Lifetime comorbidity among anxiety disorders and between anxiety disorders and other mental disorders in adolescents

Lewinsohn, Peter M.; Zinbarg, Richard E.; Seeley, John R.; Lewinsohn, Mark; Sack, William H.

doi:10.1016/s0887-6185(97)00017-0

Cited by 254 publications

(185 citation statements)

References 51 publications

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“…Several studies have attempted to address the prevalence of anxiety disorders across separate older age groups. One study using a representative community sample, in Germany, found a 4.3% prevalence estimate for current anxiety disorders in those aged 70-84 years old compared to a 2.3% prevalence for current anxiety disorders in those aged [85][86][87][88][89][90][91][92][93][94][95][96][97][98][99][100][101][102][103]. [6] Similarly, Gum et al [5] used the NCS-R data to report that 8.0% of those 65-74 years old had an anxiety disorder in the past 12 months compared to 5.6% of those 75 years of age and older.…”

Section: Prevalence Of Anxiety Disorders Among Older Adultsmentioning

confidence: 99%

“…In younger adult samples, longitudinal and epidemiological studies suggest that anxiety disorders precede mood disorders, [78,87] with the possible exception of GAD and OCD. [78,[88][89][90] Information about the chronology of MDD and GAD in older adult populations is limited to one study. Lenze et al [91] found that it was rare for GAD and MDE to begin and remit simultaneously in late-life samples.…”

Section: Comorbidity and Differential Diagnosismentioning

confidence: 99%

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Anxiety disorders in older adults: a comprehensive review

Wolitzky-Taylor¹,

Castriotta²,

Lenze³

et al. 2010

Depress. Anxiety

546

398

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This review aims to address issues unique to older adults with anxiety disorders in order to inform potential changes in the DSM-V. Prevalence and symptom expression of anxiety disorders in late life, as well as risk factors, comorbidity, cognitive decline, age of onset, and treatment efficacy for older adults are reviewed. Overall, the current literature suggests: (a) anxiety disorders are common among older age individuals, but less common than in younger adults; (b) overlap exists between anxiety symptoms of younger and older adults, although there are some differences as well as limitations to the assessment of symptoms among older adults; (c) anxiety disorders are highly comorbid with depression in older adults; (d) anxiety disorders are highly comorbid with a number of medical illnesses; (e) associations between cognitive decline and anxiety have been observed; (f) late age of onset is infrequent; and (g) both pharmacotherapy and CBT have demonstrated efficacy for older adults with anxiety. The implications of these findings are discussed and recommendations for the DSM-V are provided, including extending the text section on age-specific features of anxiety disorders in late life and providing information about the complexities of diagnosing anxiety disorders in older adults. Depression and Anxiety 27:190-211, 2010.

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Section: Prevalence Of Anxiety Disorders Among Older Adultsmentioning

confidence: 99%

Section: Comorbidity and Differential Diagnosismentioning

confidence: 99%

Anxiety disorders in older adults: a comprehensive review

Wolitzky-Taylor¹,

Castriotta²,

Lenze³

et al. 2010

Depress. Anxiety

546

398

View full text Add to dashboard Cite

show abstract

“…Overlap is not unusual among psychological distress domains, particularly between depression and anxiety (41,42). In the present study, correlation analyses showed a small association between depression and anxiety (r = -0.18, p = 0.4), a moderate association between depression and anger (r = 0.38, p < 0.08), and a very small association between anxiety and anger (r = 0.13, p = 0.55; 43).…”

Section: Measures Of Psychological Distressmentioning

confidence: 99%

Psychological Distress and Adherence to the Medical Regimen Among Adolescent Renal Transplant Recipients

Penkower¹,

Dew²,

Ellis³

et al. 2003

American Journal of Transplantation

103

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This longitudinal pilot study of adolescent renal transplant recipients (a) describes the prevalence of psychological distress, (b) describes the prevalence of nonadherence, and (c) explores the association between the recipient's psychological distress and his/her subsequent medical adherence. Twenty-two adolescents, aged 13-18 years, completed two interviews that were separated by approximately 12 months. Psychological distress was assessed in three domains: symptoms of depression, anxiety, and anger. Adherence was assessed in three domains: medication taking, blood work, and clinic attendance. At the initial interview, 36.4% had symptoms of depression, 36.4% endorsed anxiety, and 18.2% endorsed excessive state anger. Non-adherence rates were 13.6% for medication, 22.7% for blood work, and 50% for missed clinic. At the second interview, nonadherence with medication remained the same and the other domains decreased. Our small pilot sample, however, limited our ability to detect statistically significant changes over time. Predictive analyses demonstrated that adolescents with excessive anger were at greater risk for subsequently missing medications than adolescents without excessive anger. These findings suggest that while symptoms of depression and anxiety are observed among some adolescents with renal transplants, only anger is associated with elevated risk for nonadherence with medication.

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“…30, nº 2 (mayo) dinales, que aquellos niños/as criados/as en familias con padres sobreprotectores y rígidos obtienen más porcentajes en TPA y TPe en la edad adulta (Gerlsma, Emmelkamp y Arrindell, 1990;Latas et al, 2000;Parker y Gladstone, 1996). Puede que estas circunstancias sumadas a la posibilidad de experimentar eventos estresantes en la infancia y adolescencia (Moisan y Engels, 1995;Pollack et al, 1992), aumenten la posibilidad de desarrollar rasgos de personalidad evitativos y/o dependientes desde la juventud y aumentar la probabilidad del inicio de un TPe Evitativo o Dependiente en la edad adulta, así como el desarrollo y mantenimiento del TP, con o sin AG (Johnson et al, 1999;Kasen et al, 2001;Lewinsohn et al, 1997;Nystrom y Lindergard, 1975). Otros determinantes estudiados que pudieran influir en el desarrollo de rasgos de personalidad y trastornos de ansiedad y depresión han sido: padres con problemas económicos, abuso y pérdi-da temprana de los padres (Kendler et al, 2000a;Kendler, Meyers y Prescott, 2000b;Reti et al, 2002a;Reti et al, 2002b).…”

Section: Variables Parentales Y Ansiedad En La Infanciaunclassified

“…La relación existente entre pánico y personalidad deja entrever, por una parte, la posibilidad de que la personalidad (Johnson, Cohen, Brown, Smailes y Bernstein, 1999;Ozkan y Altindag, 2005), u otras variables como situaciones adversas en la infancia (Aronson y Logue, 1987;Brown, Harris y Eales, 1996;Pollack, Otto, Rosenbaum y Sachs, 1992), puedan constituir factores de vulnerabilidad para el desarrollo y curso del TP y, por otra parte, que sea la ansiedad el factor de vulnerabilidad que predispone a la persona a desarrollar no sólo un TP sino también un TPe (Kasen, et al, 2001;Koenigsberg, Kaplan, Gilmore y Cooper, 1985;Lewinsohn, Zinbarg, Seeley, Lewinsohn y Sack, 1997). Estas son las cuestiones que los investigadores se plantean y para las que, a día de hoy, no existen respuestas concluyentes aunque sí una serie de factores de vulnerabilidad o riesgo identificados como posibles candidatos desde perspectivas biológicas, cognitivas y psicosociales.…”

Section: Introductionunclassified

Personalidad y Trastorno de Pánico: Un estudio de revisión

2014

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Resumen: A través de este trabajo ofreceremos una revisión exhaustiva de las aportaciones científicas que se han realizado en las últimas tres décadas sobre la influencia de la personalidad en aspectos clínicos y psicopatológi-cos del Trastorno de pánico (TP), con o sin agorafobia (AG). Los resultados que expondremos serán representativos de dos modelos distintos de evaluación y estudio de la personalidad, el modelo de personalidad clínico y el modelo de personalidad normal. Desde ambas perspectivas, parece existir suficiente evidencia para asociar las dimensiones y rasgos patológicos de personalidad más relacionados con la emocionabilidad negativa y la desregulación emocional con el TP, con o sin AG. Entre las variables de vulnerabilidad identificadas en relación a la mayor probabilidad de inicio y mantenimiento del TP destacan: patrones familiares específicos de educación y crianza, la inhibición conductual, la sensibilididad a la ansiedad, y, más recientemente, la percepción de control de la ansiedad. Desde una perspectiva clínica es muy relevante la identificación de estos factores de vulnerabilidad psicopatológica puesto que abren la puerta al diseño e implementación de programas de promoción, prevención y tratamiento que se dirijan específicamente a los procesos psicológicos alterados y mitiguen, con mayor rapidez y eficacia, el sufrimiento de las personas que padecen estas patologías. Palabras clave: Personalidad; trastorno de pánico; revisión; agorafobia; trastornos de la personalidad; factores de riesgo.Title: Personality and panic disorder: a review. Abstract: In this work we offer a comprehensive review of the scientific contributions that have been made in the last three decades on the influence of personality in the psychopathology of panic disorder (PD) with or without agoraphobia (AG). The findings that are discussed are representative of two different theoretical models in the assessment and the study of personality, the clinical approach to personality and the dimensional approach to personality. From both perspectives, there is sufficient evidence to associate the personality factors and the pathological personality traits more related to negative emotionality and emotional dysregulation with PD, with or without AG. Among the vulnerability factors identified in relation to the onset of PD and the maintenance of its symptoms are: specific family and education patterns, behavioral inhibition, anxiety sensitivity, and, more recently, the perception of anxiety control. From a clinical perspective it is very important to identify these psychopathological vulnerabilities in order to design and implement promotion, prevention and treatment programs that specifically target the disordered psychological processes and reduce, more quickly and effectively, the suffering of people with these conditions.

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Lifetime comorbidity among anxiety disorders and between anxiety disorders and other mental disorders in adolescents

Cited by 254 publications

References 51 publications

Anxiety disorders in older adults: a comprehensive review

Anxiety disorders in older adults: a comprehensive review

Psychological Distress and Adherence to the Medical Regimen Among Adolescent Renal Transplant Recipients

Personalidad y Trastorno de Pánico: Un estudio de revisión

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