Comorbidity between balance and anxiety disorders in adult population is a well-studied clinical entity. Children might be particularly prone to develop balance-anxiety comorbidity, but surprisingly they are practically neglected in this field of research. The consequence is that children are treated for what seems to be the primary disorder without noticing possible effects on the other disorder. In Study 1, children with balance dysfunction were compared to normally balanced controls on anxiety and self-esteem. In study 2, children with balance dysfunction were assigned to either balance training or a waiting-list control. Training consisted of 12 weekly sessions of balance treatment. Anxiety and self-esteem were tested before and after treatment/waiting. Study 1 confirmed significantly higher anxiety and lower self-esteem in the balance dysfunction group compared to the control group. Study 2 showed that treatment improved balance performance, reduced anxiety, and increased self-esteem relative to the control waiting list group. Taken together, the present findings are in accord with the observations of comorbidity between balance and anxiety disorders in adults and confirm their validity in children younger than 7 years of age. This profile of comorbidity between balance dysfunction and anxiety also include lower self-esteem.

译文

成人人群中平衡和焦虑症之间的合并症是一个经过充分研究的临床实体。儿童可能特别容易出现平衡焦虑共病,但令人惊讶的是,他们在这一研究领域实际上被忽视了。结果是,儿童接受了似乎是原发性疾病的治疗,却没有注意到对另一种疾病的可能影响。在研究1中,将平衡功能障碍的儿童与焦虑和自尊的正常平衡对照进行了比较。在研究2中,有平衡功能障碍的儿童被分配到平衡训练或等待名单控制中。培训包括每周12次平衡治疗。在治疗/等待之前和之后测试焦虑和自尊。研究1证实,与对照组相比,平衡功能障碍组的焦虑和自尊明显更高。研究2表明,相对于对照候补名单组,治疗改善了平衡表现,减少了焦虑,并提高了自尊心。总而言之,目前的发现与成年人平衡和焦虑症之间的合并症的观察结果一致,并证实了其在7岁以下儿童中的有效性。平衡功能障碍和焦虑之间的合并症特征还包括较低的自尊心。

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