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Anxiety Disorders, Dissociative Disorders, and Adjustment Disorders

Franklin R. Schneier, M.D.; Lisa A. Mellman, M.D.; David Spiegel, M.D.
DOI: 10.1176/appi.books.9781585622986.265186

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Excerpt

Anxiety disorders are the most common mental disorders among adults in the United States, with lifetime and 12-month prevalences of 29% and 18%, respectively (Kessler et al. 2005a). Most persons with anxiety disorders experience significant impairment in role functioning (Kessler et al. 2005b), and costs have been estimated at more than $42 billion per year, including lost productivity, mortality, and treatment costs (Greenberg et al. 1999). Increasing numbers of people with anxiety disorders are seeking treatment (Olfson et al. 2004), although first treatment contact is still typically delayed more than 10 years after onset of the disorder (Wang et al. 2005).

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References

Greenberg PE, Sisitsky T, Kessler RC, et al: The economic burden of anxiety disorders in the 1990s. J Clin Psychiatry 60:427–435, 1999
[PubMed]
 
Kessler RC, Berglund P, Demler O, et al: Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 62:693–602, 2005a
 
Kessler RC, Tat Chiu W, Demler O, et al: Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 62:617–627, 2005b
 
Olfson M, Marcus SC, Wan GJ, et al: National trends in the outpatient treatment of anxiety disorders. J Clin Psychiatry 65:1166–1173, 2004
[PubMed]
 
Wang PS, Berglund P, Olfson M, et al: Failure and delay in initial treatment contact after first onset of mental disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 62:603–613, 2005
[PubMed]
 
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