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The Social Costs of Anxiety Disorders

Published online by Cambridge University Press:  06 August 2018

Andrew C. Leon ,
Laura Portera  and
Myrna M. Weissman
Andrew C. Leon*
Affiliation:
Cornell University Medical College
Laura Portera
Affiliation:
Cornell University Medical College
Myrna M. Weissman
Affiliation:
College of Physicians and Surgeons of Columbia University
*
Dr A. C. Leon, Department of Psychiatry, Box 147, Cornell University Medical College, 525 East 68th Street, New York, NY 10021
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Abstract

Background. The social costs of anxiety disorders, which afflict a substantial proportion of the general population in the United States, are considered.

Method. Data from the National Institute of Mental Health (NIMH) Epidemiological Catchment Area Program were analysed.

Results. Over 6% of men and 13% of women in the sample of 18 571 had suffered from a DSM–III anxiety disorder in the past six months. Nearly 30% of those with panic disorder had used the general medical system for emotional, alcohol or drug-related problems in the six months prior to the interview. Those with anxiety disorders were also more likely to seek help from emergency rooms and from the specialised mental health system. Men with panic disorder, phobias or obsessive–compulsive disorder in the previous six months are more likely to be chronically unemployed and to receive disability or welfare.

Discussion. Once correctly diagnosed there are safe and effective psychopharmacologic and behavioural treatments for the anxiety disorders. Nevertheless the burden of anxiety disorders extends beyond the direct costs of treatment to the indirect costs of impaired social functioning.

Type
II. Economic Aspects of Programmes Dealing with Anxiety Disorders
Information
The British Journal of Psychiatry , Volume 166 , Issue S27: Economics of Anxiety and Depression , April 1995 , pp. 19 - 22
Copyright
Copyright © 1995 The Royal College of Psychiatrists 

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