AustralieFrV1, Main, Exploration, bibRecord, 008276

Implications of modifying the duration requirement of generalized anxiety disorder in developed and developing countries

Identifieur interne : 008276 ( Main/Exploration ); précédent : 008275; suivant : 008277

Implications of modifying the duration requirement of generalized anxiety disorder in developed and developing countries

Auteurs : S. Lee [Hong Kong] ; A. Tsang [Hong Kong] ; A. M. Ruscio [États-Unis] ; J. M. Haro [Espagne] ; D. J. Stein [Afrique du Sud] ; J. Alonso [Espagne] ; M. C. Angermeyer [Autriche] ; E. J. Bromet [États-Unis] ; K. Demyttenaere [Belgique] ; G. De Girolamo [Italie] ; R. De Graaf [Pays-Bas] ; O. Gureje [Nigeria] ; N. Iwata [Japon] ; E. G. Karam [Liban] ; J.-P. Lepine [France] ; D. Levinson [Israël] ; M. E. Medina-Mora [Mexique] ; M. A. Oakley Browne [Australie] ; J. Posada-Villa [Colombie] ; R. C. Kessler [États-Unis]

Source :

Psychological medicine : (Print) [ 0033-2917 ] ; 2009.

RBID : Pascal:09-0370554

Descripteurs français

Pascal (Inist)
- Durée, Trouble de l'anxiété généralisée, Pays en développement, Diagnostic, Epidémiologie, Santé publique, Pays industrialisé, Critère, Classification, Nosologie, Santé mentale, Environnement social, International, Homme.
Wicri :
- topic : Pays en développement, Santé publique, Pays industrialisé, Classification, Santé mentale, Homme.

English descriptors

KwdEn :
- Classification, Criterion, Developing countries, Diagnosis, Duration, Epidemiology, Generalized anxiety disorder, Human, Industrialized country, International, Mental health, Nosology, Public health, Social environment.

Abstract

Background. A number of western studies have suggested that the 6-month duration requirement of generalized anxiety disorder (GAD) does not represent a critical threshold in terms of onset, course, or risk factors of the disorder. No study has examined the consequences of modifying the duration requirement across a wide range of correlates in both developed and developing countries. Method. Population surveys were carried out in seven developing and 10 developed countries using the WHO Composite International Diagnostic Interview (total sample=85052). Prevalence and correlates of GAD were compared across mutually exclusive GAD subgroups defined by different minimum duration criteria. Results. Lifetime prevalence estimates for GAD lasting 1 month, 3 months, 6 months and 12 months were 7.5%, 5.2%, 4.1% and 3.0 % for developed countries and 2.7%, 1.8 %, 1.5 % and 1.2% for developing countries, respectively. There was little difference between GAD of 6 months' duration and GAD of shorter durations (1-2 months, 3-5 months) in age of onset, symptom severity or persistence, co-morbidity or impairment. GAD lasting ≥ 12 months was the most severe, persistently symptomatic and impaired subgroup. Conclusions. In both developed and developing countries, the clinical profile of GAD is similar regardless of duration. The DSM-IV 6-month duration criterion excludes a large number of individuals who present with shorter generalized anxiety episodes which may be recurrent, impairing and contributory to treatment-seeking. Future iterations of the DSM and ICD should consider modifying the 6-month duration criterion so as to better capture the diversity of clinically salient anxiety presentations.

Affiliations:

Afrique du Sud, Australie, Autriche, Belgique, Colombie, Espagne, France, Hong Kong, Israël, Italie, Japon, Liban, Mexique, Nigeria, Pays-Bas, États-Unis
Catalogne, Massachusetts, Pennsylvanie, Utrecht (province), Île-de-France
Barcelone, Boston, Paris, Philadelphie, Sha Tin, Utrecht
Université chinoise de Hong Kong

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Le document en format XML

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<author><name sortKey="Lee, S" sort="Lee, S" uniqKey="Lee S" first="S." last="Lee">S. Lee</name>
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<author><name sortKey="Gureje, O" sort="Gureje, O" uniqKey="Gureje O" first="O." last="Gureje">O. Gureje</name>
<affiliation wicri:level="1"><inist:fA14 i1="12"><s1>Department of Psychiatry, University College Hospital</s1>
<s2>Ibadan</s2>
<s3>NGA</s3>
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<author><name sortKey="Iwata, N" sort="Iwata, N" uniqKey="Iwata N" first="N." last="Iwata">N. Iwata</name>
<affiliation wicri:level="1"><inist:fA14 i1="13"><s1>Hiroshima International University</s1>
<s2>Higashi-Hiroshima</s2>
<s3>JPN</s3>
<sZ>13 aut.</sZ>
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<country>Japon</country>
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<author><name sortKey="Karam, E G" sort="Karam, E G" uniqKey="Karam E" first="E. G." last="Karam">E. G. Karam</name>
<affiliation wicri:level="1"><inist:fA14 i1="14"><s1>Institute for Development, Research, Advocacy, and Applied Care (IDRAAC), St. George Hospital University Medical Center</s1>
<s2>Beirut</s2>
<s3>LBN</s3>
<sZ>14 aut.</sZ>
</inist:fA14>
<country>Liban</country>
<wicri:noRegion>Beirut</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Lepine, J P" sort="Lepine, J P" uniqKey="Lepine J" first="J.-P." last="Lepine">J.-P. Lepine</name>
<affiliation wicri:level="3"><inist:fA14 i1="15"><s1>Hospital Fernand Widal</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Levinson, D" sort="Levinson, D" uniqKey="Levinson D" first="D." last="Levinson">D. Levinson</name>
<affiliation wicri:level="1"><inist:fA14 i1="16"><s1>Ministry of Health, Mental Health Services</s1>
<s2>Jerusalem</s2>
<s3>ISR</s3>
<sZ>16 aut.</sZ>
</inist:fA14>
<country>Israël</country>
<wicri:noRegion>Jerusalem</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Medina Mora, M E" sort="Medina Mora, M E" uniqKey="Medina Mora M" first="M. E." last="Medina-Mora">M. E. Medina-Mora</name>
<affiliation wicri:level="1"><inist:fA14 i1="17"><s1>National Institute of Psychiatry</s1>
<s2>Mexico City</s2>
<s3>MEX</s3>
<sZ>17 aut.</sZ>
</inist:fA14>
<country>Mexique</country>
<wicri:noRegion>National Institute of Psychiatry</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Oakley Browne, M A" sort="Oakley Browne, M A" uniqKey="Oakley Browne M" first="M. A." last="Oakley Browne">M. A. Oakley Browne</name>
<affiliation wicri:level="1"><inist:fA14 i1="18"><s1>Department of Rural and Indigenous Health, School of Rural Health, Faculty of Medicine, Nursing and Health Sciences, Monash University</s1>
<s2>Victoria</s2>
<s3>AUS</s3>
<sZ>18 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<wicri:noRegion>Victoria</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Posada Villa, J" sort="Posada Villa, J" uniqKey="Posada Villa J" first="J." last="Posada-Villa">J. Posada-Villa</name>
<affiliation wicri:level="1"><inist:fA14 i1="19"><s1>Colegio Mayor de Cundinamarca University</s1>
<s2>Bogotá</s2>
<s3>COL</s3>
<sZ>19 aut.</sZ>
</inist:fA14>
<country>Colombie</country>
<wicri:noRegion>Colegio Mayor de Cundinamarca University</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Kessler, R C" sort="Kessler, R C" uniqKey="Kessler R" first="R. C." last="Kessler">R. C. Kessler</name>
<affiliation wicri:level="3"><inist:fA14 i1="20"><s1>Department of Health Care Policy, Harvard Medical School</s1>
<s2>Boston</s2>
<s3>USA</s3>
<sZ>20 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><settlement type="city">Boston</settlement>
<region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">Psychological medicine : (Print)</title>
<title level="j" type="abbreviated">Psychol. med. : (Print)</title>
<idno type="ISSN">0033-2917</idno>
<imprint><date when="2009">2009</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">Psychological medicine : (Print)</title>
<title level="j" type="abbreviated">Psychol. med. : (Print)</title>
<idno type="ISSN">0033-2917</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Classification</term>
<term>Criterion</term>
<term>Developing countries</term>
<term>Diagnosis</term>
<term>Duration</term>
<term>Epidemiology</term>
<term>Generalized anxiety disorder</term>
<term>Human</term>
<term>Industrialized country</term>
<term>International</term>
<term>Mental health</term>
<term>Nosology</term>
<term>Public health</term>
<term>Social environment</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Durée</term>
<term>Trouble de l'anxiété généralisée</term>
<term>Pays en développement</term>
<term>Diagnostic</term>
<term>Epidémiologie</term>
<term>Santé publique</term>
<term>Pays industrialisé</term>
<term>Critère</term>
<term>Classification</term>
<term>Nosologie</term>
<term>Santé mentale</term>
<term>Environnement social</term>
<term>International</term>
<term>Homme</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Pays en développement</term>
<term>Santé publique</term>
<term>Pays industrialisé</term>
<term>Classification</term>
<term>Santé mentale</term>
<term>Homme</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Background. A number of western studies have suggested that the 6-month duration requirement of generalized anxiety disorder (GAD) does not represent a critical threshold in terms of onset, course, or risk factors of the disorder. No study has examined the consequences of modifying the duration requirement across a wide range of correlates in both developed and developing countries. Method. Population surveys were carried out in seven developing and 10 developed countries using the WHO Composite International Diagnostic Interview (total sample=85052). Prevalence and correlates of GAD were compared across mutually exclusive GAD subgroups defined by different minimum duration criteria. Results. Lifetime prevalence estimates for GAD lasting 1 month, 3 months, 6 months and 12 months were 7.5%, 5.2%, 4.1% and 3.0 % for developed countries and 2.7%, 1.8 %, 1.5 % and 1.2% for developing countries, respectively. There was little difference between GAD of 6 months' duration and GAD of shorter durations (1-2 months, 3-5 months) in age of onset, symptom severity or persistence, co-morbidity or impairment. GAD lasting ≥ 12 months was the most severe, persistently symptomatic and impaired subgroup. Conclusions. In both developed and developing countries, the clinical profile of GAD is similar regardless of duration. The DSM-IV 6-month duration criterion excludes a large number of individuals who present with shorter generalized anxiety episodes which may be recurrent, impairing and contributory to treatment-seeking. Future iterations of the DSM and ICD should consider modifying the 6-month duration criterion so as to better capture the diversity of clinically salient anxiety presentations.</div>
</front>
</TEI>
<affiliations><list><country><li>Afrique du Sud</li>
<li>Australie</li>
<li>Autriche</li>
<li>Belgique</li>
<li>Colombie</li>
<li>Espagne</li>
<li>France</li>
<li>Hong Kong</li>
<li>Israël</li>
<li>Italie</li>
<li>Japon</li>
<li>Liban</li>
<li>Mexique</li>
<li>Nigeria</li>
<li>Pays-Bas</li>
<li>États-Unis</li>
</country>
<region><li>Catalogne</li>
<li>Massachusetts</li>
<li>Pennsylvanie</li>
<li>Utrecht (province)</li>
<li>Île-de-France</li>
</region>
<settlement><li>Barcelone</li>
<li>Boston</li>
<li>Paris</li>
<li>Philadelphie</li>
<li>Sha Tin</li>
<li>Utrecht</li>
</settlement>
<orgName><li>Université chinoise de Hong Kong</li>
</orgName>
</list>
<tree><country name="Hong Kong"><noRegion><name sortKey="Lee, S" sort="Lee, S" uniqKey="Lee S" first="S." last="Lee">S. Lee</name>
</noRegion>
<name sortKey="Tsang, A" sort="Tsang, A" uniqKey="Tsang A" first="A." last="Tsang">A. Tsang</name>
</country>
<country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Ruscio, A M" sort="Ruscio, A M" uniqKey="Ruscio A" first="A. M." last="Ruscio">A. M. Ruscio</name>
</region>
<name sortKey="Bromet, E J" sort="Bromet, E J" uniqKey="Bromet E" first="E. J." last="Bromet">E. J. Bromet</name>
<name sortKey="Kessler, R C" sort="Kessler, R C" uniqKey="Kessler R" first="R. C." last="Kessler">R. C. Kessler</name>
</country>
<country name="Espagne"><region name="Catalogne"><name sortKey="Haro, J M" sort="Haro, J M" uniqKey="Haro J" first="J. M." last="Haro">J. M. Haro</name>
</region>
<name sortKey="Alonso, J" sort="Alonso, J" uniqKey="Alonso J" first="J." last="Alonso">J. Alonso</name>
</country>
<country name="Afrique du Sud"><noRegion><name sortKey="Stein, D J" sort="Stein, D J" uniqKey="Stein D" first="D. J." last="Stein">D. J. Stein</name>
</noRegion>
</country>
<country name="Autriche"><noRegion><name sortKey="Angermeyer, M C" sort="Angermeyer, M C" uniqKey="Angermeyer M" first="M. C." last="Angermeyer">M. C. Angermeyer</name>
</noRegion>
</country>
<country name="Belgique"><noRegion><name sortKey="Demyttenaere, K" sort="Demyttenaere, K" uniqKey="Demyttenaere K" first="K." last="Demyttenaere">K. Demyttenaere</name>
</noRegion>
</country>
<country name="Italie"><noRegion><name sortKey="De Girolamo, G" sort="De Girolamo, G" uniqKey="De Girolamo G" first="G." last="De Girolamo">G. De Girolamo</name>
</noRegion>
</country>
<country name="Pays-Bas"><region name="Utrecht (province)"><name sortKey="De Graaf, R" sort="De Graaf, R" uniqKey="De Graaf R" first="R." last="De Graaf">R. De Graaf</name>
</region>
</country>
<country name="Nigeria"><noRegion><name sortKey="Gureje, O" sort="Gureje, O" uniqKey="Gureje O" first="O." last="Gureje">O. Gureje</name>
</noRegion>
</country>
<country name="Japon"><noRegion><name sortKey="Iwata, N" sort="Iwata, N" uniqKey="Iwata N" first="N." last="Iwata">N. Iwata</name>
</noRegion>
</country>
<country name="Liban"><noRegion><name sortKey="Karam, E G" sort="Karam, E G" uniqKey="Karam E" first="E. G." last="Karam">E. G. Karam</name>
</noRegion>
</country>
<country name="France"><region name="Île-de-France"><name sortKey="Lepine, J P" sort="Lepine, J P" uniqKey="Lepine J" first="J.-P." last="Lepine">J.-P. Lepine</name>
</region>
</country>
<country name="Israël"><noRegion><name sortKey="Levinson, D" sort="Levinson, D" uniqKey="Levinson D" first="D." last="Levinson">D. Levinson</name>
</noRegion>
</country>
<country name="Mexique"><noRegion><name sortKey="Medina Mora, M E" sort="Medina Mora, M E" uniqKey="Medina Mora M" first="M. E." last="Medina-Mora">M. E. Medina-Mora</name>
</noRegion>
</country>
<country name="Australie"><noRegion><name sortKey="Oakley Browne, M A" sort="Oakley Browne, M A" uniqKey="Oakley Browne M" first="M. A." last="Oakley Browne">M. A. Oakley Browne</name>
</noRegion>
</country>
<country name="Colombie"><noRegion><name sortKey="Posada Villa, J" sort="Posada Villa, J" uniqKey="Posada Villa J" first="J." last="Posada-Villa">J. Posada-Villa</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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Implications of modifying the duration requirement of generalized anxiety disorder in developed and developing countries

Implications of modifying the duration requirement of generalized anxiety disorder in developed and developing countries

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