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Until the advent of DSM-5, separation anxiety disorder (SAD) was identified as a childhood anxiety disorder. The authors of the DSM-IV-TR guidebook (First et al. 2004) explicitly noted that “only rarely is it appropriate to make this diagnosis in adults . . .” (p. 390) but observed that many adults with other anxiety disorders have a history of childhood SAD. Nevertheless, the National Comorbidity Survey Replication (NCS-R), in assessing for SAD in adults, revealed lifetime prevalence rates of 4.1% for childhood SAD and 6.6% for adult SAD in the community (Shear et al. 2006). SAD prevalence rates are estimated to be substantially higher across both child and adult psychiatric clinic samples (Pini et al. 2010).
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