A clinical staging approach to improving diagnostics in anxiety disorders: Is it the way to go?

This study therefore tailored a heuristic staging model to anxiety disorders and assessed its validity. METHODS: A clinical staging model was tailored to anxiety disorders, distinguishing nine stages of disease progression varying from subclinical stages (0, 1A, 1B) to clinical stages (2A-4B). At-risk subjects and subjects with anxiety disorders (n = 2352) from the longitudinal Netherlands Study of Depression and Anxiety were assigned to these nine stages. The model's validity was assessed by comparing baseline (construct validity) and 2-year, 4-year and 6-year follow-up (predictive validity) differences in anxiety severity measures across stages. Differences in depression severity and disability were assessed as secondary outcome measures. RESULTS: Results showed that the anxiety disorder staging model has construct and predictive validity. At baseline, differences in anxiety severity, social avoidance behaviors, agoraphobic avoidance behaviors, worrying, depressive symptoms and levels of disability existed across all stages (all p-values 
Source: The Australian and New Zealand Journal of Psychiatry - Category: Psychiatry Authors: Tags: Aust N Z J Psychiatry Source Type: research

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Conclusion: The results obtained in this study show that the Spanish version of the ODSIS delivered online is an adequate tool to assess the depression-related severity and impairment in a brief and easy fashion. Introduction Among the emotional disorders, the most prevalent lifetime syndrome is a major depressive episode (1, 2). It is among the most common reasons for consulting a general practitioner (3–5). This happens not only in adult's population, but also among young people the major depressive disorder (MDD) is considered one of the leading causes of disability (6–9). In Spain, depressio...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
CONCLUSION: There was substantial delay in treatment seeking among the anxiety and obsessive-compulsive disorder patients, particularly those with OCD or SAD. Perception of stress as a cause of OCD prompted treatment seeking, while severity of panic symptoms delayed treatment seeking. PMID: 30419984 [PubMed - as supplied by publisher]
Source: CNS Spectrums - Category: Neurology Authors: Tags: CNS Spectr Source Type: research
Discussion School within society is an institution designed to provide learning opportunities to students under the direction of teachers. The curriculum is usually designed to provide academic content in formal subjects necessary for the adult world (such as instruction in mathematics, language, science, social studies, arts, physical education) but also other knowledge and skills for the adult world (i.e. personal safety, communication skills, working in teams, etc.). Specific schools may or may not offer specific courses of instruction such as religious education, learning disability education, gifted/talented education...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
What is the common denominator of behavioral psychology, pain management, medical training, rehabilitation and meditation? The answer is virtual reality. I believe that within a few years, VR will be a game-changer in these areas. Thus, it is high time to enlist the most important VR companies in healthcare. VR is conquering new heigths in terms of healthcare and sales figures Medical VR is an area with fascinating possibilities. It has not just moved the imagination of science-fiction fans, but also clinical researchers and real life medical practitioners. As a doctor, you could assist in the OR without ever lifting a sca...
Source: The Medical Futurist - Category: Information Technology Authors: Tags: Virtual Reality in Medicine future GC1 Healthcare Innovation meditation pain management Personalized medicine psychology rehabilitation VR Source Type: blogs
I Am... Struggling with Anxiety: Create your own profile at Anxiety Social Net (anxietysocialnet.com) to connect with people dealing with everything from social anxiety to agoraphobia. Prefer to meet in person? Find a state-by-state list of support groups at the Anxiety and Depression Association of America’s website (adaa.org). Struggling with Depression or Bipolar Disorder: Locate an in-person or online group at the Depression and Bipolar Support Alliance site (dbsalliance.org). Struggling with Postpartum Depression: The Postpartum Progress site (postpartumprogress.com) lists support groups in nearly every state as...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news
This article describes changes in the organization and diagnostic guidelines for anxiety and fear‐related disorders proposed by the ICD‐11 Working Group on the Classification of Mood and Anxiety Disorders and the rationale and evidence base for the proposals. In ICD‐11, anxiety and fear‐related disorders that manifest across the lifespan are brought together under a new grouping, and are partly distinguished by their focus of apprehension. The focus of apprehension is the stimulus or situation that triggers the fear or anxiety and may be highly specific as in specific phobia or relate to a broader class of situatio...
Source: Depression and Anxiety - Category: Psychiatry Authors: Tags: Review Source Type: research
This article describes changes in the organization and diagnostic guidelines for anxiety and fear‐related disorders proposed by the ICD‐11 Working Group on the Classification of Mood and Anxiety Disorders and the rationale and evidence base for the proposals. In ICD‐11, anxiety and fear‐related disorders that manifest across the lifespan are brought together under a new grouping, and are partly distinguished by their focus of apprehension. The focus of apprehension is the stimulus or situation that triggers the fear or anxiety and may be highly specific as in specific phobia or relate to a broader class of situatio...
Source: Depression and Anxiety - Category: Psychiatry Authors: Tags: Review Source Type: research
Anxiety disorders like social anxiety disorder, obsessive compulsive disorder, agoraphobia, panic disorder and general anxiety are the most common forms of mental illness in the U.S. An estimated 18 percent of all American adults have an anxiety disorder, costing more than $42 billion a year.  America is unique in this regard, according to the largest ever global analysis. Some regions of the world, including the U.S. but also Western Europe, have higher rates of anxiety disorders in general. What's more, some groups within the U.S. have a higher risk of anxiety disorder diagnosis than others. Olivia Remes, lead autho...
Source: Science - The Huffington Post - Category: Science Source Type: news
Authors: O'Donnell ML, Alkemade N, Creamer MC, McFarlane AC, Silove D, Bryant RA, Forbes D Abstract OBJECTIVE: The impact of mental health on disease burden associated with injury represents a major public health issue, yet almost no information is available on the associated long-term mental health outcomes. The primary aim of this study was to assess the psychiatric outcomes 6 years after a severe injury and their subsequent impact on long-term disability. The secondary aim was to investigate the relationship between a mild traumatic brain injury (mTBI) and long-term psychiatric disorder and its impact on disabil...
Source: Journal of Clinical Psychiatry - Category: Psychiatry Tags: J Clin Psychiatry Source Type: research
Authors: Goldstein RB, Chou SP, Saha TD, Smith SM, Jung J, Zhang H, Pickering RP, Ruan WJ, Huang B, Grant BF Abstract OBJECTIVE: To present current, nationally representative US findings on prevalence, correlates, psychiatric comorbidity, disability, and treatment of DSM-5 antisocial personality disorder (ASPD) and adulthood antisocial behavioral syndrome without conduct disorder before 15 years of age (AABS). METHOD: Face-to-face interviews were conducted with respondents (N = 36,309) in the 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions-III. DSM-5 alcohol, nicotine, and specific dru...
Source: Journal of Clinical Psychiatry - Category: Psychiatry Tags: J Clin Psychiatry Source Type: research
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