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Varying temporal criteria for generalized anxiety disorder: prevalence and clinical characteristics in a young age cohort

  • JULES ANGST (a1), ALEX GAMMA (a1), O. JOSEPH BIENVENU (a2), WILLIAM W. EATON (a3), VLADETA AJDACIC (a1), DOMINIQUE EICH (a1) and WULF RÖSSLER (a1)...

Abstract

Background. This study questions the 6-month duration criterion for generalized anxiety disorder (GAD) used in DSM-III-R and DSM-IV.

Method. In adults from age 20/21 to 40/41 in the prospective Zurich Cohort Study, four groups of generalized anxiety syndromes defined by varying duration (2 weeks, 1 month, 3 months and 6 months) were compared.

Results. Applying DSM-III (1979–1999) and DSM-III-R (1986–1999) criteria, there were no significant differences between the four groups in terms of family history of anxiety, work impairment, distress, treatment rates or co-morbidity with major depressive episodes (MDEs), bipolar disorder or suicide attempts. Only social impairment related to the length of episodes. The 6-month criterion of DSM-III-R and DSM-IV GAD would preclude this diagnosis in about half of the subjects treated for generalized anxiety syndromes.

Conclusions. In this epidemiological sample, the 6-month duration criterion for GAD could not be confirmed as clinically meaningful. GAD syndromes of varying duration form a continuum with comparable clinical relevance.

Copyright

Corresponding author

Zurich University Psychiatric Hospital, Lenggstrasse 31, PO Box 1931, CH-8032 Zurich, Switzerland. (Email: jangst@bli.unizh.ch)

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