Long-term disability in anxiety disorders

BMC Psychiatry

Research Article

Sanne M. Hendriks¹  Neeltje M. Batelaan²  Brenda W. J. H. Penninx²  Aartjan T. F. Beekman²  Carmilla M. M. Licht²  Ron de Graaf³  Jan Spijker⁴  Florian Hardeveld⁵ 

[1] Department of Psychiatry, Pro Persona Mental Health Care, Zandstraat 54, 3905 ED, Veenendaal, The Netherlands;Department of Psychiatry/EMGO Institute, VU University Medical Center, AJ Ernststraat 887, 1081 HL, Amsterdam, The Netherlands;Netherlands Institute of Mental Health and Addiction, Da Costakade 45, 3521 VS, Utrecht, The Netherlands;Pro Persona Mental Health Care, Radboud University Nijmegen, Reinier Postlaan 6, 6525 GC, Nijmegen, The Netherlands;Pro Persona Mental Health Care, Willy Brandtlaan 20, 6717 RR, Ede, The Netherlands;

关键词: Anxiety Disorder;    Generalize Anxiety Disorder;    Avoidance Behaviour;    Social Anxiety Disorder;    Panic Disorder;   

DOI  :  10.1186/s12888-016-0946-y

 received in 2015-09-02, accepted in 2016-06-24,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundThis longitudinal study aims to investigate differences in long-term disability between social anxiety disorder (SAD), panic disorder with agoraphobia (PDA), panic disorder without agoraphobia (PD), generalized anxiety disorder (GAD) and multiple anxiety disorders (multiple AD), focusing on the effects of different course trajectories (remission, recurrence and chronic course) and specific symptom dimensions (anxiety arousal and avoidance behaviour).MethodsData were used from participants with no psychiatric diagnosis (healthy controls, n = 647) or with a current anxiety disorder (SAD, n = 191; PDA, n = 90; PD, n = 84; GAD, n = 110; multiple AD, n = 480). Severity of anxiety arousal and avoidance behaviour symptoms was measured using the Beck Anxiety Inventory and the Fear Questionnaire. The World Health Organization Disability Assessment Schedule II was used to measure disability.ResultsLong-term disability was most prevalent in participants with SAD and multiple AD, and lowest in PDA and PD. GAD had an intermediate position. Anxiety arousal and avoidance behaviour were associated with more long-term disability in anxiety disorders than course trajectories.ConclusionsVarious anxiety disorders have different disability levels over 4 years of time, therefore diagnostic distinction is important for treatment focus. Anxiety arousal and avoidance behaviour are major predictors for long-term disability in anxiety disorders.

【 授权许可】

CC BY   
© The Author(s). 2016