master's thesis
Anxiety disorders in childhood

Mihajela Poljak (2016)
Sveučilište u Zagrebu
Medicinski fakultet
KATEDRA ZA PSIHIJATRIJU I PSIHOLOŠKU MEDICINU
Metadata
TitleAnksiozni poremećaji u dječjoj dobi
AuthorMihajela Poljak
Mentor(s)Dražen Begić (thesis advisor)
Abstract
Anksiozni poremećaji jedni su od najčešćih mentalnih poremećaja u dječjoj i adolescentnoj dobi. Temeljno obilježje ovih poremećaja je razvojno neprimjerena razina anksioznosti i strahova koji ometaju normalno funkcioniranje djeteta. Važno je dječje strahove promatrati u kontekstu razvojnih procesa. Prevalencija anksioznih poremećaja kod djece kreće se od 10 do 20%. Zastupljeni su u oba spola, iako se češće javljaju kod djevojčica i to nakon šeste godine života. Pravovremeno otkrivanje i liječenje dječje anksioznosti može smanjiti negativni utjecaj koji ovi poremećaji ostavljaju na daljni razvoj kako bi se smanjio negativan utjecaj na školsko, obiteljsko i socijalno funkcioniranje djece i mladih. Često dolaze u komorbiditetu s ostalim psihijatrijskim poremećajima. Manifestiraju se kroz čitav spektar najrazličitijih promjena kroz emocionalne, kognitivne, bihevioralne i tjelesne simptome. Multifaktorijalne su etiologije, nastaju djelovanjem različitih biologijskih, genetskih, psihološkh i socijalnih čimbenika. U liječenju anksioznih poremećaja najviše rezultata daje kombinirani tretman koji se temelji na kognitivno-bihevioralnoj terapiji (KBT) i farmakoterapiji. Kognitivna terapija otkriva i mijenja negativne automatske misli, pogrešna bazična vjerovanja, pretpostavke i iskrivljena mišljenja. Bihevioralne tehnike imaju za cilj promjenu ponašanja. Od lijekova najčešće se primjenjuju selektivni inhibitori ponovne pohrane serotonina koji predstavljaju prvu liniju terapije i dokazano su najučinkovitiji za anksiozne poremećaje. Prognoze su najbolje u dječjoj i adolescentnoj psihijatriji ako se s tretmanom krene što prije te osim samog djeteta u planiranje i provođenje terapijskog tretmana uključe roditelji odnosno skrbnici djeteta.
Keywordsanxiety anxiety disorders fears children and adolescents
Parallel title (English)Anxiety disorders in childhood
Committee MembersMilena Skočić Hanžek (committee chairperson)
Zorana Kušević (committee member)
Dražen Begić (committee member)
GranterSveučilište u Zagrebu
Medicinski fakultet
Lower level organizational unitsKATEDRA ZA PSIHIJATRIJU I PSIHOLOŠKU MEDICINU
PlaceZagreb
StateCroatia
Scientific field, discipline, subdisciplineBIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Pediatrics
Study programme typeuniversity
Study levelgraduate
Study programmeStudies in Nursing
Academic title abbreviationmag. med. techn.
Genremaster's thesis
Language Croatian
Defense date2016-09-22
Parallel abstract (English)
Anxiety disorders are one of the most common mental disorders when it comes to children and adolescents. The core feature of these disorders is a level of anxiety and fears that is not appropriate for that stage of development in a child which leads to anxiety disorders having a significant impact on disrupting daily activities of a child. It is important to monitor children’s fears within the context of their development. Estimations show that approximately 10 to 20% of all children develop some kind of anxiety disorders. They are present with the children of both sexes, although some anxiety disorders have shown to be featured more often in girls. Anxiety disorders can be diagnosed after the age of six. Early discovery and proper treatment can significantly help with the possible negative effects these disorders have on social and family life as well as on a child’s performance in school. Anxiety disorders are comorbid conditions with other psychiatric disorders. Anxiety is manifested in the form of bodily, psychological, cognitive and behavioural changes. When it comes to etiology, a variety of factors are present, with the causes of anxiety disorders still not fully known, but both psychiatric and general medical factors are involved. Clinical studies, as well as every day practice, have shown that most effective results yield when cognitive- behavioural therapy (CBT) combined with prescription medication is utilized. Cognitive therapy bases its approach on identifying and replacing negative thinking patterns and behaviours with positive ones while behavioural techniques aim to change behavioural patterns in children with anxiety disorders. Selective serotonin reuptake inhibitors (SSRIs) are the first choice when it comes to medication therapy as they are proven time and time again to be the most effective in anxiety disorders. When diagnosed early and using a proper treatment, anxiety disorders can be reduced to a minimum as to not cause any damage to the child’s life. It is crucial in children and adolescents psychiatry for the success of the treatment for parents or guardians to be heavily involved in all stages of treating the disorder, from planning to practicing techniques proposed by the physician.
Parallel keywords (Croatian)anksioznost anksiozni poremećaji strah djeca i adolescenti
Resource typetext
Access conditionOpen access
Terms of usehttp://rightsstatements.org/vocab/InC/1.0/
URN:NBNhttps://urn.nsk.hr/urn:nbn:hr:105:814807
CommitterLovela Machala Poplašen