Margreet Ten Have1, Marlous Tuithof1, Saskia van Dorsselaer1, Marloes Kleinjan1,2, Brenda W J H Penninx3,4, Neeltje M Batelaan3,4, Ron de Graaf1. 1. Department of Epidemiology, Netherlands Institute of Mental Health and Addiction, Utrecht, the Netherlands. 2. Department of Interdisciplinary Social Sciences, Youth Studies, Utrecht University, Utrecht, the Netherlands. 3. Department of Psychiatry, Amsterdam UMC, Amsterdam, The Netherlands. 4. Department of Psychiatry, GGZ inGeest, Amsterdam, The Netherlands.
Abstract
BACKGROUND: Data on episode duration of anxiety disorders are required for informing patients and for disease management, but such data from population studies are lacking. METHODS: Three-year longitudinal data were used from the Netherlands Mental Health Survey and Incidence Study-2, a psychiatric epidemiological cohort study among the general adult population (N = 6646). Respondents with a new (first or recurrent) anxiety disorder were selected (n = 158). DSM-IV diagnoses were assessed with the Composite International Diagnostic Interview; the Life Chart Interview assessed episode duration and recovery rates. RESULTS: Among those with anxiety disorder, median episode duration was 7.5 months and mean duration was 15.2 months. 38.8% had not recovered at 12 months and 30.1% not at 36 months. Longer duration was associated with older age, not having a paid job, higher neuroticism, more physical disorders, and worse physical functioning. CONCLUSIONS: Also, in the general population, anxiety disorder has a rather chronic course. After 12 months the cumulative recovery rate flattened. To prevent and manage chronicity, timely treatment, and chronic disease management are required. The risk indicators found may help to identify individuals with an anxiety disorder at risk for chronicity.
BACKGROUND: Data on episode duration of anxiety disorders are required for informing patients and for disease management, but such data from population studies are lacking. METHODS: Three-year longitudinal data were used from the Netherlands Mental Health Survey and Incidence Study-2, a psychiatric epidemiological cohort study among the general adult population (N = 6646). Respondents with a new (first or recurrent) anxiety disorder were selected (n = 158). DSM-IV diagnoses were assessed with the Composite International Diagnostic Interview; the Life Chart Interview assessed episode duration and recovery rates. RESULTS: Among those with anxiety disorder, median episode duration was 7.5 months and mean duration was 15.2 months. 38.8% had not recovered at 12 months and 30.1% not at 36 months. Longer duration was associated with older age, not having a paid job, higher neuroticism, more physical disorders, and worse physical functioning. CONCLUSIONS: Also, in the general population, anxiety disorder has a rather chronic course. After 12 months the cumulative recovery rate flattened. To prevent and manage chronicity, timely treatment, and chronic disease management are required. The risk indicators found may help to identify individuals with an anxiety disorder at risk for chronicity.
Authors: Dmytro I Boiko; Andrii M Skrypnikov; Anastasiia D Shkodina; Mohammad Mehedi Hasan; Ghulam Md Ashraf; Md Habibur Rahman Journal: Environ Sci Pollut Res Int Date: 2022-01-05 Impact factor: 5.190
Authors: Petr Winkler; Zuzana Mohrova; Karolina Mlada; Marie Kuklova; Anna Kagstrom; Pavel Mohr; Tomas Formanek Journal: J Psychiatr Res Date: 2021-05-26 Impact factor: 4.791