 早期识别, 多维度健康管理