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EPA-1208 – Separation Anxiety in Adult Patients: From Symptom Correlation to Outcome Prediction

Published online by Cambridge University Press:  15 April 2020

P. Grandinetti ,
A. Bruschi ,
A. De Angelis ,
M. Pascucci ,
E. Salvador ,
S. Solaroli ,
S. Pini ,
M. Di Nicola ,
L. Janiri  and
G. Pozzi
P. Grandinetti
Affiliation:
Institute of Psychiatry and Psychology, Catholic University of the Sacred Heart Policlinico A. Gemelli, Roma, Italy
A. Bruschi
Affiliation:
Institute of Psychiatry and Psychology, Catholic University of the Sacred Heart Policlinico A. Gemelli, Roma, Italy
A. De Angelis
Affiliation:
Institute of Psychiatry and Psychology, Catholic University of the Sacred Heart Policlinico A. Gemelli, Roma, Italy
M. Pascucci
Affiliation:
Institute of Psychiatry and Psychology, Catholic University of the Sacred Heart Policlinico A. Gemelli, Roma, Italy
E. Salvador
Affiliation:
Institute of Psychiatry and Psychology, Catholic University of the Sacred Heart Policlinico A. Gemelli, Roma, Italy
S. Solaroli
Affiliation:
Institute of Psychiatry and Psychology, Catholic University of the Sacred Heart Policlinico A. Gemelli, Roma, Italy
S. Pini
Affiliation:
Department of Psychiatry Neurobiology Pharmacology and Biotechnologies, University of Pisa, Pisa, Italy
M. Di Nicola
Affiliation:
Institute of Psychiatry and Psychology, Catholic University of the Sacred Heart Policlinico A. Gemelli, Roma, Italy
L. Janiri
Affiliation:
Institute of Psychiatry and Psychology, Catholic University of the Sacred Heart Policlinico A. Gemelli, Roma, Italy
G. Pozzi
Affiliation:
Institute of Psychiatry and Psychology, Catholic University of the Sacred Heart Policlinico A. Gemelli, Roma, Italy

Abstract

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Introduction:

Adult Separation Anxiety Disorder (ASAD) is related to greater personal dysfunction and to a reduced sensitivity to conventional treatment, such as cognitive-behavioural therapy or anti-panic drugs, even considering severity of anxiety symptoms, number of co-morbid disorders, socioeconomical status, disease duration, and severity of agoraphobia.

Objectives:

To evaluate separation anxiety, psychiatric co-morbidity, levels of anxiety, character and temperament personality traits, and global functioning, in subjects with anxiety disorders attending a tertiary-level outpatient clinic.

Aims:

To predict the outcome and customize treatment for anxiety disorders.

Methods:

After symptom stabilization of one month (T0) 40 patients with anxiety disorders were assessed by means of SCI- SAS, SASI, ASA -27, MINI, HAM- A, TCI-R, GAF. Prospective evaluation is planned at T60 and T180.

Results:

According to preliminary cross-sectional data, higher scores of separation anxiety show statistically significant correlations with some domains of the TCI-R; in addition, patients with ASAD show greater psychiatric co-morbidity. No correlations were found between the presence of separation anxiety and levels of anxiety at HAM-A or GAF scores at baseline.

Conclusions:

The prospective study of long-term response to treatment is ongoing and the sample will be expanded. The comprehension of anxiety symptoms appraisal in the framework of psychobiological personality characteristics is expected to influence the choice of both pharmacological and psychological therapeutic tools, particularly in patients showing higher levels of dysfunction.

Type
P02 - Anxiety Disorders and Somatoform Disorders
Information
European Psychiatry , Volume 29 , Issue S1: Abstracts of the 22nd European Congress of Psychiatry , 2014 , pp. 1
Copyright
Copyright © European Psychiatric Association 2014

References

Bruschi, A., De Angelis, A., Grandinetti, P., Pascucci, M., Janiri, L., Pozzi, G.Separation anxiety disorder: evidence of literature and clinical implications. Riv Psichiatr 2012 Sep-Oct;47(5):355–364.Google ScholarPubMed
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