Cg. Last et al., ANXIOUS CHILDREN IN ADULTHOOD - A PROSPECTIVE-STUDY OF ADJUSTMENT, Journal of the American Academy of Child and Adolescent Psychiatry, 36(5), 1997, pp. 645-652
Objective: To prospectively examine psychosocial functioning in young
adulthood for children and adolescents with anxiety disorders. Method:
This 8-year prospective study compared psychosocial functioning in yo
ung adults (mean age 22 years) who had histories of early-onset anxiet
y disorders, comorbid anxiety and depressive disorders, or no history
of psychiatric illness (NPI). Follow-up interviews assessed subjects'
residential, educational, occupational, and marital status; utilizatio
n of mental health services; and psychological status. Results: Anxiou
s subjects without histories of depression were less likely than NPI c
ontrols to be living independently. Anxious-depressed subjects were le
ss likely than controls to be working or in school; more likely than p
urely anxious subjects to utilize mental health services; and more lik
ely than both anxious and control subjects to report psychological pro
blems, most frequently depression. Conclusions: Overall, results sugge
st that children with anxiety disorders are relatively well adjusted i
n young adulthood. However, a history of comorbid depression is progno
stic of a more negative outcome.