To explore the social and psychological risk factors to anxiety disorders in adolescents,and to screen protective factors and risk factors and establish the prediction model.

The Screen for Child Anxiety Related Emotional Disorders (SCARED),Behavioral Inhibition Scale (BIS),Parental Bonding Instrument (PBI),Adolescent Self-rating Life Event Checklist (ASLEC),Resilience Scale (RS),Strength and Difficulty Questionnaire (SDQ) were filled by participants from both cases group (80 cases) and control group (92 cases).Then,adolescents with anxiety disorders were interviewed by the Development and Well-Being Assessment (DAWBA).

(1) In case group,30 of 80 (37.5%) adolescents met criteria for a second anxiety disorder,25% met two different anxiety disorders,20% met three and 17.5% of them met even more.The rate of depression and anxiety co-morbidity was 48.8% in the study. (2) Compared with normal control group,adolescents with anxiety disorders had higher scores in SCARED and its subscales (all P<0.001),and higher scores in BIS (P<0.05) and Father Protection and Mother Protection score,but lower in Father Care score,in PBI (all P<0.01),and higher scores in ASLEC total and subscales such as Interpersonal Relationship,Study Stress,By the Punishment,Healthy Adjustment and (all P<0.001).As to RSscale,case group had lower scores in total scores,Personal Competence and Self Acceptance than control ones (all P<0.001),and adolescents with anxiety disorders had higher scores in SDQ Total Difficulties,Emotional Symptoms,Conduct Problems,Inattention-Hyperactive and Peer Problems (all P<0.05) but lower score in Prosocial Sore than control group (P<0.05). (3) BI (OR=1.67,P=0.000),ASLEC-healthyEnt amp accommodation (OR=1.34,P=0.001) were risk factors of adolescents′anxiety,but RS-self-acceptance (OR=0.87,P=0.000) was protective factor of adolescents anxiety disorders.

The rates of co-morbidity across the different anxiety disorders and many of patients suffer from a different secondary depression,anxiety not only affect patients′mood,but also have a bad effect in their behavior and peer relationship; adolescents who getting lower care but higher protection′s parenting,suffering setback and stress from life events and having lower self-acceptance are more likely getting anxiety disorders,and need purposeful interventions positively.

Adolescent; Anxiety; Disease attributes; Risk factors