Implications of modifying the duration requirement of generalized anxiety disorder in developed and developing countries
Identifieur interne : 009062 ( Main/Merge ); précédent : 009061; suivant : 009063Implications of modifying the duration requirement of generalized anxiety disorder in developed and developing countries
Auteurs : S. Lee [États-Unis, Hong Kong] ; A. Tsang [États-Unis] ; 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 [ 0033-2917 ] ; 2009.
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=85 052). 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.
Url:
- https://api.istex.fr/document/4F93AABE18860B0848DA4773EBA87E3BB997AF89/fulltext/pdf
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2692366
DOI: 10.1017/S0033291708004807
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: 000F06
- to stream Istex, to step Curation: 000F06
- to stream Istex, to step Checkpoint: 001168
- to stream Pmc, to step Corpus: 001444
- to stream Pmc, to step Curation: 001304
- to stream Pmc, to step Checkpoint: 002985
- to stream Ncbi, to step Merge: 000500
- to stream Ncbi, to step Curation: 000500
- to stream Ncbi, to step Checkpoint: 000500
Links to Exploration step
ISTEX:4F93AABE18860B0848DA4773EBA87E3BB997AF89Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Implications of modifying the duration requirement of generalized anxiety disorder in developed and developing countries</title><author><name sortKey="Lee, S" sort="Lee, S" uniqKey="Lee S" first="S." last="Lee">S. Lee</name></author><author><name sortKey="Tsang, A" sort="Tsang, A" uniqKey="Tsang A" first="A." last="Tsang">A. Tsang</name></author><author><name sortKey="Ruscio, A M" sort="Ruscio, A M" uniqKey="Ruscio A" first="A. M." last="Ruscio">A. M. Ruscio</name></author><author><name sortKey="Haro, J M" sort="Haro, J M" uniqKey="Haro J" first="J. M." last="Haro">J. M. Haro</name></author><author><name sortKey="Stein, D J" sort="Stein, D J" uniqKey="Stein D" first="D. J." last="Stein">D. J. Stein</name></author><author><name sortKey="Alonso, J" sort="Alonso, J" uniqKey="Alonso J" first="J." last="Alonso">J. Alonso</name></author><author><name sortKey="Angermeyer, M C" sort="Angermeyer, M C" uniqKey="Angermeyer M" first="M. C." last="Angermeyer">M. C. Angermeyer</name></author><author><name sortKey="Bromet, E J" sort="Bromet, E J" uniqKey="Bromet E" first="E. J." last="Bromet">E. J. Bromet</name></author><author><name sortKey="Demyttenaere, K" sort="Demyttenaere, K" uniqKey="Demyttenaere K" first="K." last="Demyttenaere">K. Demyttenaere</name></author><author><name sortKey="De Girolamo, G" sort="De Girolamo, G" uniqKey="De Girolamo G" first="G." last="De Girolamo">G. De Girolamo</name></author><author><name sortKey="De Graaf, R" sort="De Graaf, R" uniqKey="De Graaf R" first="R." last="De Graaf">R. De Graaf</name></author><author><name sortKey="Gureje, O" sort="Gureje, O" uniqKey="Gureje O" first="O." last="Gureje">O. Gureje</name></author><author><name sortKey="Iwata, N" sort="Iwata, N" uniqKey="Iwata N" first="N." last="Iwata">N. Iwata</name></author><author><name sortKey="Karam, E G" sort="Karam, E G" uniqKey="Karam E" first="E. G." last="Karam">E. G. Karam</name></author><author><name sortKey="Lepine, J P" sort="Lepine, J P" uniqKey="Lepine J" first="J.-P." last="Lepine">J.-P. Lepine</name></author><author><name sortKey="Levinson, D" sort="Levinson, D" uniqKey="Levinson D" first="D." last="Levinson">D. Levinson</name></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></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></author><author><name sortKey="Posada Villa, J" sort="Posada Villa, J" uniqKey="Posada Villa J" first="J." last="Posada-Villa">J. Posada-Villa</name></author><author><name sortKey="Kessler, R C" sort="Kessler, R C" uniqKey="Kessler R" first="R. C." last="Kessler">R. C. Kessler</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:4F93AABE18860B0848DA4773EBA87E3BB997AF89</idno><date when="2008" year="2008">2008</date><idno type="doi">10.1017/S0033291708004807</idno><idno type="url">https://api.istex.fr/document/4F93AABE18860B0848DA4773EBA87E3BB997AF89/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000F06</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000F06</idno><idno type="wicri:Area/Istex/Curation">000F06</idno><idno type="wicri:Area/Istex/Checkpoint">001168</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">001168</idno><idno type="wicri:doubleKey">0033-2917:2008:Lee S:implications:of:modifying</idno><idno type="wicri:source">PMC</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2692366</idno><idno type="RBID">PMC:2692366</idno><idno type="wicri:Area/Pmc/Corpus">001444</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001444</idno><idno type="wicri:Area/Pmc/Curation">001304</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001304</idno><idno type="wicri:Area/Pmc/Checkpoint">002985</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002985</idno><idno type="wicri:Area/Ncbi/Merge">000500</idno><idno type="wicri:Area/Ncbi/Curation">000500</idno><idno type="wicri:Area/Ncbi/Checkpoint">000500</idno><idno type="wicri:doubleKey">0033-2917:2008:Lee S:implications:of:modifying</idno><idno type="wicri:Area/Main/Merge">009062</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Implications of modifying the duration requirement of generalized anxiety disorder in developed and developing countries</title><author><name sortKey="Lee, S" sort="Lee, S" uniqKey="Lee S" first="S." last="Lee">S. Lee</name><affiliation wicri:level="4"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong, PRC</wicri:regionArea><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Hong Kong</country></affiliation></author><author><name sortKey="Tsang, A" sort="Tsang, A" uniqKey="Tsang A" first="A." last="Tsang">A. Tsang</name><affiliation wicri:level="4"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Hong Kong Mood Disorders Center, The Chinese University of Hong Kong, Hong Kong, PRC</wicri:regionArea><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Ruscio, A M" sort="Ruscio, A M" uniqKey="Ruscio A" first="A. M." last="Ruscio">A. M. Ruscio</name><affiliation wicri:level="3"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychology, University of Pennsylvania, Philadelphia</wicri:regionArea><placeName><settlement type="city">Philadelphie</settlement><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Haro, J M" sort="Haro, J M" uniqKey="Haro J" first="J. M." last="Haro">J. M. Haro</name><affiliation wicri:level="3"><country xml:lang="fr">Espagne</country><wicri:regionArea>Sant Joan de Deu-SSM, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Stein, D J" sort="Stein, D J" uniqKey="Stein D" first="D. J." last="Stein">D. J. Stein</name><affiliation wicri:level="1"><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>University of Cape Town, UCT Department of Psychiatry, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author><author><name sortKey="Alonso, J" sort="Alonso, J" uniqKey="Alonso J" first="J." last="Alonso">J. Alonso</name><affiliation wicri:level="3"><country xml:lang="fr">Espagne</country><wicri:regionArea>Health Services Research Unit, IMIM-Hospital del mar, CIBER en Epidemiologia y Salud Publica (CIBERESP), Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Angermeyer, M C" sort="Angermeyer, M C" uniqKey="Angermeyer M" first="M. C." last="Angermeyer">M. C. Angermeyer</name><affiliation wicri:level="1"><country xml:lang="fr">Autriche</country><wicri:regionArea>Center for Public Mental Health, Gösing a.W</wicri:regionArea><wicri:noRegion>Gösing a.W</wicri:noRegion></affiliation></author><author><name sortKey="Bromet, E J" sort="Bromet, E J" uniqKey="Bromet E" first="E. J." last="Bromet">E. J. Bromet</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>SUNY Stony Brook, Stony Brook, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Demyttenaere, K" sort="Demyttenaere, K" uniqKey="Demyttenaere K" first="K." last="Demyttenaere">K. Demyttenaere</name><affiliation wicri:level="1"><country xml:lang="fr">Belgique</country><wicri:regionArea>University Hospital Gasthuisburg, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author><author><name sortKey="De Girolamo, G" sort="De Girolamo, G" uniqKey="De Girolamo G" first="G." last="De Girolamo">G. De Girolamo</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Regional Health Care Agency, Emilia-Romanga Region</wicri:regionArea><wicri:noRegion>Emilia-Romanga Region</wicri:noRegion></affiliation></author><author><name sortKey="De Graaf, R" sort="De Graaf, R" uniqKey="De Graaf R" first="R." last="De Graaf">R. De Graaf</name><affiliation wicri:level="3"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Netherlands Institute of Mental Health and Addiction, Utrecht</wicri:regionArea><placeName><settlement type="city">Utrecht</settlement><region nuts="2" type="province">Utrecht (province)</region></placeName></affiliation></author><author><name sortKey="Gureje, O" sort="Gureje, O" uniqKey="Gureje O" first="O." last="Gureje">O. Gureje</name><affiliation wicri:level="1"><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Psychiatry, University College Hospital, Ibadan</wicri:regionArea><wicri:noRegion>Ibadan</wicri:noRegion></affiliation></author><author><name sortKey="Iwata, N" sort="Iwata, N" uniqKey="Iwata N" first="N." last="Iwata">N. Iwata</name><affiliation wicri:level="1"><country xml:lang="fr">Japon</country><wicri:regionArea>Hiroshima International University, Higashi-Hiroshima</wicri:regionArea><wicri:noRegion>Higashi-Hiroshima</wicri:noRegion></affiliation></author><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"><country xml:lang="fr">Liban</country><wicri:regionArea>Institute for Development, Research, Advocacy, and Applied Care (IDRAAC), St. George Hospital University Medical Center, Beirut</wicri:regionArea><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"><country xml:lang="fr">France</country><wicri:regionArea>Hospital Fernand Widal, Paris</wicri:regionArea><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"><country xml:lang="fr">Israël</country><wicri:regionArea>Ministry of Health, Mental Health Services, Jerusalem</wicri:regionArea><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"><country xml:lang="fr">Mexique</country><wicri:regionArea>National Institute of Psychiatry, Mexico City</wicri:regionArea><wicri:noRegion>Mexico City</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"><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Rural and Indigenous Health, School of Rural Health, Faculty of Medicine, Nursing and Health Sciences, Monash University, Victoria</wicri:regionArea><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"><country xml:lang="fr">Colombie</country><wicri:regionArea>Colegio Mayor de Cundinamarca University, Bogotá</wicri:regionArea><wicri:noRegion>Bogotá</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"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Health Care Policy, Harvard Medical School, Boston</wicri:regionArea><placeName><settlement type="city">Boston</settlement><region type="state">Massachusetts</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Psychological Medicine</title><title level="j" type="abbrev">Psychol. Med.</title><idno type="ISSN">0033-2917</idno><idno type="eISSN">1469-8978</idno><imprint><publisher>Cambridge University Press</publisher><pubPlace>Cambridge, UK</pubPlace><date type="published" when="2009">2009</date><biblScope unit="volume">39</biblScope><biblScope unit="issue">7</biblScope><biblScope unit="page" from="1163">1163</biblScope><biblScope unit="page" to="1176">1176</biblScope></imprint><idno type="ISSN">0033-2917</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0033-2917</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="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=85 052). 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><double doi="10.1017/S0033291708004807"><ISTEX><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Implications of modifying the duration requirement of generalized anxiety disorder in developed and developing countries</title><author><name sortKey="Lee, S" sort="Lee, S" uniqKey="Lee S" first="S." last="Lee">S. Lee</name></author><author><name sortKey="Tsang, A" sort="Tsang, A" uniqKey="Tsang A" first="A." last="Tsang">A. Tsang</name></author><author><name sortKey="Ruscio, A M" sort="Ruscio, A M" uniqKey="Ruscio A" first="A. M." last="Ruscio">A. M. Ruscio</name></author><author><name sortKey="Haro, J M" sort="Haro, J M" uniqKey="Haro J" first="J. M." last="Haro">J. M. Haro</name></author><author><name sortKey="Stein, D J" sort="Stein, D J" uniqKey="Stein D" first="D. J." last="Stein">D. J. Stein</name></author><author><name sortKey="Alonso, J" sort="Alonso, J" uniqKey="Alonso J" first="J." last="Alonso">J. Alonso</name></author><author><name sortKey="Angermeyer, M C" sort="Angermeyer, M C" uniqKey="Angermeyer M" first="M. C." last="Angermeyer">M. C. Angermeyer</name></author><author><name sortKey="Bromet, E J" sort="Bromet, E J" uniqKey="Bromet E" first="E. J." last="Bromet">E. J. Bromet</name></author><author><name sortKey="Demyttenaere, K" sort="Demyttenaere, K" uniqKey="Demyttenaere K" first="K." last="Demyttenaere">K. Demyttenaere</name></author><author><name sortKey="De Girolamo, G" sort="De Girolamo, G" uniqKey="De Girolamo G" first="G." last="De Girolamo">G. De Girolamo</name></author><author><name sortKey="De Graaf, R" sort="De Graaf, R" uniqKey="De Graaf R" first="R." last="De Graaf">R. De Graaf</name></author><author><name sortKey="Gureje, O" sort="Gureje, O" uniqKey="Gureje O" first="O." last="Gureje">O. Gureje</name></author><author><name sortKey="Iwata, N" sort="Iwata, N" uniqKey="Iwata N" first="N." last="Iwata">N. Iwata</name></author><author><name sortKey="Karam, E G" sort="Karam, E G" uniqKey="Karam E" first="E. G." last="Karam">E. G. Karam</name></author><author><name sortKey="Lepine, J P" sort="Lepine, J P" uniqKey="Lepine J" first="J.-P." last="Lepine">J.-P. Lepine</name></author><author><name sortKey="Levinson, D" sort="Levinson, D" uniqKey="Levinson D" first="D." last="Levinson">D. Levinson</name></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></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></author><author><name sortKey="Posada Villa, J" sort="Posada Villa, J" uniqKey="Posada Villa J" first="J." last="Posada-Villa">J. Posada-Villa</name></author><author><name sortKey="Kessler, R C" sort="Kessler, R C" uniqKey="Kessler R" first="R. C." last="Kessler">R. C. Kessler</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:4F93AABE18860B0848DA4773EBA87E3BB997AF89</idno><date when="2008" year="2008">2008</date><idno type="doi">10.1017/S0033291708004807</idno><idno type="url">https://api.istex.fr/document/4F93AABE18860B0848DA4773EBA87E3BB997AF89/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000F06</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000F06</idno><idno type="wicri:Area/Istex/Curation">000F06</idno><idno type="wicri:Area/Istex/Checkpoint">001168</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">001168</idno><idno type="wicri:doubleKey">0033-2917:2008:Lee S:implications:of:modifying</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Implications of modifying the duration requirement of generalized anxiety disorder in developed and developing countries</title><author><name sortKey="Lee, S" sort="Lee, S" uniqKey="Lee S" first="S." last="Lee">S. Lee</name><affiliation wicri:level="4"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong, PRC</wicri:regionArea><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Hong Kong</country></affiliation></author><author><name sortKey="Tsang, A" sort="Tsang, A" uniqKey="Tsang A" first="A." last="Tsang">A. Tsang</name><affiliation wicri:level="4"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Hong Kong Mood Disorders Center, The Chinese University of Hong Kong, Hong Kong, PRC</wicri:regionArea><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Ruscio, A M" sort="Ruscio, A M" uniqKey="Ruscio A" first="A. M." last="Ruscio">A. M. Ruscio</name><affiliation wicri:level="3"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychology, University of Pennsylvania, Philadelphia</wicri:regionArea><placeName><settlement type="city">Philadelphie</settlement><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Haro, J M" sort="Haro, J M" uniqKey="Haro J" first="J. M." last="Haro">J. M. Haro</name><affiliation wicri:level="3"><country xml:lang="fr">Espagne</country><wicri:regionArea>Sant Joan de Deu-SSM, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Stein, D J" sort="Stein, D J" uniqKey="Stein D" first="D. J." last="Stein">D. J. Stein</name><affiliation wicri:level="1"><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>University of Cape Town, UCT Department of Psychiatry, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author><author><name sortKey="Alonso, J" sort="Alonso, J" uniqKey="Alonso J" first="J." last="Alonso">J. Alonso</name><affiliation wicri:level="3"><country xml:lang="fr">Espagne</country><wicri:regionArea>Health Services Research Unit, IMIM-Hospital del mar, CIBER en Epidemiologia y Salud Publica (CIBERESP), Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Angermeyer, M C" sort="Angermeyer, M C" uniqKey="Angermeyer M" first="M. C." last="Angermeyer">M. C. Angermeyer</name><affiliation wicri:level="1"><country xml:lang="fr">Autriche</country><wicri:regionArea>Center for Public Mental Health, Gösing a.W</wicri:regionArea><wicri:noRegion>Gösing a.W</wicri:noRegion></affiliation></author><author><name sortKey="Bromet, E J" sort="Bromet, E J" uniqKey="Bromet E" first="E. J." last="Bromet">E. J. Bromet</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>SUNY Stony Brook, Stony Brook, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Demyttenaere, K" sort="Demyttenaere, K" uniqKey="Demyttenaere K" first="K." last="Demyttenaere">K. Demyttenaere</name><affiliation wicri:level="1"><country xml:lang="fr">Belgique</country><wicri:regionArea>University Hospital Gasthuisburg, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author><author><name sortKey="De Girolamo, G" sort="De Girolamo, G" uniqKey="De Girolamo G" first="G." last="De Girolamo">G. De Girolamo</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Regional Health Care Agency, Emilia-Romanga Region</wicri:regionArea><wicri:noRegion>Emilia-Romanga Region</wicri:noRegion></affiliation></author><author><name sortKey="De Graaf, R" sort="De Graaf, R" uniqKey="De Graaf R" first="R." last="De Graaf">R. De Graaf</name><affiliation wicri:level="3"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Netherlands Institute of Mental Health and Addiction, Utrecht</wicri:regionArea><placeName><settlement type="city">Utrecht</settlement><region nuts="2" type="province">Utrecht (province)</region></placeName></affiliation></author><author><name sortKey="Gureje, O" sort="Gureje, O" uniqKey="Gureje O" first="O." last="Gureje">O. Gureje</name><affiliation wicri:level="1"><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Psychiatry, University College Hospital, Ibadan</wicri:regionArea><wicri:noRegion>Ibadan</wicri:noRegion></affiliation></author><author><name sortKey="Iwata, N" sort="Iwata, N" uniqKey="Iwata N" first="N." last="Iwata">N. Iwata</name><affiliation wicri:level="1"><country xml:lang="fr">Japon</country><wicri:regionArea>Hiroshima International University, Higashi-Hiroshima</wicri:regionArea><wicri:noRegion>Higashi-Hiroshima</wicri:noRegion></affiliation></author><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"><country xml:lang="fr">Liban</country><wicri:regionArea>Institute for Development, Research, Advocacy, and Applied Care (IDRAAC), St. George Hospital University Medical Center, Beirut</wicri:regionArea><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"><country xml:lang="fr">France</country><wicri:regionArea>Hospital Fernand Widal, Paris</wicri:regionArea><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"><country xml:lang="fr">Israël</country><wicri:regionArea>Ministry of Health, Mental Health Services, Jerusalem</wicri:regionArea><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"><country xml:lang="fr">Mexique</country><wicri:regionArea>National Institute of Psychiatry, Mexico City</wicri:regionArea><wicri:noRegion>Mexico City</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"><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Rural and Indigenous Health, School of Rural Health, Faculty of Medicine, Nursing and Health Sciences, Monash University, Victoria</wicri:regionArea><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"><country xml:lang="fr">Colombie</country><wicri:regionArea>Colegio Mayor de Cundinamarca University, Bogotá</wicri:regionArea><wicri:noRegion>Bogotá</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"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Health Care Policy, Harvard Medical School, Boston</wicri:regionArea><placeName><settlement type="city">Boston</settlement><region type="state">Massachusetts</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Psychological Medicine</title><title level="j" type="abbrev">Psychol. Med.</title><idno type="ISSN">0033-2917</idno><idno type="eISSN">1469-8978</idno><imprint><publisher>Cambridge University Press</publisher><pubPlace>Cambridge, UK</pubPlace><date type="published" when="2009">2009</date><biblScope unit="volume">39</biblScope><biblScope unit="issue">7</biblScope><biblScope unit="page" from="1163">1163</biblScope><biblScope unit="page" to="1176">1176</biblScope></imprint><idno type="ISSN">0033-2917</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0033-2917</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="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=85 052). 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></ISTEX><PMC><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Implications of modifying the duration requirement of generalized anxiety disorder in developed and developing countries</title><author><name sortKey="Lee, Sing" sort="Lee, Sing" uniqKey="Lee S" first="Sing" last="Lee">Sing Lee</name></author><author><name sortKey="Tsang, Adley" sort="Tsang, Adley" uniqKey="Tsang A" first="Adley" last="Tsang">Adley Tsang</name></author><author><name sortKey="Ruscio, Ayelet Meron" sort="Ruscio, Ayelet Meron" uniqKey="Ruscio A" first="Ayelet Meron" last="Ruscio">Ayelet Meron Ruscio</name></author><author><name sortKey="Haro, Josep Maria" sort="Haro, Josep Maria" uniqKey="Haro J" first="Josep Maria" last="Haro">Josep Maria Haro</name></author><author><name sortKey="Stein, Dan" sort="Stein, Dan" uniqKey="Stein D" first="Dan" last="Stein">Dan Stein</name></author><author><name sortKey="Alonso, Jordi" sort="Alonso, Jordi" uniqKey="Alonso J" first="Jordi" last="Alonso">Jordi Alonso</name></author><author><name sortKey="Angermeyer, Matthias" sort="Angermeyer, Matthias" uniqKey="Angermeyer M" first="Matthias" last="Angermeyer">Matthias Angermeyer</name></author><author><name sortKey="Bromet, Evelyn" sort="Bromet, Evelyn" uniqKey="Bromet E" first="Evelyn" last="Bromet">Evelyn Bromet</name></author><author><name sortKey="Demyttenaere, Koen" sort="Demyttenaere, Koen" uniqKey="Demyttenaere K" first="Koen" last="Demyttenaere">Koen Demyttenaere</name></author><author><name sortKey="De Girolamo, Giovanni" sort="De Girolamo, Giovanni" uniqKey="De Girolamo G" first="Giovanni" last="De Girolamo">Giovanni De Girolamo</name></author><author><name sortKey="De Graaf, Ron" sort="De Graaf, Ron" uniqKey="De Graaf R" first="Ron" last="De Graaf">Ron De Graaf</name></author><author><name sortKey="Gureje, Oye" sort="Gureje, Oye" uniqKey="Gureje O" first="Oye" last="Gureje">Oye Gureje</name></author><author><name sortKey="Iwata, Noboru" sort="Iwata, Noboru" uniqKey="Iwata N" first="Noboru" last="Iwata">Noboru Iwata</name></author><author><name sortKey="Karam, Elie G" sort="Karam, Elie G" uniqKey="Karam E" first="Elie G." last="Karam">Elie G. Karam</name></author><author><name sortKey="Lepine, Jean Pierre" sort="Lepine, Jean Pierre" uniqKey="Lepine J" first="Jean-Pierre" last="Lepine">Jean-Pierre Lepine</name></author><author><name sortKey="Levinson, Daphna" sort="Levinson, Daphna" uniqKey="Levinson D" first="Daphna" last="Levinson">Daphna Levinson</name></author><author><name sortKey="Medina Mora, Maria Elena" sort="Medina Mora, Maria Elena" uniqKey="Medina Mora M" first="Maria Elena" last="Medina-Mora">Maria Elena Medina-Mora</name></author><author><name sortKey="Browne, Mark Oakley" sort="Browne, Mark Oakley" uniqKey="Browne M" first="Mark Oakley" last="Browne">Mark Oakley Browne</name></author><author><name sortKey="Posada Villa, Jose" sort="Posada Villa, Jose" uniqKey="Posada Villa J" first="José" last="Posada-Villa">José Posada-Villa</name></author><author><name sortKey="Kessler, Ronald C" sort="Kessler, Ronald C" uniqKey="Kessler R" first="Ronald C." last="Kessler">Ronald C. Kessler</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">19091158</idno><idno type="pmc">2692366</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2692366</idno><idno type="RBID">PMC:2692366</idno><idno type="doi">10.1017/S0033291708004807</idno><date when="2008">2008</date><idno type="wicri:Area/Pmc/Corpus">001444</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001444</idno><idno type="wicri:Area/Pmc/Curation">001304</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001304</idno><idno type="wicri:Area/Pmc/Checkpoint">002985</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002985</idno><idno type="wicri:Area/Ncbi/Merge">000500</idno><idno type="wicri:Area/Ncbi/Curation">000500</idno><idno type="wicri:Area/Ncbi/Checkpoint">000500</idno><idno type="wicri:doubleKey">0033-2917:2008:Lee S:implications:of:modifying</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Implications of modifying the duration requirement of generalized anxiety disorder in developed and developing countries</title><author><name sortKey="Lee, Sing" sort="Lee, Sing" uniqKey="Lee S" first="Sing" last="Lee">Sing Lee</name></author><author><name sortKey="Tsang, Adley" sort="Tsang, Adley" uniqKey="Tsang A" first="Adley" last="Tsang">Adley Tsang</name></author><author><name sortKey="Ruscio, Ayelet Meron" sort="Ruscio, Ayelet Meron" uniqKey="Ruscio A" first="Ayelet Meron" last="Ruscio">Ayelet Meron Ruscio</name></author><author><name sortKey="Haro, Josep Maria" sort="Haro, Josep Maria" uniqKey="Haro J" first="Josep Maria" last="Haro">Josep Maria Haro</name></author><author><name sortKey="Stein, Dan" sort="Stein, Dan" uniqKey="Stein D" first="Dan" last="Stein">Dan Stein</name></author><author><name sortKey="Alonso, Jordi" sort="Alonso, Jordi" uniqKey="Alonso J" first="Jordi" last="Alonso">Jordi Alonso</name></author><author><name sortKey="Angermeyer, Matthias" sort="Angermeyer, Matthias" uniqKey="Angermeyer M" first="Matthias" last="Angermeyer">Matthias Angermeyer</name></author><author><name sortKey="Bromet, Evelyn" sort="Bromet, Evelyn" uniqKey="Bromet E" first="Evelyn" last="Bromet">Evelyn Bromet</name></author><author><name sortKey="Demyttenaere, Koen" sort="Demyttenaere, Koen" uniqKey="Demyttenaere K" first="Koen" last="Demyttenaere">Koen Demyttenaere</name></author><author><name sortKey="De Girolamo, Giovanni" sort="De Girolamo, Giovanni" uniqKey="De Girolamo G" first="Giovanni" last="De Girolamo">Giovanni De Girolamo</name></author><author><name sortKey="De Graaf, Ron" sort="De Graaf, Ron" uniqKey="De Graaf R" first="Ron" last="De Graaf">Ron De Graaf</name></author><author><name sortKey="Gureje, Oye" sort="Gureje, Oye" uniqKey="Gureje O" first="Oye" last="Gureje">Oye Gureje</name></author><author><name sortKey="Iwata, Noboru" sort="Iwata, Noboru" uniqKey="Iwata N" first="Noboru" last="Iwata">Noboru Iwata</name></author><author><name sortKey="Karam, Elie G" sort="Karam, Elie G" uniqKey="Karam E" first="Elie G." last="Karam">Elie G. Karam</name></author><author><name sortKey="Lepine, Jean Pierre" sort="Lepine, Jean Pierre" uniqKey="Lepine J" first="Jean-Pierre" last="Lepine">Jean-Pierre Lepine</name></author><author><name sortKey="Levinson, Daphna" sort="Levinson, Daphna" uniqKey="Levinson D" first="Daphna" last="Levinson">Daphna Levinson</name></author><author><name sortKey="Medina Mora, Maria Elena" sort="Medina Mora, Maria Elena" uniqKey="Medina Mora M" first="Maria Elena" last="Medina-Mora">Maria Elena Medina-Mora</name></author><author><name sortKey="Browne, Mark Oakley" sort="Browne, Mark Oakley" uniqKey="Browne M" first="Mark Oakley" last="Browne">Mark Oakley Browne</name></author><author><name sortKey="Posada Villa, Jose" sort="Posada Villa, Jose" uniqKey="Posada Villa J" first="José" last="Posada-Villa">José Posada-Villa</name></author><author><name sortKey="Kessler, Ronald C" sort="Kessler, Ronald C" uniqKey="Kessler R" first="Ronald C." last="Kessler">Ronald C. Kessler</name></author></analytic><series><title level="j">Psychological medicine</title><idno type="ISSN">0033-2917</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S16"><title>Background</title><p id="P1">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.</p></sec><sec sec-type="methods" id="S17"><title>Methods</title><p id="P2">Population surveys were carried out in 7 developing and 10 developed countries using the WHO Composite International Diagnostic Interview (total sample size = 85,052). Prevalence of GAD was estimated using different minimum duration criteria. Age of onset, symptom persistence, subsequent mental disorders, impairment, and recovery were compared across GAD subgroups defined by different duration criteria.</p></sec><sec id="S18"><title>Results</title><p id="P3">Lifetime prevalence estimates for GAD lasting 1 month, 3 months, 6 months, and 12 months were 7.5%, 5.24%, 4.11%, and 2.95% for developed countries and 2.65%, 1.78%, 1.47%, and 1.17% 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 symptom severity, age of onset, persistence, impairment, or comorbidity. Those with GAD lasting 12 months or more were the most severe, chronic, and impaired of the four duration subgroups.</p></sec><sec id="S19"><title>Conclusion</title><p id="P4">In both developed and developing countries, the clinical profile of GAD is similar regardless of duration. The DSM-IV 6-month duration criterion is not an optimal marker of severity, impairment, or need for early treatment. Future iterations of the DSM and ICD should consider shortening the duration requirement of GAD.</p></sec></div></front></TEI></PMC></double></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Asie/explor/AustralieFrV1/Data/Main/Merge
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 009062 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Merge/biblio.hfd -nk 009062 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Asie
|area= AustralieFrV1
|flux= Main
|étape= Merge
|type= RBID
|clé= ISTEX:4F93AABE18860B0848DA4773EBA87E3BB997AF89
|texte= Implications of modifying the duration requirement of generalized anxiety disorder in developed and developing countries
}}
| This area was generated with Dilib version V0.6.33. |  |