“Don’t leave, please” – cognitive behavioural treatment of a child with separation anxiety disorder
Year: 2018
Type: article
Study design: Case Report
Abstract: Separacijski anksiozni poremećaj (SAP) ili anksiozni poremećaj zbog separacije u djetinjstvu dijagnosticira se kada strah od odvajanja od osoba za koje je dijete vezano (roditelj ili druge osobe -figure privrženosti) čini žarište anksioznosti.Ubraja se u najučestalije anksiozne poremećaje u djece mlađe od 12 godina s tipičnim početkom u dobi 8-12 godina.Povezan je s izbjegavajućim ponašanjem što može dovesti do poteškoća na emocionalnom i socijalnom planu, a u težim slučajevima rezultirati narušenim školskim funkcioniranjem te reduciranim sveopćim funkcioniranjem djeteta.Prikazujemo slučaj dječaka u dobi od 10,5 godina, koji je nakon multidisciplinske timske obrade kojom je utvrđeno postojanje značajnih teškoća iz anksioznog kruga s dominantnim separacijskim poteškoćama, uključen u kognitivno-bihevioralni tretman.Cilj ovog rada je prikazati važnost multidisciplinskog pristupa dijagnostici i liječenju, suvremene spoznaje kognitivno-bihevioralnog pristupa i tretmana te doprinos uključenosti roditelja kao koterapeuta u implementaciji tehnika radi boljeg ishoda cjelokupnog tretmana./ Separation anxiety disorder (SAD), or anxiety disorder due to separation in childhood, is diagnosed when the fear of separation from an attachment figure is the focus of anxiety.The level of separation anxiety has to be inappropriate for the age of the child and accompanied by impaired functioning.SAD is the most common anxiety disorder among children under the age of 12, with a typical onset at the age of 8-12 years.A common feature of separation anxiety disorder is avoidance behaviour, and if left untreated can lead to strong emotional distress or affect social life of a child, family and educational functioning.In this paper, we describe a boy aged 10 years and 5 months (4 th grade of elementary school), who was referred for multidisciplinary team assessment, was diagnosed with anxiety disorder (with dominant separation anxiety problems) and was later included in cognitive-behavioural therapy.This article presents recent findings on cognitive-behavioural approach and treatment and discusses the importance of a multidisciplinary approach in assessment and treatment of SAD as well as the parents' participation in CBT implementation to improve treatment outcome.
Source: Socijalna psihijatrija
Institution: University of Osijek
Language: English
Subfield: Experimental and Cognitive Psychology
Field: Psychology
Domain: Social Sciences
Open Access status: diamond
OpenAlex ID: W2895876863