Generalized anxiety disorders

Anxious apprehension and overconcern are common to many anxiety and mood disorders. Prior to 1980 in the American DSM diagnostic system, and 1992 in the international ICD system, individuals who experienced those symptoms in the absence of a realistic focus of concern were classified as having an ‘anxiety neurosis’ (DSM-II) or ‘anxiety state’ (ICD-9). In DSM-III, panic disorder was split off from that classification, and the residual category was renamed generalized anxiety disorder (GAD). A similar nomenclature was adopted in ICD-10. Since its inception, GAD as a nosological entity has been troubled by problems of poor reliability and high comorbidity. Those concerns have prompted several revisions of the DSM criteria and also have raised more basic questions regarding the validity of GAD as a disorder distinct from other anxiety and mood states. The question of what is the nature of GAD is still being debated and it remains one of the least reliably diagnosed anxiety or mood disorders. This diagnostic unreliability has led to various suggestions for revisions to the diagnostic criteria and criticisms of the current definition of GAD.

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POST-STROKE DEPRESION AND ANXIETY

Trakia Journal of Sciences ◽

10.15547/tjs.2019.01.009 ◽

2019 ◽

Vol 17 (1) ◽

pp. 56-63 ◽

Cited By ~ 1

Author(s):

D. Komsiyska ◽

Y. Petkov

Keyword(s):

Anxiety Disorder ◽

Anxiety Disorders ◽

Generalized Anxiety Disorder ◽

Depressive Disorders ◽

Generalized Anxiety ◽

Low Mood ◽

Patient Health ◽

Generalized Anxiety Disorders ◽

The Relationship ◽

High Comorbidity

The aim of the study was to investigate the clinical features of depression and the relationship between depression and generalized anxiety disorder. Material and methods: 93 patients with stroke were examined, of whom 59 men (39-83 years) and 34 women (56-87 years), mean age 66.8 years. We used Patient Health Questionnaire (PHQ-9) and GAD-7. Results: Depressive disorder in the acute phase after stroke was found in approximately 2/3 (64.5%) of patients with stroke, with mild to moderate depressive disorders with low mood, increased mental and somatic anxiety, insomnia , somatic complaints, with extravagant hypochondriac thoughts. In our study we found significant positive correlation between depressive disorders and generalized anxiety disorders – and increase of severity of depressive disorders was followed by increase of severity of generalized anxiety disorders. We found high comorbidity between depression and generalized anxiety disorder.

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Cardiovascular disease prevalence in type 2 diabetes – an analysis of a large German statutory health insurance database

BMC Public Health ◽

10.1186/s12889-021-10381-z ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Maximilian Gabler ◽

Silke Geier ◽

Lukas Mayerhoff ◽

Wolfgang Rathmann

Keyword(s):

Type 2 Diabetes ◽

Cardiovascular Disease ◽

Health System ◽

Cardiovascular Complications ◽

Population Based ◽

Stratified Sample ◽

Icd 10 ◽

Definition Of ◽

Observation Period

Abstract Background The aim of this study was to determine the prevalence of cardiovascular disease in persons with type 2 diabetes mellitus (T2D) in Germany. Methods A claims database with an age- and sex-stratified sample of nearly 4 million individuals insured within the German statutory health system was used. All patients aged ≥18 years with T2D documented between 1 January 2015 and 31 December 2015 and complete retrospective documentation of ≥5 years (continuous enrollment in the German statutory health system) before 2015 were selected based on a validated algorithm. Cardiovascular disease (CVD) events were identified based on ICD-10 and OPS codes according to a previous clinical study (EMPA-REG OUTCOME trial). Results The prevalence of T2D in Germany in 2015 was 9.9% (n = 324,708). Using a narrow definition of CVD, the 6-year observation period prevalence of CVD was estimated as 46.7% [95% CI: 46.52%;46.86%]. Applying a wider CVD definition, the proportion of T2D patients who showed a history of CVD was 57.1% [95% CI: 56.9%;57.24%]. The prevalence of CVD in patients with T2D ranged from 36.3 to 57.1%, depending on the observation period and definition of CVD. Conclusions The results underline the need for a population-based registration of cardiovascular complications in T2D.

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Efficacy of Cognitive Behaviour Therapy in Generalized Anxiety Disorders

Psychotherapy and Psychosomatics ◽

10.1159/000082025 ◽

2004 ◽

Vol 74 (1) ◽

pp. 36-42 ◽

Cited By ~ 56

Author(s):

M. Linden ◽

D. Zubraegel ◽

T. Baer ◽

U. Franke ◽

P. Schlattmann

Keyword(s):

Anxiety Disorders ◽

Cognitive Behaviour Therapy ◽

Generalized Anxiety ◽

Behaviour Therapy ◽

Cognitive Behaviour ◽

Generalized Anxiety Disorders

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Clinical and self-perceived health status in outpatients with generalized anxiety disorders (GAD) followed in psychiatric clinics: A Spanish perspective

European Psychiatry ◽

10.1016/j.eurpsy.2008.01.382 ◽

2008 ◽

Vol 23 ◽

pp. S219

Author(s):

L. Caballero ◽

J. Bobas ◽

M. Perez ◽

I. Vilardaga ◽

J. Rejas

Keyword(s):

Health Status ◽

Anxiety Disorders ◽

Perceived Health ◽

Generalized Anxiety ◽

Perceived Health Status ◽

Generalized Anxiety Disorders

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Interrupted time Series Design to Evaluate ICD-9-CM to ICD-10-CM Coding Changes on Trends in Colorado Emergency Department visits Related to Traumatic Brain Injury

10.21203/rs.3.rs-134764/v1 ◽

2020 ◽

Author(s):

Lauren Alexis De Crescenzo ◽

Barbara Alison Gabella ◽

Jewell Johnson

Keyword(s):

Public Health ◽

Traumatic Brain Injury ◽

Emergency Department ◽

Brain Injury ◽

Interrupted Time Series ◽

Emergency Department Visits ◽

P Value ◽

Icd 10 ◽

The Usa ◽

Definition Of

Abstract Background. The transition in 2015 to the Tenth Revision of the International Classification of Disease, Clinical Modification (ICD-10-CM) in the USA led public health professionals to propose a surveillance definition of traumatic brain injury (TBI) that uses ICD-10-CM codes. The proposed definition excludes “unspecified injury of the head,” previously included in the ICD-9-CM TBI definition. The purpose of this study was to evaluate this change in surveillance methods on monthly rates of TBI-related emergency department visits in Colorado from 2012 to 2017.Results. The monthly rate of TBI-related emergency department visits in the transition month to ICD-10-CM (October 2015) decreased 41 visits per 100,000 population (p-value <0.0001), compared to September 2015, and remained low through December 2017, due to the exclusion of “unspecified injury of head” (ICD-10-CM code S09.90) in the proposed TBI definition. Conclusion. This study highlights a challenge in creating a standardized set of TBI ICD-10-CM codes for public health surveillance that provides comparable yet clinically relevant estimates over time. The findings inform estimation of TBI magnitude based on ICD coded data and decisions about allocating TBI resources based on an estimated TBI magnitude.

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Cardiovascular Disease Prevalence in Type 2 Diabetes – An Analysis of A Large German Statutory Health Insurance Database

10.21203/rs.3.rs-107103/v1 ◽

2020 ◽

Author(s):

Maximilian Gabler ◽

Silke Geier ◽

Lukas Mayerhoff ◽

Wolfgang Rathmann

Keyword(s):

Type 2 Diabetes ◽

Cardiovascular Disease ◽

Health System ◽

Cardiovascular Complications ◽

Population Based ◽

Stratified Sample ◽

Icd 10 ◽

Definition Of ◽

Observation Period

Abstract Background The aim of this study was to determine the prevalence of cardiovascular disease in persons with type 2 diabetes mellitus (T2D) in Germany. Methods A claims database with an age- and sex-stratified sample of nearly 4 million individuals insured within the German statutory health system was used. All patients aged ≥ 18 years with T2D documented between 1 January 2015 and 31 December 2015 and complete retrospective documentation of ≥ 5 years (continuous enrollment in the German statutory health system) before 2015 were selected based on a validated algorithm. Cardiovascular disease (CVD) events were identified based on ICD-10 and OPS codes according to a previous clinical study (EMPA-REG OUTCOME trial).Results The prevalence of T2D in Germany in 2015 was 9.9% (n=324,708). Using a narrow definition of CVD, the 6-year observation period prevalence of CVD was estimated as 46.7% [95% CI: 46.52%;46.86%]. Applying a wider CVD definition, the proportion of T2D patients who showed a history of CVD was 57.1% [95% CI: 56.9%;57.24%]. The prevalence of CVD in patients with T2D ranged from 36.3% to 57.1%, depending on the observation period and definition of CVD.Conclusions The results underline the need for a population-based registration of cardiovascular complications in T2D.

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Sexual Disorders Not Otherwise Specified: Compulsive, Addictive, or Impulsive?

CNS Spectrums ◽

10.1017/s1092852900012670 ◽

2000 ◽

Vol 5 (1) ◽

pp. 60-66 ◽

Cited By ~ 30

Author(s):

Dan J. Stein ◽

Donald W. Black ◽

Willie Pienaar

Keyword(s):

Sexual Disorders ◽

Fourth Edition ◽

Comprehensive Understanding ◽

Hypersexual Disorder ◽

Statistical Manual ◽

Diagnostic And Statistical Manual ◽

Not Otherwise Specified ◽

Dsm Iv ◽

Definition Of ◽

High Comorbidity

AbstractParaphilias are recurrent and intense sexually arousing fantasies, sexual urges, or behaviors generally involving nonhuman objects. These paraphilias cause the suffering or humiliation of the patient or patient's partner, or children, or other nonconsenting persons. However, in many patients symptoms involve more culturally acceptable patterns (eg, repetitive masturbation, Internet pornography); such hypersexual symptoms have been labeled as compulsive, addictive, or impulsive. Growing evidence supports the existence of a discrete syndrome characterized by recurrent and intense sexually arousing fantasies, sexual urges, or behaviors involving patterns that fall outside the definition of paraphilia. There is, however, high comorbidity with paraphilia. While such symptoms have been labeled as sexual compulsion or addiction, these terms are problematic in this context. Modern nosology has neglected this entity, although the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), category of sexual disorders not otherwise specified includes hypersexual behaviors as an example. We suggest that the DSM-IV category of sexual disorders be modified to include explicitly diagnostic criteria for a disorder characterized by hypersexual symptoms involving patterns that fall outside of the current definition of paraphilia. The disorder might be classified as one of the paraphilias, or as paraphilia-related. In the absence of a comprehensive understanding of the pathogenesis of this disorder, we suggest that it simply be termed hypersexual disorder.

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