Back to Search
Start Over
Prevalence and course of subthreshold anxiety disorder in the general population: A three-year follow-up study
- Source :
- Bosman, R C, ten Have, M, de Graaf, R, Muntingh, A D T, van Balkom, A JLM & Batelaan, N M 2019, ' Prevalence and course of subthreshold anxiety disorder in the general population: A three-year follow-up study ', Journal of Affective Disorders, vol. 247, pp. 105-113 . https://doi.org/10.1016/j.jad.2019.01.018, Journal of Affective Disorders, 247, 105-113. Elsevier
- Publication Year :
- 2018
-
Abstract
- BackgroundThis study examined the prevalence, course and risk indicators of subthreshold anxiety disorder to determine the necessity and possible risk indicators for interventions.MethodsData were derived from the ‘Netherlands Mental Health Survey and Incidence Study-2’ (NEMESIS-2), a psychiatric epidemiological cohort study among the general population (n = 4528). This study assessed prevalence, characteristics, and three-year course of subthreshold anxiety disorder (n = 521) in adults, and compared them to a no anxiety group (n = 3832) and an anxiety disorder group (n = 175). Risk indicators for persistent and progressive subthreshold anxiety disorder were also explored, including socio-demographics, vulnerability factors, psychopathology, physical health and functioning.ResultsThe three-year prevalence of subthreshold anxiety disorder was 11.4%. At three-year follow-up, 57.3% had improved, 29.0% had persistent subthreshold anxiety disorder and 13.8% had progressed to a full-blown anxiety disorder. Prevalence, characteristics and course of subthreshold anxiety disorder were in between both comparison groups. Risk indicators for persistent course partly overlapped with those for progressive course and included vulnerability and psychopathological factors, and diminished functioning.LimitationsCourse analysis were restricted to the development of anxiety disorders, other mental disorders were not assessed. Moreover, due to the naturalistic design of the study the impact of treatment on course cannot be assessed.ConclusionsSubthreshold anxiety disorder is relatively prevalent and at three-year follow-up a substantial part of respondents experienced persistent symptoms or had progressed into an anxiety disorder. Risk indicators like reduced functioning may help to identify these persons for (preventative) treatment and hence reduce functional limitations and disease burden.
- Subjects :
- Adult
Male
Adolescent
Population
Psychological intervention
Cohort Studies
03 medical and health sciences
Young Adult
0302 clinical medicine
Cost of Illness
Risk Factors
Prevalence
Medicine
Humans
education
Disease burden
Netherlands
education.field_of_study
business.industry
Middle Aged
medicine.disease
Mental health
Anxiety Disorders
Health Surveys
030227 psychiatry
Psychiatry and Mental health
Clinical Psychology
Disease Progression
Anxiety
Female
medicine.symptom
business
030217 neurology & neurosurgery
Anxiety disorder
Psychopathology
Clinical psychology
Cohort study
Follow-Up Studies
Subjects
Details
- ISSN :
- 15732517 and 01650327
- Volume :
- 247
- Database :
- OpenAIRE
- Journal :
- Journal of affective disorders
- Accession number :
- edsair.doi.dedup.....94d63fd7ec682ca0b6c98dc0aaeaa241