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Titolo:
One-year prevalence of subthreshold and threshold DSM-IV generalized anxiety disorder in a nationally representative sample
Autore:
Carter, RM; Wittchen, HU; Pfister, H; Kessler, RC;
Indirizzi:
Max Planck Inst Psychiat, Clin Psychol & Epidemiol Unit, D-80804 Munich, Germany Max Planck Inst Psychiat Munich Germany D-80804 D-80804 Munich, Germany Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 USA HarvardUniv Boston MA USA 02115 t Hlth Care Policy, Boston, MA 02115 USA
Titolo Testata:
DEPRESSION AND ANXIETY
fascicolo: 2, volume: 13, anno: 2001,
pagine: 78 - 88
SICI:
1091-4269(2001)13:2<78:OPOSAT>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTERVIEW M-CIDI; III-R; PSYCHIATRIC-DISORDERS; MENTAL-DISORDERS; PANIC DISORDER; COMORBIDITY; RELIABILITY; COMMUNITY; 18-YEAR-OLDS; MORBIDITY;
Keywords:
generalized anxiety disorder; epidemiology; comorbidity; subthreshold;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
42
Recensione:
Indirizzi per estratti:
Indirizzo: Wittchen, HU Max Planck Inst Psychiat, Clin Psychol & Epidemiol Unit, Kraepelinstr 2, D-80804 Munich, Germany Max Planck Inst Psychiat Kraepelinstr 2Munich Germany D-80804
Citazione:
R.M. Carter et al., "One-year prevalence of subthreshold and threshold DSM-IV generalized anxiety disorder in a nationally representative sample", DEPRESS ANX, 13(2), 2001, pp. 78-88

Abstract

Several studies of representative populations have reported prevalence rates of DSM-III and DSM-III-R generalized anxiety disorder (GAD); however, nocommunity study has examined the effect of the stricter DSM-IV criteria onprevalence estimates and patterns of comorbidity. Furthermore, past studies based on "lifetime" symptom assessments might have led to upper-bound 1-year and point prevalence estimates. Data is presented from a national representative sample study of 4,181 adults in Germany, 18-65 years old, who were interviewed for DSM-IV disorders with the 12-month version of the Munich-Composite International Diagnostic Interview. The prevalence rate of strictly defined, 12-month threshold DSM-IV GAD was estimated to be 1.5%; however, 3.6% of respondents presented with at least subthreshold syndromes of GADduring the past 12 months. Higher rates of worrying and GAD were found in women (worrying 10%, GAD 2.7%) and in older respondents (worrying 9.3%, TAD2.2%). Taking into account a wider scope of diagnoses than previous studies, a high degree of comorbidity in GAD cases was confirmed: 59.1% of all 12-month GAD cases fulfilled criteria for major depression, and 55.9% fulfilled criteria for any other anxiety disorder. In conclusion, prevalence and comorbidity rates found for DSM-IV GAD are not substantially different from rates reported for DSM-III-R GAD. The minor differences in our findings compared to previous reports are more likely attributable to differences in study methodology rather than changes in diagnostic criteria for DSM-IV. (C) 2001 Wiley-Liss, Inc.

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Documento generato il 19/01/20 alle ore 11:59:13