THE IMPACT OF STRESSFUL LIFE EVENTS ON RELAPSE OF GENERALIZED ANXIETY DISORDER
Identifieur interne : 001360 ( Main/Exploration ); précédent : 001359; suivant : 001361THE IMPACT OF STRESSFUL LIFE EVENTS ON RELAPSE OF GENERALIZED ANXIETY DISORDER
Auteurs : Jennifer L. Francis [États-Unis] ; Ethan Moitra [États-Unis] ; Ingrid Dyck [États-Unis] ; Martin B. Keller [États-Unis]Source :
- Depression and Anxiety [ 1091-4269 ] ; 2012-05.
English descriptors
- Teeft :
- Anxiety disorder, Anxiety disorders, Anxiety research project, Average number, Brown university, Clin psychiat, Clinical interview, Clinical perspective, Data collection, Disorder, Ethan moitra, Forest laboratories, Full criteria, Full recovery, Future events, Future research, Generalized anxiety disorder, Greater number, Harp, Human behavior, Individual differences, Interrater reliability, Keller, Life events, Lifetime prevalence, Longitudinal, Longitudinal interval evaluation, Major depression, Major disruption, Mental disorders, Multiple comparisons, Multiple testing, Nerv ment, Other disorders, Panic disorder, Participant, Past history, Psrs, Psychiatric disorders, Psychiatric status ratings, Relapse, Reliability, Research article, Sle, Sles impact, Social phobia, Statistical analyses, Statistical trend, Stressful, Stressful life events, Stressor, Symptom, Symptoms cause, Total number, Traumatizing events, Weeks years, Wiley periodicals.
Abstract
Background: Stressful life events (SLEs) are associated with the onset of psychiatric disorders but little is known about the effects of SLEs on individuals already diagnosed with an anxiety disorder, particularly generalized anxiety disorder (GAD) in which worry about life events is a defining characteristic. This study examined the impact of SLEs on relapse in adults already diagnosed with GAD. Methods: Data are obtained from the Harvard/Brown Anxiety Research Project (HARP), a naturalistic longitudinal study of adults with a current or past history of anxiety disorders. One hundred and twelve adults recovered from an episode of GAD and 27 subsequently relapsed during the study. Eight categories of SLEs were assessed via interview and were examined as predictors of GAD relapse. Results: An increased total number of SLEs was associated with a higher cumulative probability of relapse into episode of GAD and there was a nonsignificant statistical trend indicating specific categories of SLEs including health, death, and family/friends/household were related to an increased probability of relapse into episodes of GAD. Conclusions: SLEs impact the course of GAD and certain types of stressors may be more relevant to symptomatology than others. The change and uncertainty associated with SLEs may exacerbate existing worry tendencies even among those who have recovered from GAD.
Url:
DOI: 10.1002/da.20919
Affiliations:
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This study examined the impact of SLEs on relapse in adults already diagnosed with GAD. Methods: Data are obtained from the Harvard/Brown Anxiety Research Project (HARP), a naturalistic longitudinal study of adults with a current or past history of anxiety disorders. One hundred and twelve adults recovered from an episode of GAD and 27 subsequently relapsed during the study. Eight categories of SLEs were assessed via interview and were examined as predictors of GAD relapse. Results: An increased total number of SLEs was associated with a higher cumulative probability of relapse into episode of GAD and there was a nonsignificant statistical trend indicating specific categories of SLEs including health, death, and family/friends/household were related to an increased probability of relapse into episodes of GAD. Conclusions: SLEs impact the course of GAD and certain types of stressors may be more relevant to symptomatology than others. The change and uncertainty associated with SLEs may exacerbate existing worry tendencies even among those who have recovered from GAD.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Illinois</li><li>Rhode Island</li></region><settlement><li>Chicago</li><li>Providence (Rhode Island)</li></settlement><orgName><li>Université Brown</li></orgName></list><tree><country name="États-Unis"><region name="Illinois"><name sortKey="Francis, Jennifer L" sort="Francis, Jennifer L" uniqKey="Francis J" first="Jennifer L." last="Francis">Jennifer L. Francis</name></region><name sortKey="Dyck, Ingrid" sort="Dyck, Ingrid" uniqKey="Dyck I" first="Ingrid" last="Dyck">Ingrid Dyck</name><name sortKey="Keller, Martin B" sort="Keller, Martin B" uniqKey="Keller M" first="Martin B." last="Keller">Martin B. 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