Mixed anxiety–depression in a 1 year follow-up study: shift to other diagnoses or remission?
| Autor: | Hans-Ulrich Wittchen, Reinhard Heun, Wolfgang Maier, Katrin Barkow, T. Bedirhan Üstün, Michael Gänsicke |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2004 |
| Předmět: |
Adult
Male Nosology medicine.medical_specialty animal structures Prevalence Comorbidity Diagnosis Differential ddc:150 Epidemiology medicine Humans Mixed anxiety-depression Stability Validity Epidemiology Diagnostic Errors Psychiatry Depression (differential diagnoses) Psychiatric Status Rating Scales Depressive Disorder Social environment Middle Aged medicine.disease Anxiety Disorders Mental health Gemischte ängstliche Depression Stabilität Validität Epidemiologie Psychiatry and Mental health Clinical Psychology Anxiety Female medicine.symptom Psychology Anxiety disorder Follow-Up Studies |
| Zdroj: | Journal of Affective Disorders, Bd. 79 (2004), Nr. 1–3, S. 235–239, ISSN: 0165-0327 |
| Popis: | Background: In 1992, the ICD-10 introduced the concept of mixed anxiety–depression disorder (MAD). However, a study examining the stability of this ICD-10-diagnosis is lacking. Our objective was to examine the 12 month outcome of MAD in comparison to the outcome of depression, anxiety, and comorbid depression and anxiety. Methods: 85 MAD patients, 496 patients with major depression, 296 patients with anxiety disorders, and 306 comorbid patients were reassessed after 12 months. Rates of depression, anxiety, and MAD were compared using χ 2 -tests. Results: While depressive disorders and anxiety disorders showed relatively high stability, MAD Patients had no higher rates of MAD at follow-up than patients with depression, anxiety or both. Limitations: Detailed information regarding treatment and disorders during the follow-up interval was lacking. Prevalence rates of MAD in single centres were too small for contrasting centres. Conclusions: MAD cannot be seen as a stable diagnosis: Most of MAD patients remit; many of them shift to other diagnoses than depression or anxiety. The ICD-10 criteria have to be specified more exactly. |
| Databáze: | OpenAIRE |
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