[The anxiety-phobic disorder classification in children].
The study on development regularities and psychopathological structure of anxiety phobic disorders has been conducted in 92 patients, aged 5-15 years. The structure of anxiety-phobic complex is represented. A level of anxiety affect development (primary or secondary, presence and direction of affect cognitive component) and negative effectiveness were emerged in the children as common obligate anxiety-phobic characteristics, which contributed to complex structure stability. Three anxiety-phobic disorder types--situation-dependent, personality-dependent and vital--were distinguished. The first one is characterized by the combination of secondary anxiety with cognitive vector expression, the vector being outside directed, and emotionally unstable negative effectiveness variant (particular sensitivity to negative situations with disability for negative emotion control). The second type is distinguished by secondary anxiety manifestations, the anxiety vector being directed towards the self-ego. In these cases, personality component--rigid variant of negative effectiveness (higher sensitivity to negative events, along with disability for negative emotion modulation) dominates. The third type is defined by the combination of primary anxiety (with vital disturbance, diffusion, psychic activity disorganization in the absence of cognitive component) with rigid variant of negative effectiveness. The types of manifesting anxiety-phobic disorders described correspond to reactive (situation-dependent type), endoreactive (personality-dependent type) and autochthonous (vital type) variants of the disease course.
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D000293:Adolescent; D000339:Affect; D001008:Anxiety Disorders / Q000145:classification* / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D015897:Comorbidity; D007174:Disruptive, Impulse Control, and Conduct Disorders / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D010698:Phobic Disorders / Q000145:classification* / Q000453:epidemiology; D012720:Severity of Illness Index