Cited by 305Parkinson's Disease Mechanisms and TreatmentsNeurological disorders and treatmentsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Prevalence of anxiety disorders and anxiety subtypes in patients with Parkinson's disease

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Pontone, Gregory M., Williams, James R., Anderson, Karen E., Chase, Gary, Goldstein, Susanne A., Grill, Stephen, Hirsch, Elaina S., Lehmann, Susan +5 more·2009·Movement Disorders

Abstract

Anxiety disorders are common in Parkinson's disease (PD), but are not well characterized. This study determined the prevalence and clinical correlates of all DSM‐IV‐TR anxiety disorder diagnoses in a sample of 127 subjects with idiopathic PD who underwent comprehensive assessments administered by a psychiatrist and neurologist. A panel of six psychiatrists with expertise in geriatric psychiatry and/or movement disorders established by consensus all psychiatric diagnoses. Current and lifetime prevalence of at least one anxiety disorder diagnosis was 43% (n = 55) and 49% (n = 63), respectively. Anxiety disorder not otherwise specified, a DSM diagnosis used for anxiety disturbances not meeting criteria for defined subtypes, was the most common diagnosis (30% lifetime prevalence, n = 38). Compared with nonanxious subjects, panic disorder (n = 13) was associated with earlier age of PD onset [50.3 (12.2) vs. 61.0 (13.7) years, P < 0.01], higher rates of motor fluctuations [77% (10/13) vs. 39% (25/64), P = 0.01] and morning dystonia [38% (5/13) vs. 13% (8/62), P < 0.03]. This high prevalence of anxiety disorders, including disturbances often not meeting conventional diagnostic criteria, suggests that anxiety in PD is likely underdiagnosed and undertreated and refined characterization of anxiety disorders in PD is needed. In addition, certain anxiety subtypes may be clinically useful markers associated with disease impact in PD. © 2009 Movement Disorder Society

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  1. [13]First MB Spitzer RL Gibbon M Williams J Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Patient Edition. (SCID-I/P) Biometrics Research 2002 New York State Psychiatric Institute November 2002

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Authors
Pontone, G. M., Williams, J. R., Anderson, K. E., Chase, G., Goldstein, S. A., Grill, S., Hirsch, E. S., Lehmann, S., Little, J. T., Margolis, R. L., Rabins, P. V., Weiss, H. D., & Marsh, L.
Affiliations
  • Johns Hopkins University (US)
  • University of Maryland Medical Center (US)
  • Pennsylvania State University (US)
Corresponding author
Marsh, Laura
Venue
Movement Disorders
Publisher
Wiley
Published
2009-05-07
Volume
24
Issue
9
Pages
1333-1338
ISSN
  • 0885-3185 (ISSN-L)
  • 1531-8257
OpenAlex
W2121594879
Cited by
305
References
41
Citations by year
2026: 11 · 2025: 14 · 2024: 8 · 2023: 9 · 2022: 15 · 2021: 19 · 2020: 45 · 2019: 20 · 2018: 15 · 2017: 11 · 2016: 27 · 2015: 14 · 2014: 22 · 2013: 25 · 2012: 14
FWCI
10.64
Type
journal article
Language
en
Open access
Locations
  • Movement Disorders (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • NIH (R01-MH069666)
  • Morris K. Udall Parkinson's Disease Research Center of Excellence at Johns Hopkins (NIH-P50-NS-58377)
  • Age-Related Cognitive Disorders Training Grant (NIH-5T32-AG-027668-02)
  • Parkinson Study Group Mentored Clinical Research Award
  • Donna Jeanne Gault Baumann Fund
Topics
  • Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
  • Health Sciences › Medicine › Neurology › Neurological disorders and treatments
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
Parkinson's disease, anxiety disorders, prevalence, panic disorder, anxiety subtypes, motor fluctuations, age of onset, psychiatric comorbidity, underdiagnosis
MeSH terms
Aged, Aged, 80 and over, Anxiety, Anxiety Disorders, Female, Humans, Male, Middle Aged, Parkinson Disease, Prevalence, Panic Disorder

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