Comorbidity of social anxiety disorder and antisocial personality disorder in the National Epidemiological Survey on Alcohol and Related Conditions (NESARC)

Galbraith, Todd; Heimberg, Richard G.; Wang, Shuai; Schneier, Franklin R.; Blanco, Carlos

doi:10.1016/j.janxdis.2013.11.009

Cited by 31 publications

(18 citation statements)

References 31 publications

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“…A number of researchers have examined the comorbidity of anxiety disorders and Antisocial Personality Disorder or Conduct Disorder, with some evidence of a correlation (Galbraith, Heimberg, Wang, Schneier, & Blanco, 2014;Goodwin & Hamilton, 2003;Hodgins, De Brito, Chhabra, & Côté, 2010). This relationship may serve as an added dimension to the ongoing study based on this pilot, or as an additional focus of research.…”

Section: Discussionmentioning

confidence: 99%

Using Neurofeedback to Lower Anxiety Symptoms Using Individualized qEEG Protocols: A Pilot Study

Dreis

Gouger

Perez

et al. 2015

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Introduction: Anxiety disorders affect approximately 40 million Americans ages 18 and over (NIMH, 2015). Although qualitative and small-scale quantitative neurofeedback (NF) studies show reduction in anxiety symptoms, large-scale studies and quantitative electroencephalogram (qEEG) driven protocols are non-existent. This retrospective pilot study intended to assess whether qEEG guided amplitude NF is viable in symptom reduction of anxiety. Methods: Nineteen clients were assessed for anxiety, 14 were included in the data. Demographics include age ranges from 11-61 (M = 31.71, SD = 16.33), 9 male and 5 female; six identified as Caucasian, five as Hispanic/Latino, and three Caucasian/Hispanic ethnicity. Pre-and post-assessments included the Zung Self-Rating Anxiety Scale, Screen for Child Anxiety Related Disorders (SCARED), and the Achenbach System of Empirically Based Assessment (ASEBA). Clients received 30-min qEEG guided NF treatment sessions, twice a week. The range of attended session was 7-28 (M = 12.93, SD = 6.32). Results: Enhancement in clients' well-being was evidenced by statistically significant improvement in symptom measures scores. Although improvements for the two most anxiety-related categories on the ASEBA were not significant, other anxiety-related categories did show significant improvement. Yet, qEEG findings were not statistically significant. Directions for future research are discussed.

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Section: Discussionmentioning

confidence: 99%

Using Neurofeedback to Lower Anxiety Symptoms Using Individualized qEEG Protocols: A Pilot Study

Dreis

Gouger

Perez

et al. 2015

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“…1 Large population surveys investigating mood and anxiety disorder comorbidity with ASPD have found that up to half of the individuals with ASPD may also experience an anxiety disorder in their lifetime, particularly posttraumatic stress disorder and social anxiety disorder (although PTSD is no longer considered an anxiety disorder in DSM-5). 28,42 These individuals with comorbid ASPD and anxiety disorders were found to be at increased risk for major depression, substance dependence, and suicidal ideation and attempt. 28 Although little is known pertaining to the prevalence of mood and anxiety disorders within a psychopathic population outside of criminal cohorts, data suggest that psychopathic traits are inversely related to both anxiety and depression in community, undergraduate, and incarcerated samples.…”

Section: Comorbiditymentioning

confidence: 99%

Epidemiology, Comorbidity, and Behavioral Genetics of Antisocial Personality Disorder and Psychopathy

Werner¹,

Few²,

Bucholz³

2015

Psychiatric Annals

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Psychopathy is theorized as a disorder of personality and affective deficits while antisocial personality disorder (ASPD) diagnosis is primarily behaviorally based. While ASPD and psychopathy are similar and are highly comorbid with each other, they are not synonymous. ASPD has been well studied in community samples with estimates of its lifetime prevalence ranging from 1-4% of the general population.4,5 In contrast, psychopathy is almost exclusively investigated within criminal populations so that its prevalence in the general population has been inferred by psychopathic traits rather than disorder (1%). Differences in etiology and comorbidity with each other and other psychiatric disorders of these two disorders are also evident. The current article will briefly review the epidemiology, etiology, and comorbidity of ASPD and psychopathy, focusing predominately on research completed in community and clinical populations. This paper aims to highlight ASPD and psychopathy as related, but distinct disorders.

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“…Because suppression of negative emotions has the counterproductive effect of heightening physiological arousal, [12] such suppression might contribute to intense anger expression and aggressive outbursts over time. Indeed, evidence from clinical samples indicates heightened anger and aggression among individuals with anxiety disorders, [9] high co-occurrence of anxiety disorders with antisocial behavior and aggression, [13] and poor treatment outcomes for individuals with anxiety who have co-occurring anger problems. [9] However, little is known about patterns of cooccurrence across different anxiety disorders or the impact of aggressive outbursts on the course and severity of anxiety over the life course.…”

Section: Introductionmentioning

confidence: 99%

Anxious and Aggressive: The Co-Occurrence of Ied With Anxiety Disorders

Keyes

McLaughlin

et al. 2015

Depress Anxiety

Self Cite

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Background Evidence suggests that impulsive aggression and explosive anger are common among individuals with anxiety disorders; yet, the influence of IED on the onset, course, consequences, and patterns of comorbidity among those with anxiety disorders is unknown. Methods Data were drawn from the National Comorbidity Survey Replication (N=9,282) and Adolescent Supplement (N=9,632), nationally representative surveys conducted between 2001–2004. Diagnoses were based on structured lay-administered interviews. Lifetime diagnoses assessed with structured instruments. Outcomes included comorbidity, functional and role impairment, and treatment utilization. Results Adolescents with a lifetime anxiety disorder had a higher prevalence of a lifetime anger attacks (68.5%) and IED (22.9%) than adolescents without a lifetime anxiety disorder (48.6% and 7.8%, respectively), especially social phobia and panic disorders. Similar elevation was found for adults. Age of onset and course of anxiety disorders did not differ by IED. Severe functional impairment associated with anxiety was higher among adolescents (39.3%) and adults (45.7%) with IED than those without IED (29.2% and 28.2%, respectively). Comorbidity for all other disorders was elevated. However, individuals with anxiety disorders and IED were no more likely to use treatment services than those with anxiety disorders without IED. Conclusions Individuals with IED concomitant to anxiety disorder, especially social phobia and panic, are at marked risk for worse functional impairment and a higher burden of comorbidity, but onset and course of anxiety disorder do not differ, and those with anxiety and IED are no more likely to utilize treatment services. Assessment, identification, and specialized treatment of anger in the context of anxiety disorders are critical to reducing burden.

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Comorbidity of social anxiety disorder and antisocial personality disorder in the National Epidemiological Survey on Alcohol and Related Conditions (NESARC)

Cited by 31 publications

References 31 publications

Using Neurofeedback to Lower Anxiety Symptoms Using Individualized qEEG Protocols: A Pilot Study

Using Neurofeedback to Lower Anxiety Symptoms Using Individualized qEEG Protocols: A Pilot Study

Epidemiology, Comorbidity, and Behavioral Genetics of Antisocial Personality Disorder and Psychopathy

Anxious and Aggressive: The Co-Occurrence of Ied With Anxiety Disorders

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