The diagnostic threshold of generalized anxiety disorder in the community: A developmental perspective

Journal of Psychiatric Research

Volumn 45, Issue 7, 2011, Pages 962-972

  Beesdo Baum, Katja ^a   Winkel, Susanne ^a   Pine, Daniel S ^b   Hoyer, Jürgen ^a   Höfler, Michael ^a   Lieb, Roselind ^c,d   Wittchen, Hans Ulrich ^a,d  

^a DRESDEN UNIVERSITY OF TECHNOLOGY   (Germany)

^b NATIONAL INSTITUTE OF MENTAL HEALTH   (United States)

^c UNIVERSITY OF BASEL   (Switzerland)

^d MAX PLANCK INSTITUTE OF PSYCHIATRY   (Germany)

Author keywords

Classification; Community study; Diagnostic criteria; DSM 5; Epidemiology

Indexed keywords

ADOLESCENT; ADULT; AGORAPHOBIA; ALCOHOLISM; ARTICLE; CLINICAL ASSESSMENT; COMORBIDITY; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; DIAGNOSTIC PROCEDURE; DISEASE CLASSIFICATION; DRUG ABUSE; DRUG DEPENDENCE; DYSTHYMIA; GENERALIZED ANXIETY DISORDER; HELP SEEKING BEHAVIOR; HUMAN; LONGITUDINAL STUDY; MAJOR CLINICAL STUDY; MAJOR DEPRESSION; MENTAL DISEASE; OBSESSIVE COMPULSIVE DISORDER; PANIC; PRIORITY JOURNAL; PROSPECTIVE STUDY; SOCIAL PHOBIA;

ADOLESCENT; ADULT; AGE FACTORS; ANXIETY DISORDERS; CHILD; COMORBIDITY; CROSS-SECTIONAL STUDIES; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; GENETIC PREDISPOSITION TO DISEASE; GERMANY; HUMANS; LIFE CHANGE EVENTS; PERSONALITY INVENTORY; PROSPECTIVE STUDIES; PSYCHOMETRICS; STRESS DISORDERS, POST-TRAUMATIC; YOUNG ADULT;

EID: 79958773479     PISSN: 00223956     EISSN: 18791379     Source Type: Journal    
DOI: 10.1016/j.jpsychires.2010.12.007     Document Type: Article

References (62)

1. Andrews G., Hobbs M. The effect of the draft DSM-5 criteria for GAD on prevalence and severity. Australian and New Zealand Journal of Psychiatry 2010, 44:784-790.
2. Andrews G., Hobbs M.J., Borkovec T.D., Beesdo K., Craske M.G., Heimberg R.G., et al. Generalized worry disorder: a review of DSM-IV generalized anxiety disorder and options for DSM-V. Depression and Anxiety 2010, 27:134-147.
3. APA Diagnostic and statistical manual of mental disorders 1980, American Psychiatric Press, Washington, D.C. 3rd ed.
4. APA Diagnostic and statistical manual of mental disorders 1987, American Psychiatric Press, Washington, D.C. revised 3rd ed.
5. APA Diagnostic and statistical manual of mental disorders 1994, American Psychiatric Press, Washington, D.C. 4th ed.
6. Beesdo K. Wie entstehen Generalisierte Ängste? Eine prospektiv-longitudinale, klinisch-epidemiologische Studie bei Jugendlichen und jungen Erwachsenen 2006, TUD Press, Dresden.
7. Beesdo K., Knappe S., Pine D.S. Anxiety and anxiety disorders in children and adolescents: developmental issues and implications for DSM-V. Psychiatric Clinics of North America 2009, 32:483-524.
8. Beesdo K., Pine D.S., Lieb R., Wittchen H.U. Incidence and risk patterns of anxiety and depressive disorders and categorization of generalized anxiety disorder. Archives of General Psychiatry 2010, 67:47-57.
9. Behar E., Dobrow DiMarco I., Hekler E.B., Mohlman J., Staples A.M. Current theoretical models of generalized anxiety disorder (GAD): conceptual review and treatment implications. Journal of Anxiety Disorders 2009, 23:1011-1023.
10. Bienvenu O.J., Nestadt G., Eaton W.W. Characterizing generalized anxiety: temporal and symptomatic thresholds. Journal of Nervous and Mental Disease 1998, 186:51-56.
11. Bittner A., Egger H.L., Erkanli A., Costello E.J., Foley D.L., Angold A. What do childhood anxiety disorders predict?. Journal of Child Psychology and Psychiatry 2007, 48:1174-1183.
12. Brown T.A., Barlow D.H., Liebowitz M.R. The empirical basis of generalized anxiety disorder. American Journal of Psychiatry 1994, 151:1272-1280.
13. Brown T.A., Di Nardo P.A., Lehman C.L., Campbell L.A. Reliability of DSM-IV anxiety and mood disorders: implications for the classification of emotional disorders. Journal of Abnormal Psychology 2001, 110:49-58.
14. Brown T.A., Marten P.A., Barlow D.H. Discriminant validity of the symptoms constituting the DSM-III-R and DSM-IV associated symptom criterion of generalized anxiety disorder. Journal of Anxiety Disorders 1995, 9:317-328.
15. Campbell L.A., Brown N.A., Grisham J.R. The relevance of age of onset to the psychopathology of generalized anxiety disorder. Behavior Therapy 2003, 34:31-48.
16. Carter R.M., Wittchen H.-U., Pfister H., Kessler R.C. One-year prevalence of subthreshold and threshold DSM-IV generalized anxiety disorder in a nationally representative sample. Depression and Anxiety 2001, 13:78-88.
17. Cloninger C. Neurogenetic adaptive mechanisms in alcoholism. Science 1987, 236:410-416.
18. Cloninger C. A systematic method for clinical description and classification of personality variants. Archives of General Psychiatry 1987, 44:576-588.
19. Cohen P., Cohen J., Brook J. An epidemiological study of disorders in late childhood and adolescence - II. Persistence of disorders. Journal of Child Psychology and Psychiatry and Allied Disciplines 1993, 34:869-877.
20. Friis R.H., Wittchen H.-U., Pfister H., Lieb R. Life events and changes in the course of depression in young adults. European Psychiatry 2002, 17:241-253.
21. Goldberg D. Towards DSM-V: the relationship between generalized anxiety disorder and major depressive episode. Psychological Medicine 2008, 38:1671-1675.
22. Hettema J.M. The nosological relationship between generalized anxiety disorder and major depression. Depression and Anxiety 2008, 25:300-316.
23. Hoehn-Saric R., Hazlett R.L., McLeod D.R. Generalized anxiety disorder with early and late onset of anxiety symptoms. Comprehensive Psychiatry 1993, 34:291-298.
24. Hoyer J., Becker E., Margraf J. Generalized anxiety disorder and clinical worry episodes in young women. Psychological Medicine 2002, 32:1227-1237.
25. Hoyer J., Becker E.S., Roth W.T. Characteristics of worry in GAD patients, social phobics, and controls. Depression and Anxiety 2001, 13:89-96.
26. Hunt C., Issakidis C., Andrews G. DSM-IV generalized anxiety disorder in the Australian National Survey of mental health and well-being. Psychological Medicine 2002, 32:649-659.
27. Kendall P.C., Warman M.J. Anxiety disorders in youth: diagnostic consistency across DSM-III-R and DSM-IV. Journal of Anxiety Disorders 1996, 10:453-463.
28. Kessler R.C., Brandenburg N., Lane M., Roy-Byrne P., Stang P.E., Stein D.J., Wittchen H.-U. Rethinking the duration requirement for generalized anxiety disorder: evidence from the National Comorbidity Survey Replication. Psychological Medicine 2005, 35:1073-1082.
29. Kessler R.C., Chiu W.T., Demler O., Walters E.E. Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry 2005, 62:617-627.
30. Kessler R.C., Gruber M., Hettema J.M., Hwang I., Sampson N., Yonkers K.A. Co-morbid major depression and generalized anxiety disorders in the National Comorbidity Survey follow-up. Psychological Medicine 2008, 38:365-374.
31. Lee S., Tsang A., Ruscio A.M., Haro J.M., Stein D.J., Alonso J., et al. Implications of modifying the duration requirement of generalized anxiety disorder in developed and developing countries. Psychological Medicine 2009, 39:1163-1176.
32. Lieb R., Isensee B., Höfler M., Pfister H., Wittchen H.-U. Parental major depression and the risk of depressive and other mental disorders in offspring: a prospective-longitudinal community study. Archives of General Psychiatry 2002, 59:365-374.
33. Lieb R., Isensee B., von Sydow K., Wittchen H.-U. The early developmental stages of psychopathology study (EDSP): a methodological update. European Addiction Research 2000, 6:170-182.
34. Maier-Diewald W., Wittchen H.-U., Hecht H., Werner-Eilert K. Die Münchner Ereignisliste (MEL) - Anwendungs manual 1983, Max-Planck-Institut für Psychiatrie, Klinische Psychologie und Epidemiologie (Eigendruck), München.
35. Marten P.A., Brown T.A., Barlow D.H., Borkovec T.D., Shear M.K., Lydiard R.B. Evaluation of the ratings comprising the associated symptom criterion of DSM-III-R generalized anxiety disorder. Journal of Nervous and Mental Disease 1993, 181:676-682.
36. Mennin D.S., Heimberg R.G., Fresco D.M., Ritter M.R. Is generalized anxiety disorder an anxiety or mood disorder? Considering multiple factors as we ponder the fate of GAD. Depression and Anxiety 2008, 25:289-299.
37. Merikangas K.R., Mehta R.L., Molnar B.E., Walters E.E., Swendsen J.D., Aguilar-Gaziola S., et al. Comorbidity of substance use disorders with mood and anxiety disorders: results of the international consortium in psychiatric epidemiology. Addictive Behaviors 1998, 23:893-907.
38. Moffitt T.E., Caspi A., Harrington H., Milne B.J., Melchior M., Goldberg D., Poulton R. Generalized anxiety disorder and depression: childhood risk factors in a birth cohort followed to age 32. Psychological Medicine 2007, 37:441-452.
39. Pine D.S., Cohen P., Gurley D., Brook J., Ma Y. The risk for early-adulthood anxiety and depressive disorders in adolescents with anxiety and depressive disorders. Archives of General Psychiatry 1998, 55:56-64.
40. Reed V., Gander F., Pfister H., Steiger A., Sonntag H., Trenkwalder C., et al. To what degree the Composite International Diagnostic Interview (CIDI) correctly identify DSM-IV disorders? Testing validity issues in a clinical sample. International Journal of Methods in Psychiatric Research 1998, 7:142-155.
41. Regier D.A., Narrow W.E., Kuhl E.A., Kupfer D.J. The conceptual development of DSM-V. American Journal of Psychiatry 2009, 166:645-650.
42. Reznick J.S., Hegeman I.M., Kaufman E.R., Woods S.W., Jacobs M. Retrospective and concurrent self-report of behavioral inhibition and their relation to adult mental health. Development and Psychopathology 1992, 4:301-321.
43. Rohrbacher H., Hoyer J., Beesdo K., Höfler M., Bittner A., Lieb R., Wittchen H.-U. Psychometric properties of the retrospective self report of inhibition (RSRI) in a representative German sample. International Journal of Methods in Psychiatric Research 2008, 17:80-88.
44. Royall R.M. Model robust confidence intervals using maximum likelihood estimators. International Statistical Review 1986, 54:221-226.
45. Ruscio A.M. Delimiting the boundaries of generalized anxiety disorder: differentiating high worries with and without GAD. Journal of Anxiety Disorders 2002, 16:377-400.
46. Ruscio A.M. Integrating structural and epidemiological research to inform the classification of psychopathology. International Journal of Methods in Psychiatric Research 2009, 10.1002/mpr.295.
47. Ruscio A.M., Borkovec T.D., Ruscio J. A taxometric investigation of the latent structure of worry. Journal of Abnormal Psychology 2001, 110:413-422.
48. Ruscio A.M., Chiu W.T., Roy-Byrne P., Stang P.E., Stein D.J., Wittchen H.-U., Kessler R.C. Broadening the definition of generalized anxiety disorder: effects on prevalence and associations with other disorders in the National Comorbidity Survey Replication. Journal of Anxiety Disorders 2007, 21:662-676.
49. Ruscio A.M., Lane M., Roy-Byrne P., Stang P.E., Stein D.J., Wittchen H.-U., Kessler R.C. Should excessive worry be required for a diagnosis of generalized anxiety disorder? Results from the US National Comorbidity Survey Replication. Psychological Medicine 2005, 35:1761-1772.
50. Stata Corp Stata statistical software: release 11.0 2009, Stata Corporation, College Station, TX.
51. Tracey S.A., Chorpita B.F., Douban J., Barlow D.H. Empirical evaluation of DSM-IV generalized anxiety disorder criteria in children and adolescents. Journal of Clinical Child Psychology 1997, 26:404-414.
52. Velez C.N., Johnson J., Cohen P. A longitudinal analysis of selected risk factors for childhood psychopathology. Journal of the American Academy of Child and Adolescent Psychiatry 1989, 28:861-864.
53. Weyers P., Krebs J., Janke W. Reliability and construct validity of the German version of Cloninger's tridimensional personality questionnaire. Personality and Individual Differences 1995, 9:853-861.
54. Wittchen H.-U., Beesdo K., Kessler R.C. The impact of generalized anxiety disorder. Generalized anxiety disorder: symptomatology, pathogenesis and management 2002, 11-26. Martin Dunitz, London. D.J. Nutt, K. Rickels, D.J. Stein (Eds.).
55. Wittchen H.-U., Kessler R.C., Beesdo K., Krause P., Höfler M., Hoyer J. Generalized anxiety and depression in primary care: prevalence, recognition and management. Journal of Clinical Psychiatry 2002, 63:24-34.
56. Wittchen H.-U., Kessler R.C., Zhao S., Abelson J. Reliability and clinical validity of UM-CIDI DSM-III-R generalized anxiety disorder. Journal of Psychiatric Research 1995, 29:95-110.
57. Wittchen H.-U., Lachner G., Wunderlich U., Pfister H. Test-retest reliability of the computerized DSM-IV version of the Munich-Composite International Diagnostic Interview (M-CIDI). Social Psychiatry and Psychiatric Epidemiology 1998, 33:568-578.
58. Wittchen H.-U., Lieb R., Pfister H., Schuster P. The waxing and waning of mental disorders: evaluating the stability of syndromes of mental disorders in the population. Comprehensive Psychiatry 2000, 41:122-132.
59. Wittchen H.-U., Lieb R., Schuster P., Oldehinkel A.J. When is onset? Investigations into early developmental stages of anxiety and depressive disorders. Childhood onset of "adult" psychopathology, clinical and research advances 1999, 259-302. American Psychiatric Press, Washington. J.L. Rapoport (Ed.).
60. Wittchen H.-U., Nelson C.B., Lachner G. Prevalence of mental disorders and psychosocial impairments in adolescents and young adults. Psychological Medicine 1998, 28:109-126.
61. Wittchen H.-U., Perkonigg A., Lachner G., Nelson C.B. Early developmental stages of psychopathology study (EDSP) - objectives and design. European Addiction Research 1998, 4:18-27.
62. Wittchen H.-U., Pfister H. DIA-X-Interviews: Manual für Screening-Verfahren und Interview; Interviewheft Längsschnittuntersuchung (DIA-X-Lifetime); Ergänzungsheft (DIA-X-Lifetime); Interviewheft Querschnittuntersuchung (DIA-X-12 Monate); Ergänzungsheft (DIA-X-12Monate); PC-Programm zur Durchführung des Interviews (Längs- und Querschnittuntersuchung); Auswertungsprogramm 1997, Swets & Zeitlinger, Frankfurt.