Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-30T18:38:30.303Z Has data issue: false hasContentIssue false
  • English
  • Français

Prevalence of anxiety disorders and their comorbidity with mood and addictive disorders

Published online by Cambridge University Press:  06 August 2018

D. A. Regier ,
D. S. Rae ,
W. E. Narrow ,
C. T. Kaelber  and
A. F. Schatzberg
Get access Rights & Permissions [Opens in a new window]

Abstract

Background The co-occurrence of anxiety disorders with other mental, addictive, and physical disorders has important implications for treatment and for prediction of clinical course and associated morbidity.

Method Cross-sectional and prospective data on 20 291 individuals from the Epidemiologic Catchment Area (ECA) study were analysed to determine one-month, current disorders, one-year incidence, and one-year and lifetime prevalence of anxiety, mood, and addictive disorders, and to identify the onset and offset of disorders within the one-year prospective period.

Results Nearly half (47.2%) of those meeting lifetime criteria for major depression also have met criteria for a comorbid anxiety disorder. The average age of onset of any lifetime anxiety disorder (16.4 years) and social phobia (11.6 years) among those with major depression was much younger than the onset age for major depression (23.2 years) and panic disorder.

Conclusions Anxiety disorders, especially social and simple phobias, appear to have an early onset in adolescence with potentially severe consequences, predisposing those affected to greater vulnerability to major depression and addictive disorders.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 173 , Issue S34: Recognition and management of anxiey syndromes , July 1998 , pp. 24 - 28
Copyright
Copyright © The Royal College of Psychiatrists, 1998 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM–IV). Washington, DC: APA.Google Scholar
Berkson, J. (1946) Limitations of the application of four-fold tables to hospital data. Biometric Bulletin, 2, 47–53.CrossRefGoogle Scholar
Coryell, W., Endicott, J., Andreasen, N. C., et al (1988) Depression and panic attacks: the significance of overlap as reflected in follow-up and family study data. American Journal of Psychiatry, 145, 293–300.Google ScholarPubMed
Kessler, R. C., McGonagle, K. A., Zhao, S., et al (1994) Lifetime and 12-month prevalence of DSM–III–R psychiatric disorders in the United States: results from the National Comorbidity Survey. Archives of General Psychiatry, 51, 8–19.CrossRefGoogle ScholarPubMed
Kessler, R. C., Nelson, C. B., McGonagle, K. A., et al (1996) The epidemiology of co-occurring addictive and mental disorders: Implications for prevention and service utilization. American Journal of Orthopsychiatry, 66, 17–31.CrossRefGoogle ScholarPubMed
Leckman, J. F., Weissman, M. M., Prusoff, B. A., et al (1984) Subtypes of depression: Family study perspective. Archives of General Psychiatry, 41, 833–838.CrossRefGoogle ScholarPubMed
Myers, J. K., Weissman, M. M., Tischler, G. L., et al (1984) Six-month prevalence of psychiatric disorders in three communities. Archives of General Psychiatry, 41, 959–967.CrossRefGoogle ScholarPubMed
Regier, D. A., Farmer, M. E., Rae, D. S., et al (1990) Comorbidity of mental disorders with alcohol and other drug abuse. Journal of the American Medical Association, 264, 2511–2518.CrossRefGoogle ScholarPubMed
Regier, D. A., Narrow, W. E., Rae, D. S., et al (1993) The de facto US Mental and Addictive Disorders Service system: Epidemiologic Catchment Area prospective 1-year prevalence rates of disorders and services. Archives of General Psychiatry, 50, 85–94.CrossRefGoogle Scholar
Regier, D. A., Kaelber, C. T., Rae, D. S., et al (1998) Limitations of diagnostic criteria and assessment instruments for mental disorders: implications for research and policy. Archives of General Psychiatry, 55, 109–115.CrossRefGoogle ScholarPubMed
Robins, L. N., Helzer, J. E., Weissman, M. M., et al (1984) Lifetime prevalence of specific psychiatric disorders in three sites. Archives of General Psychiatry, 41, 949–958.CrossRefGoogle ScholarPubMed
Robins, L. N. & Regier, D. A. (eds) (1991) Psychiatric Disorders in America. New York: Free Press.Google Scholar
Schatzberg, A. F., Samson, J. A., Rothschild, A. J., et al (1998) McLean Hospital Depression Research Facility: early-onset phobic disorders and adult-onset major depression. British Journal of Psychiatry, 173, (suppl. 34), 29–34.CrossRefGoogle Scholar
Weissman, M. M., Leckman, J. F., Merikangas, K. R., et al (1984) Depression and anxiety disorders in parents and children: Results from the Yale family study. Archives of General Psychiatry, 41, 845–852.CrossRefGoogle ScholarPubMed
World Health Organization (1992) The Tenth Revision of the International Classification of Diseases and Related Health Problems (ICD–10). Geneva: WHO.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.