REVIEW ARTICLE
Burden and risk factors of anxiety disorders among Arabic pediatric population: A systematic review
 
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Department of Physical Therapy, Faculty of Medical Rehabilitation Science, King Abdulaziz University, Jeddah, SAUDI ARABIA
 
 
Online publication date: 2023-01-19
 
 
Publication date: 2023-03-01
 
 
Electron J Gen Med 2023;20(2):em455
 
KEYWORDS
ABSTRACT
Aim:
In the general population, where 6 to 20% of individuals experience anxiety disorders, children also experience a higher burden of anxiety. We undertook a systematic review In order to examine and summarize the results from studies that estimated the prevalence of anxiety and/or its associated risk factors in the pediatric populations of Arab nations, primarily the gulf countries.

Methods:
Any study that focused on the pediatric population and completed in Arab nations to determine the incidence of anxiety and/or its risk factors among children under the age of 18. The review had 13 articles were included.

Results:
The results of the systematic review found that there was a wide variation in the prevalence of anxiety among children. At least 30.2% of the children were found to suffer from anxiety and the prevalence could go up to 60% in some countries with a higher prevalence among girls than boys. Associated factors of anxiety were diverse including exposure to environmental tobacco smoke, parenting style, living with parents suffering from mental disorders, school type, and being female.

Conclusion:
The findings of the review demonstrate the higher prevalence of anxiety among children as almost at least one-third of children suffer from anxiety in the Gulf countries. The program managers and the respective government of these Arab countries need to devise some strategies and interventions that not only focus on the children but also their environment.

 
REFERENCES (39)
1.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders-IV-TR. American Psychiatric Association, Washington, DC; 2000.
 
2.
Gustavson K, Knudsen AK, Nesvåg R, Knudsen GP, Vollset SE, Reichborn-Kjennerud T. Prevalence and stability of mental disorders among young adults: Findings from a longitudinal study. BMC Psychiatry. 2018;18(1):65. https://doi.org/10.1186/s12888... PMid:29530018 PMCid:PMC5848432.
 
3.
Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE. Lifetime prevalence and age-of-onset-distributions of DSM-IV disorders in the national comorbidity survey replication. Arch Gen Psychiatry. 2005;62(6):593-602. https://doi.org/10.1001/archps... PMid:15939837.
 
4.
Merikangas KR, Nakamura EF, Kessler RC. Epidemiology of mental disorders in children and adolescents. Dialogues Clin Neurosci. 2009;11(1):7-20. https://doi.org/10.31887/DCNS.... PMid:19432384 PMCid:PMC2807642.
 
5.
Polanczyk GV, Salum GA, Sugaya LS, Caye A, Rohde LA. Annual research review: A meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. J Child Psychol Psychiatry. 2015;56(3):345-365. https://doi.org/10.1111/jcpp.1... PMid:25649325.
 
6.
Merikangas KR, He JP, Burstein M, et al. Lifetime prevalence of mental disorders in U.S. adolescents: Results from the national comorbidity survey replication–Adolescent supplement (NCS-A). J Am Acad Child Adolesc Psychiatry. 2010; 49(10):980-9. https://doi.org/10.1016/j.jaac... PMid:20855043 PMCid:PMC2946114.
 
7.
de Lijster JM, Dierckx B, Utens EM, et al. The age of onset of anxiety disorders. Can J Psychiatry. 2017;62(4):237-46. https://doi.org/10.1177/070674... PMid:27310233 PMCid:PMC5407545.
 
8.
Bruce SE, Yonkers KA, Otto MW, et al. Influence of psychiatric comorbidity on recovery and recurrence in generalized anxiety disorder, social phobia, and panic disorder: A 12-year prospective study. Am J Psychiatry. 2005;162(6):1179-87. https://doi.org/10.1176/appi.a... PMid:15930067 PMCid:PMC3272761.
 
9.
Smoller JW, Block SR, Young MM. Genetics of anxiety disorders: The complex road from DSM to DNA. Depress Anxiety. 2009;26(11):965-75. https://doi.org/10.1002/da.206... PMid:19885930.
 
10.
Hettema JM, Prescott CA, Myers JM, Neale MC, Kendler KS. The structure of genetic and environmental risk factors for anxiety disorders in men and women. Arch Gen Psychiatry. 2005;62(2):182-9. https://doi.org/10.1001/archps... PMid:15699295.
 
11.
Fullana MA, Tortella-Feliu M, de la Cruz LF, et al. Risk and protective factors for anxiety and obsessive-compulsive disorders: An umbrella review of systematic reviews and meta-analyses. Psychol Med. 2020;50(8):1300-15. https://doi.org/10.1017/S00332... PMid:31172897.
 
12.
Cobham VE, Hickling A, Kimball H, Thomas HJ, Scott JG, Middeldorp CM. Systematic review: Anxiety in children and adolescents with chronic medical conditions. J Am Acad Child Adolesc Psychiatry. 2020;59(5):595-618. https://doi.org/10.1016/j.jaac... PMid:31676391.
 
13.
Hettema JM, Neale MC, Kendler KS. A review and meta-analysis of the genetic epidemiology of anxiety disorders. Am J Psychiatry. 2001;158(10):1568-78. https://doi.org/10.1176/appi.a... PMid:11578982.
 
14.
Ayano G, Betts K, Maravilla JC, Alati R. The risk of anxiety disorders in children of parents with severe psychiatric disorders: A systematic review and meta-analysis. J Affect Disord. 2021;282:472-87. https://doi.org/10.1016/j.jad.... PMid:33422825.
 
15.
Kimball H, Douglas T, Sanders M, Cobham VE. Anxiety in children with cystic fibrosis and their parents: A systematic review. Clin Child Fam Psychol Rev. 2021;24(2):370-90. https://doi.org/10.1007/s10567... PMid:33660071.
 
16.
Ståhlberg T, Khanal P, Chudal R, Luntamo T, Kronström K, Sourander A. Prenatal and perinatal risk factors for anxiety disorders among children and adolescents: A systematic review. J Affect Disord. 2020;277:85-93. https://doi.org/10.1016/j.jad.... PMid:32799108.
 
17.
Bener A, Abou-Saleh MT, Dafeeah EE, Bhugra D. The prevalence and burden of psychiatric disorders in primary health care visits in Qatar: Too little time? J Fam Med Prim Care. 2015;4(1):89-95. https://doi.org/10.4103/2249-4... PMid:25810996 PMCid:PMC4367013.
 
18.
Tanios CY, Abou-Saleh MT, Karam AN, Salamoun MM, Mneimneh ZN, Karam EG. The epidemiology of anxiety disorders in the Arab world: A review. J Anxiety Disord. 2009;23(4):409-19. https://doi.org/10.1016/j.janx... PMid:19091509.
 
19.
Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. https://doi.org/10.1136/bmj.n7... PMid:33782057 PMCid:PMC8005924.
 
20.
Greenhalgh T, Peacock R. Effectiveness and efficiency of search methods in systematic reviews of complex evidence: Audit of primary sources. BMJ. 2005;331(7524):1064-5. https://doi.org/10.1136/bmj.38... PMid:16230312 PMCid:PMC1283190.
 
21.
Schlosser RW, Wendt O, Bhavnani S, Nail-Chiwetalu B. Use of information-seeking strategies for developing systematic reviews and engaging in evidence-based practice: The application of traditional and comprehensive pearl growing. A review. Int J Lang Commun Disord. 2006;41(5):567-82. https://doi.org/10.1080/136828... PMid:17050471.
 
22.
Potdar RD, Sahariah SA, Gandhi M, et al. Improving women’s diet quality preconceptionally and during gestation: Effects on birth weight and prevalence of low birth weight–a randomized controlled efficacy trial in India (Mumbai maternal nutrition project). Am J Clin Nutr. 2014;100(5):1257-68. https://doi.org/10.3945/ajcn.1... PMid:25332324 PMCid:PMC4196482.
 
23.
Alfakeh SA, Gadah AA, Alharbi KA, et al. Childhood anxiety disorders prevalence in Saudi Arabia. Saudi Med J. 2021;42(1):91-4. https://doi.org/10.15537/smj.2... PMid:33399176 PMCid:PMC7989321.
 
24.
Al Omari O, Al Sabei S, Al Rawajfah O, et al. Prevalence and predictors of depression, anxiety, and stress among youth at the time of COVID-19: An online cross-sectional multicountry study. Depress Res Treat. 2020;2020:8887727. https://doi.org/10.1155/2020/8... PMid:33062331 PMCid:PMC7537692.
 
25.
Al-Muhannadi M, Al-Karbi K, Amran HAA, et al. Prevalence and co-occurrence of major depression and generalized anxiety disorders among adolescents in Qatar. Middle East J Fam Med. 2021;19(8):42-6. https://doi.org/10.5742/MEWFM.....
 
26.
Al-Yateem N, Bani Issa W, Rossiter RC, et al. Anxiety related disorders in adolescents in the United Arab Emirates: A population based cross-sectional study. BMC Pediatr. 2020;20(1):245. https://doi.org/10.1186/s12887... PMid:32450837 PMCid:PMC7249318.
 
27.
Al Salman ZH, Al Debel FA, Al Zakaria FM, Shafey MM, Darwish MA. Anxiety and depression and their relation to the use of electronic devices among secondary school students in Al-Khobar, Saudi Arabia, 2018-2019. J Family Community Med. 2020;27(1):53-61. https://doi.org/10.4103/jfcm.J... PMid:32831562 PMCid:PMC7415272.
 
28.
Sabbagh HJ, Sharton G, Almaghrabi J, Al-Malik M, Hassan Ahmed Hassan M, Helal N. Effect of environmental tobacco smoke on children’s anxiety and behavior in dental clinics, Jeddah, Saudi Arabia: A cross-sectional study. Int J Environ Res Public Health. 2021;18(1):319. https://doi.org/10.3390/ijerph... PMid:33406765 PMCid:PMC7795303.
 
29.
Fakhrou AA, Ghareeb SA. The anxiety level of the children with autism and its relationship with several variables in Qatar. J Educ Learn. 2020;9(4):118-30. https://doi.org/10.5539/jel.v9....
 
30.
Ghazwani JY, Khalil SN, Ahmed RAJ. Social anxiety disorder in Saudi adolescent boys: Prevalence, subtypes, and parenting style as a risk factor. J Fam Commun Med. 2016;23(1):25-31. https://doi.org/10.4103/2230-8... PMid:26929726 PMCid:PMC4745198.
 
31.
Ismail A, Abdelgaber A, Hegazi H, Lotfi M, Kamel A, Ramdan M. The prevalence and risk factors of anxiety disorders in an Egyptian sample of school and students at the age of 12-18 years. Eur Psychiatry. 2017;41(S1):S410-1. https://doi.org/10.1016/j.eurp....
 
32.
Alaki S, Alotaibi A, Almabadi E, Alanquri E. Dental anxiety in middle school children and their caregivers: Prevalence and severity. J Dent Oral Hyg. 2012;4(1):6-11.
 
33.
Al Gelban KS. Prevalence of psychological symptoms in Saudi secondary school girls in Abha, Saudi Arabia. Ann Saudi Med. 2009;29(4):275-9. https://doi.org/10.4103/0256-4... PMid:19584586 PMCid:PMC2841454.
 
34.
Aljughaiman A, Tan M. Anxiety in gifted female students in the Kingdom of Saudi Arabia. Gift Talent Int. 2009;24(1):49-54. https://doi.org/10.1080/153322....
 
35.
Ramsawh HJ, Chavira DA, Stein MB. Burden of anxiety disorders in pediatric medical settings: Prevalence, phenomenology, and a research agenda. Arch Pediatr Adolesc Med. 2010;164(10):965-72. https://doi.org/10.1001/archpe... PMid:20921356 PMCid:PMC3106429.
 
36.
Wang PS, Berglund P, Kessler RC. Recent care of common mental disorders in the United States: Prevalence and conformance with evidence-based recommendations. J Gen Intern Med. 2000;15(5):284-92. https://doi.org/10.1046/j.1525... PMid:10840263 PMCid:PMC1495452.
 
37.
Gilbert R, Kemp A, Thoburn J, et al. Recognising and responding to child maltreatment. Lancet. 2009;373(9658):167-80. https://doi.org/10.1016/S0140-... PMid:19056119.
 
38.
Al-Gelban KS. Depression, anxiety and stress among Saudi adolescent school boys. J R Soc Promot Health. 2007;127(1):33-7. https://doi.org/10.1177/146642... PMid:17319315.
 
39.
Alyahri A, Goodman R. The prevalence of DSM-IV psychiatric disorders among 7-10 year old Yemeni schoolchildren. Soc Psychiatry Psychiatr Epidemiol. 2008;43(3):224-30. https://doi.org/10.1007/s00127... PMid:18040589.
 
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