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Titolo:
Differentiating DSM-IV anxiety and depressive disorders in the general population: Comorbidity and treatment consequences
Autore:
Ohayon, MM; Shapiro, CM; Kennedy, SH;
Indirizzi:
Stanford Univ, Sch Med, Sleep Disorders Ctr, Dept Psychiat & Behav Sci, Stanford, CA 94305 USA Stanford Univ Stanford CA USA 94305 t & Behav Sci, Stanford, CA 94305 USA Toronto Hosp, Dept Psychiat, Toronto, ON M5T 2S8, Canada Toronto Hosp Toronto ON Canada M5T 2S8 chiat, Toronto, ON M5T 2S8, Canada Clarke Inst Psychiat, Toronto, ON M5T 1R8, Canada Clarke Inst Psychiat Toronto ON Canada M5T 1R8 oronto, ON M5T 1R8, Canada
Titolo Testata:
CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE
fascicolo: 2, volume: 45, anno: 2000,
pagine: 166 - 172
SICI:
0706-7437(200003)45:2<166:DDAADD>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
MAJOR DEPRESSION; PSYCHIATRIC-DISORDERS; PSYCHOTROPIC MEDICATION; MENTAL-DISORDERS; SLEEP DISORDERS; PANIC ATTACKS; UNITED-STATES; PREVALENCE; LIFETIME; INSOMNIA;
Keywords:
anxiety disorders; DSM-IV; epidemiology; mood disorders; sleep complaint;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
31
Recensione:
Indirizzi per estratti:
Indirizzo: Ohayon, MM Stanford Univ, Sch Med, Sleep Disorders Ctr, Dept Psychiat & Behav Sci, 401 Quarry Rd,Suite 3301, Stanford, CA 94305 USA Stanford Univ 401Quarry Rd,Suite 3301 Stanford CA USA 94305 SA
Citazione:
M.M. Ohayon et al., "Differentiating DSM-IV anxiety and depressive disorders in the general population: Comorbidity and treatment consequences", CAN J PSY, 45(2), 2000, pp. 166-172

Abstract

Objective: To attempt, for the first time, to apply a positive and differential diagnosis process in the general population during interviews using DSM-IV classification to ascertain the profile and occurrence of concomitantmental disorders. Method: A representative sample of 1832 individuals aged 15 years or olderliving irt the metropolitan area of Toronto were interviewed by means of telephone interviews. The participation rate was 72.8%. Results: Overall, 13.2% (n = 242) of the sample had either a mood disorder(n = 127; 6.9%) or an anxiety disorder (n = 170, 9.3% at the time of theirinterview. The prevalence was higher among women (16.5%) than among men (9.7%), with an odds ratio of 1.8. The comorbidity of mood and anxiety disorders was found in 3% (n = 55) of the sample. Less than one-third of respondents with a mood and/or anxiety disorder were being treated by a physician for a mental disorder. However, these individuals were greater consumers of health care services. Most of them consulted a physician an average of 5 times in the past year. Individuals on medication diagnosed with a mood and art anxiety disorder consulted a physician an average of 12 times in the past year. Only 13% of them were treated with antidepressants and under 9% with anxiolytics. Conclusions: More than 70% of subjects with a mood disorder also complained of insomnia With the differential process, 12% of the subjects manifesting a full-fledged anxiety disorder were diagnosed with only a mood disorder because the anxiety occurred only in the course of the mood disorder. Abouttwo-thirds of the subjects diagnosed in this study were undiagnosed and untreated by their physician.

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Documento generato il 31/03/20 alle ore 03:46:47