Clinical characteristics of generalized anxiety disorder: older vs. young adults

BackgroundThe nosological status of generalized anxiety disorder (GAD) versus dysthymic disorder (DD) has been questioned. The aim of this study was to examine qualitative differences within (co-morbid) GAD and DD symptomatology.MethodLatent class analysis was applied to anxious and depressive symptomatology of respondents from three population-based studies (2007 Australian National Survey of Mental Health and Wellbeing; National Comorbidity Survey Replication; and Netherlands Mental Health Survey and Incidence Study-2; together known as the Triple study) and respondents from a multi-site naturalistic cohort [Netherlands Study of Depression and Anxiety (NESDA)]. Sociodemographics and clinical characteristics of each class were examined.ResultsA three-class (Triple study) and two-class (NESDA) model best fitted the data, reflecting mainly different levels of severity of symptoms. In the Triple study, no division into a predominantly GAD or DD co-morbidity subtype emerged. Likewise, in spite of the presence of pure GAD and DD cases in the NESDA sample, latent class analysis did not identify specific anxiety or depressive profiles in the NESDA study. Next, sociodemographics and clinical characteristics of each class were examined. Classes only differed in levels of severity.ConclusionsThe absence of qualitative differences in anxious or depressive symptomatology in empirically derived classes questions the differentiation between GAD and DD.

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Acute Exercise Effects Among Young Adults with Subclinical Generalized Anxiety Disorder

Medicine & Science in Sports & Exercise ◽

10.1249/01.mss.0000535907.33670.95 ◽

2018 ◽

Vol 50 (5S) ◽

pp. 249-250

Author(s):

Matthew P. Herring ◽

Derek C. Monroe ◽

Brett R. Gordon ◽

Mark J. Campbell

Keyword(s):

Young Adults ◽

Anxiety Disorder ◽

Generalized Anxiety Disorder ◽

Acute Exercise ◽

Generalized Anxiety

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PENERAPAN ART THERAPY UNTUK MENGURANGI PERILAKU AVOIDANCE DALAM GAD PADA DEWASA AWAL YANG BEKERJA

Jurnal Muara Ilmu Sosial, Humaniora, dan Seni ◽

10.24912/jmishumsen.v3i2.3563.2019 ◽

2019 ◽

Vol 3 (2) ◽

pp. 520

Author(s):

Helen Helen ◽

Monty P. Satiadarma ◽

Rismiyati E. Koesma

Keyword(s):

Young Adults ◽

Anxiety Disorder ◽

Art Therapy ◽

Generalized Anxiety Disorder ◽

Avoidance Behavior ◽

Sampling Method ◽

Daily Activities ◽

Generalized Anxiety ◽

Snowball Sampling ◽

Anxiety Levels

Generalized Anxiety Disorder (GAD) memiliki perilaku menghindar yang dilakukan secara berulang ketika mengalami kecemasan yang berlebihan. Perilaku menghindar dijadikan sebagai bentuk koping untuk mengurangi perasaan cemas tersebut, sehingga individu menjadi tergantung pada perilaku menghindar dan cenderung akan dilakukan kembali ketika menghadapi kecemasan di lain waktu. Dalam penelitian ini, sebagian besar partisipan dengan usia sekitar 22-28 tahun dengan subyek sebanyak 5 perempuan dan 1 laki-laki melaporkan bahwa kecemasan menyebabkan perubahan dalam pekerjaan dan kegiatan sehari-hari, sehingga terganggunya aktivitas sehari-hari dan pekerjaan menjadi tidak optimal. Perilaku menghindar diukur dengan Multidimensional Experiental Avoidance Questionnaire (MEAQ) dan dan tingkat kecemasan GAD diukur dengan menggunakan skala The GAD-7. Penelitian ini menggunakan metode kualitatif untuk menggambarkan perilaku menghindar dan metode kuantitatif untuk melihat efektivitas art therapy dalam mengurangi perilaku menghindar dan menurunkan tingkat kecemasan pada dewasa awal. Teknik pengambilan sampel dengan menggunakan metode snowball sampling. Pemberian art therapy pada masing-masing subyek dilakukan sebanyak tujuh sesi. Dalam penelitian ini, art therapy telah terbukti dapat mengurangi perilaku menghindar dan menurunkan tingkat kecemasan pada dewasa awal yang sedang bekerja dengan menunjukan perubahan perilaku menghindar dan tingkat kecemasan sebelum dan sesudah intervensi. Keberhasilan penelitian art therapy ini juga dipengaruhi oleh adanya kesadaran para partisipan untuk secara konsisten dalam mengikuti sesi terapi. Generalized Anxiety Disorder (GAD) includes repeating avoidance behavior when experiencing excessive anxiety. Avoidance behavior is a coping mechanism to reduce anxiety, resulting in individuals become dependent on avoidance behavior and tend to repeat it again when facing anxiety in the future. In this study, most participants aged around 22-28 years with as many as 5 women and 1 man reported that anxiety caused changes in work and daily activities, where there is disruption of daily activities and work become less than optimal. Avoidance behavior is measured by Multidimensional Experiental Avoidance Questionnaire (MEAQ) and GAD anxiety levels are measured using The GAD-7 scale. This study uses qualitative methods to describe avoidance behavior and quantitative methods to see the effectiveness of art therapy in reducing avoidance behavior and reducing anxiety levels in young adults. The sampling method used was snowball sampling method. Administration of art therapy in each subject was done in seven sessions. In this study, art therapy is shown to reduce avoidance behavior and reduce anxiety levels in working young adults by the changes in avoidance behavior and anxiety levels after intervention. The success of this art therapy research is also influenced by the consistency of subjects’ participation in therapy sessions.

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Associations Between Physical Activity, Generalized Anxiety Disorder, And Social Physique Anxiety Among Young Adults

Medicine & Science in Sports & Exercise ◽

10.1249/01.mss.0000678936.78388.65 ◽

2020 ◽

Vol 52 (7S) ◽

pp. 460-461

Author(s):

Leanne M. Quinn ◽

Brett R. Gordon ◽

Mark Lyons ◽

Matthew P. Herring

Keyword(s):

Physical Activity ◽

Young Adults ◽

Anxiety Disorder ◽

Generalized Anxiety Disorder ◽

Generalized Anxiety ◽

Social Physique Anxiety

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Dose the Clinical Characteristics of Patients with Anxiety due to Hyperthyroidism Differ from Patients with Generalized Anxiety Disorder? A Comparative Study

Iranian Journal of Psychiatry and Behavioral Sciences ◽

10.5812/ijpbs.4812 ◽

2016 ◽

Vol 11 (1) ◽

Author(s):

Arash Mowla ◽

Mohammad Reza Kalantarhormozi ◽

Samane Khazraee

Keyword(s):

Anxiety Disorder ◽

Comparative Study ◽

Generalized Anxiety Disorder ◽

Clinical Characteristics ◽

Generalized Anxiety

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Acute Exercise Effects on Mood Among Young Adults with Worry Symptoms Indicative of Generalized Anxiety Disorder

Medicine & Science in Sports & Exercise ◽

10.1249/01.mss.0000517277.51142.c7 ◽

2017 ◽

Vol 49 (5S) ◽

pp. 164

Author(s):

Matthew P. Herring ◽

Mats Hallgren ◽

Mark J. Campbell

Keyword(s):

Young Adults ◽

Anxiety Disorder ◽

Generalized Anxiety Disorder ◽

Acute Exercise ◽

Generalized Anxiety

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Screening of Generalized Anxiety Disorder in Patients with Epilepsy: Using a Valid and Reliable Indonesian Version of Generalized Anxiety Disorder-7 (GAD-7)

Neurology Research International ◽

10.1155/2019/5902610 ◽

2019 ◽

Vol 2019 ◽

pp. 1-10 ◽

Cited By ~ 2

Author(s):

Astri Budikayanti ◽

Andira Larasari ◽

Khamelia Malik ◽

Zakiah Syeban ◽

Luh Ari Indrawati ◽

...

Keyword(s):

Anxiety Disorder ◽

Generalized Anxiety Disorder ◽

Predictive Value ◽

Clinical Characteristics ◽

Screening Tool ◽

World Health ◽

Generalized Anxiety ◽

Validity And Reliability ◽

Cross Sectional ◽

Patients With Epilepsy

Introduction. Generalized anxiety disorder (GAD) is one of the most common types of anxiety disorder in epilepsy population, comprising 21.9%, that would further impair patients’ quality of life. Generalized Anxiety Disorder-7 (GAD-7) is the only screening tool for GAD that has been validated in patients with epilepsy (PWE). It is a self-reporting instrument that can be completed in less than three minutes; hence, its usage is appropriate in primary healthcare and neurology outpatient clinic. This study aimed to obtain a valid and reliable Indonesian version of GAD-7, assess its accuracy, and finally evaluate the prevalence of GAD in Indonesian PWE along with its contributing factors. Methods. A cross-sectional study was conducted in Cipto Mangunkusumo General Hospital, Jakarta. The GAD-7 was translated and adapted using World Health Organization (WHO) steps. Validity, reliability, test-retest reliability, and diagnostic accuracy were evaluated. Then, epilepsy outpatients were screened for GAD using the Indonesian version of GAD-7. Results. Internal validity and reliability for Indonesian version of GAD-7 were satisfactory with validity coefficient of 0.648 to 0.800 (p<0.01) and Cronbach’s alpha value of 0.867. The best cutoff value to detect GAD in Indonesian PWE was >6 with the sensitivity, specificity, negative predictive value, and positive predictive value of 100%, 84.4%, 100%, and 55.8%, respectively. ROC analysis showed the area under the curve of 0.98 (95% CI: 0.96–0.99). The total subjects screened with the validated Indonesian version of GAD-7 were 146, and 49% were screened as having GAD. Sociodemographic and clinical characteristics had no statistically significant association with the presence of GAD. Conclusion. The Indonesian version of GAD-7 was a valuable screening tool to detect GAD in PWE. GAD was screened in a quite high proportion of PWE. Sociodemographic and clinical characteristics were not proven to play role in its development.

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