Anxiety Disorders

Le résumé fourni par la source

Perinatal anxiety is characterised by intense symptoms of anxiety and fear and includes affective, cognitive and behavioural components. Anxiety disorders include generalised anxiety disorder, panic disorder, specific phobias and social anxiety disorder. Obsessive compulsive disorder and post-traumatic stress disorder are also included here to remain in line with the majority of published evidence, and because of agreement that anxiety is a central characteristic of these disorders. Some level of antenatal anxiety is common but when it becomes extreme or persistent it can be associated with maternal, fetal and infant morbidity, as well as emotional and cognitive problems in children and teenagers and risk of the child developing an anxiety disorder. This chapter provides an overview of the different anxiety and associated disorders. It focuses on issues to consider in perinatal anxiety, namely the consideration of symptoms versus disorders, normal versus pathological anxiety and pregnancy-specific versus general anxiety. The subsequent sections of the chapter focus on each of the anxiety and associated disorders in turn: their epidemiology, aetiology, presentation, course and outcomes including for the infant and family; and, finally, their management.

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