Frequency and clinical correlates of adult separation anxiety in a sample of 508 outpatients with mood and anxiety disorders.
OBJECTIVE
To evaluate the frequency and clinical correlates of adult separation anxiety disorder in a large cohort of patients with mood and anxiety disorders.


METHODS
Overall, 508 outpatients with anxiety and mood disorders were assessed by the structured clinical interview for diagnostic and statistical manual (IV edition) axis I disorders for principal diagnosis and comorbidity and by other appropriate instruments for separation anxiety into adulthood or childhood.


RESULTS
Overall, 105 subjects (20.7%) were assessed as having adult separation anxiety disorder without a history of childhood separation anxiety and 110 (21.7%) had adult separation anxiety disorder with a history of childhood separation anxiety. Adult separation anxiety was associated with severe role impairment in work and social relationships after controlling for potential confounding effect of anxiety comorbidity.


CONCLUSIONS
Adult separation anxiety disorder is likely to be much more common in adults than previously recognized. Research is needed to better understand the relationships of this condition with other co-occurring affective disorders.
Pini
S
S
Department of Psychiatry, University of Pisa, Italy. s.pini@med.unipi.it <s.pini@med.unipi.it>
Abelli
M
M
Shear
K M
KM
Cardini
A
A
Lari
L
L
Gesi
C
C
Muti
M
M
Calugi
S
S
Galderisi
S
S
Troisi
A
A
Bertolino
A
A
Cassano
G B
GB
D000328:Adult; D017668:Age of Onset; D001010:Anxiety, Separation / Q000175:diagnosis* / Q000453:epidemiology*; D015331:Cohort Studies; D015897:Comorbidity; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019964:Mood Disorders / Q000175:diagnosis* / Q000453:epidemiology*; D010045:Outpatients / Q000706:statistics & numerical data*; D016584:Panic Disorder / Q000453:epidemiology; D010552:Personality Assessment; D010553:Personality Development