Article: article from journal or magazin.
Subthreshold syndromes of depression and anxiety in the community.
Journal of Clinical Psychiatry
58 Suppl 8
Publication types: Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, P.H.S.Publication Status: ppublish
Nearly 50% of individuals in the community meet threshold or subthreshold diagnostic criteria for depression or anxiety, with depression being far more common. Co-occurrence of anxiety and depression is common, as the majority of individuals who experience anxiety also manifest threshold- or subthreshold-level depression. In the current study, addition of subthreshold categories improved the coverage of treated cases in the community by nearly a third; 61% of subjects were diagnosed according to threshold criteria while 89% were diagnosed according to subthreshold categories. These results suggest that inclusion of subthreshold-level syndromes enhances the validity of diagnostic systems by increasing the proportion of treated cases that meet diagnostic criteria and by providing a more accurate representation of milder syndromes of depression and anxiety.
Adult, Anxiety Disorders/classification, Anxiety Disorders/diagnosis, Cohort Studies, Comorbidity, Depressive Disorder/classification, Depressive Disorder/diagnosis, Female, Humans, Longitudinal Studies, Male, Odds Ratio, Prevalence, Primary Health Care, Psychiatric Status Rating Scales/statistics & numerical data, Reproducibility of Results, Sex Distribution, Switzerland/epidemiology, Terminology as Topic
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