Anxiety disorders and comorbid medical illness

Roy-Byrne, Peter P.; Davidson, Karina W.; Kessler, Ronald C.; Asmundson, Gordon J.G.; Goodwin, Renee D.; Kubzansky, Laura; Lydiard, R. Bruce; Massie, Mary Jane; Katon, Wayne; Laden, Sally K.; Stein, Murray B.

doi:10.1016/j.genhosppsych.2007.12.006

Cited by 668Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesCardiac Health and Mental HealthPsychosomatic Disorders and Their Treatments

Anxiety disorders and comorbid medical illness

Roy-Byrne, Peter P., Davidson, Karina W., Kessler, Ronald C., Asmundson, Gordon J.G., Goodwin, Renee D., Kubzansky, Laura, Lydiard, R. Bruce, Massie, Mary Jane +3 more·2008·General Hospital Psychiatry

DOI 10.1016/j.genhosppsych.2007.12.006

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Abstract

Objective To provide an overview of the role of anxiety disorders in medical illness.Method The Anxiety Disorders Association of America held a multidisciplinary conference from which conference leaders and speakers reviewed presentations and discussions, considered literature on prevalence, comorbidity, etiology and treatment, and made recommendations for research. Irritable bowel syndrome (IBS), asthma, cardiovascular disease (CVD), cancer and chronic pain were reviewed.Results A substantial literature supports clinically important associations between psychiatric illness and chronic medical conditions. Most research focuses on depression, finding that depression can adversely affect self-care and increase the risk of incident medical illness, complications and mortality. Anxiety disorders are less well studied, but robust epidemiological and clinical evidence shows that anxiety disorders play an equally important role. Biological theories of the interactions between anxiety and IBS, CVD and chronic pain are presented. Available data suggest that anxiety disorders in medically ill patients should not be ignored and could be considered conjointly with depression when developing strategies for screening and intervention, particularly in primary care.Conclusions Emerging data offer a strong argument for the role of anxiety in medical illness and suggest that anxiety disorders rival depression in terms of risk, comorbidity and outcome. Research programs designed to advance our understanding of the impact of anxiety disorders on medical illness are needed to develop evidence-based approaches to improving patient care.

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Mental Health Surveillance Among Children — United States, 2013–2019
Bitsko, R. H., Claussen, A. H., Lichstein, J., Black, L. I., Jones, S. E., Danielson, M. L., Hoenig, J. M., Davis Jack, S. P., Brody, D. J., Gyawali, S., et al. (2022) · MMWR Supplements · doi:10.15585/mmwr.su7102a1 · Cited by 1,723 · see citing works
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Evaluating psychosocial contributions to chronic pain outcomes
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Four-Week Prevalence of Mental Disorders in Patients With Cancer Across Major Tumor Entities
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Anxiety disorders
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The Effect of Exercise Training on Anxiety Symptoms Among Patients: A Systematic Review
Herring, M. P. (2010) · Archives of Internal Medicine · doi:10.1001/archinternmed.2009.530 · Cited by 446 · see citing works
Trends in anxiety among adults in the United States, 2008–2018: rapid increases among young adults
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Physical Activity and Anxiety: A Systematic Review and Meta-analysis of Prospective Cohort Studies
McDowell, C. P., Dishman, R. K., Gordon, B. R., & Herring, M. P. (2019) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2019.05.012 · Cited by 385 · see citing works
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The association between sedentary behaviour and risk of anxiety: a systematic review
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“The illness has been shown to be linked to other serious diseases such as increased risk of cardiovascular disease and cancer [19] with estimates that anxiety and depression together contribute to 10 % of the total burden of disease in Australian women [20].”
Background
Anxiety and new onset of cardiovascular disease: critical review and meta-analysis
Batelaan, N. M., Seldenrijk, A., Bot, M., van Balkom, A. J. L. M., & Penninx, B. W. J. H. (2016) · British Journal of Psychiatry · doi:10.1192/bjp.bp.114.156554 · Cited by 362 · see citing works
Current Psychosomatic Practice
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The association of depression and anxiety with health-related quality of life in cancer patients with depression and/or pain
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Clinical anxiety, cortisol and interleukin-6: Evidence for specificity in emotion–biology relationships
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Symptom distress in advanced cancer patients with anxiety and depression in the palliative care setting
Delgado-Guay, M., Parsons, H. A., Li, Z., Palmer, J. L., & Bruera, E. (2009) · Supportive Care in Cancer · doi:10.1007/s00520-008-0529-7 · Cited by 259 · see citing works
Anxiety and depression in polycystic ovary syndrome: a comprehensive investigation
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Systematic review and meta-analysis of the association between peripheral inflammatory cytokines and generalised anxiety disorder
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Long-term disability in anxiety disorders
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“Previous studies showed that these covariates are associated with both anxiety and disability [33, 34].”
Background
Mental Health Competencies for Pediatric Practice
Foy, J. M., Green, C. M., Earls, M. F., COMMITTEE ON PSYCHOSOCIAL ASPECTS OF CHILD AND FAMILY HEALTH, M. H. L. W. G., Lavin, A., Askew, G. L., Baum, R., Berger-Jenkins, E., Gambon, T. B., Nasir, A. A., et al. (2019) · Pediatrics · doi:10.1542/peds.2019-2757 · Cited by 221 · see citing works
Is having polycystic ovary syndrome a predictor of poor psychological function including anxiety and depression?
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The relationship between irritable bowel syndrome and psychiatric disorders: from molecular changes to clinical manifestations
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The <scp>Generalized Anxiety Disorder Screener (GAD‐7</scp> ) and the anxiety module of the <scp>Hospital and Depression Scale (HADS‐A</scp> ) as screening tools for generalized anxiety disorder among cancer patients
Esser, P., Hartung, T. J., Friedrich, M., Johansen, C., Wittchen, H., Faller, H., Koch, U., Härter, M., Keller, M., Schulz, H., et al. (2018) · Psycho-Oncology · doi:10.1002/pon.4681 · Cited by 185 · see citing works
Anxiety in youth with asthma: a meta-analysis
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Exercising the worry away: how inflammation, oxidative and nitrogen stress mediates the beneficial effect of physical activity on anxiety disorder symptoms and behaviours
Moylan, S., Eyre, H. A., Maes, M., Baune, B. T., Jacka, F. N., & Berk, M. (2013) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2013.02.003 · Cited by 155 · see citing works
Anxiety among adults with a history of childhood adversity: Psychological resilience moderates the indirect effect of emotion dysregulation
Poole, J. C., Dobson, K. S., & Pusch, D. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.03.047 · Cited by 145 · see citing works
Subjective Cognitive Complaints, Personality and Brain Amyloid-beta in Cognitively Normal Older Adults
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Anxiety disorders in advanced cancer patients: Correlates and predictors of end‐of‐life outcomes
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Pain, not chronic disease, is associated with the recurrence of depressive and anxiety disorders
Gerrits, M. M., van Oppen, P., Leone, S. S., van Marwijk, H. W., van der Horst, H. E., & Penninx, B. W. (2014) · BMC Psychiatry · doi:10.1186/1471-244x-14-187 · Cited by 106 · see citing works
Burden of Anxiety Disorders in Pediatric Medical Settings: Prevalence, Phenomenology, and a Research Agenda
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Effectiveness of Mindfulness- and Relaxation-Based eHealth Interventions for Patients with Medical Conditions: a Systematic Review and Synthesis
Mikolasek, M., Berg, J., Witt, C. M., & Barth, J. (2018) · International Journal of Behavioral Medicine · doi:10.1007/s12529-017-9679-7 · Cited by 105 · see citing works
Psychiatric predictors of long-term transplant-related outcomes in lung transplant recipients
Rosenberger, E. M., DiMartini, A. F., DeVito Dabbs, A. J., Bermudez, C. A., Pilewski, J. M., Toyoda, Y., & Dew, M. A. (2016) · Transplantation · doi:10.1097/tp.0000000000000824 · Cited by 97 · see citing works
Anxiety disorders and medical comorbidity: Treatment implications
Meuret, A. E., Tunnell, N., & Roque, A. (2020) · Advances in Experimental Medicine and Biology · doi:10.1007/978-981-32-9705-0_15 · Cited by 96 · see citing works
Prevalence of symptoms of anxiety and depression in German patients with cystic fibrosis
Goldbeck, L., Besier, T., Hinz, A., Singer, S., & Quittner, A. L. (2010) · Chest · doi:10.1378/chest.09-2940 · Cited by 89 · see citing works
Long-Term Changes of Symptoms of Anxiety, Depression, and Fatigue in Cancer Patients 6 Months After the End of Yoga Therapy
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Anger problems across the anxiety disorders: findings from a population-based study
Hawkins, K. A., & Cougle, J. R. (2011) · Depression and Anxiety · doi:10.1002/da.20764 · Cited by 86 · see citing works
Generalized anxiety disorder in primary care: Mental health services use and treatment adequacy
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The asthma-anxiety connection
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A systematic review of interventions for anxiety in people with HIV
Clucas, C., Sibley, E., Harding, R., Liu, L., Catalan, J., & Sherr, L. (2011) · Psychology, Health & Medicine · doi:10.1080/13548506.2011.579989 · Cited by 81 · see citing works
Disability in anxiety disorders
Hendriks, S. M., Spijker, J., Licht, C. M. M., Beekman, A. T. F., Hardeveld, F., de Graaf, R., Batelaan, N. M., & Penninx, B. W. J. H. (2014) · Journal of Affective Disorders · doi:10.1016/j.jad.2014.05.006 · Cited by 69 · see citing works
Delivery of brief cognitive behavioral therapy for medically ill patients in primary care: a pragmatic randomized clinical trial
Cully, J. A., Stanley, M. A., Petersen, N. J., Hundt, N. E., Kauth, M. R., Naik, A. D., Sorocco, K., Sansgiry, S., Zeno, D., & Kunik, M. E. (2017) · Journal of General Internal Medicine · doi:10.1007/s11606-017-4101-3 · Cited by 72 · see citing works
Anxiety‐related factors associated with symptom severity in irritable bowel syndrome
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Mindfulness and acceptance-based behavioral therapies for anxiety disorders.
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Development and Evaluation of an Online Acceptance and Commitment Therapy Program for Anxiety: Phase I Iterative Design.
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Presence and predictors of anxiety disorder onset following cancer diagnosis among anxious cancer survivors
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Authors: Roy-Byrne, P. P., Davidson, K. W., Kessler, R. C., Asmundson, G. J. G., Goodwin, R. D., Kubzansky, L., Lydiard, R. B., Massie, M. J., Katon, W., Laden, S. K., & Stein, M. B.
Affiliations: Columbia University (US)
Harvard University (US)
University of Regina (CA)
University of South Carolina (US)
Memorial Sloan Kettering Cancer Center (US)
University of Washington (US)
University of California San Diego (US)
ORCID: Davidson, Karina W.
Kessler, Ronald C.
Asmundson, Gordon J.G.
Kubzansky, Laura
Stein, Murray B.
Venue: General Hospital Psychiatry
Publisher: Elsevier BV
Published: 2008-05
Volume: 30
Issue: 3
Pages: 208-225
ISSN: 0163-8343 (ISSN-L)
DOI: 10.1016/j.genhosppsych.2007.12.006
OpenAlex: W2042684841
Cited by: 668
References: 207
Citations by year: 2026: 15 · 2025: 21 · 2024: 33 · 2023: 27 · 2022: 27 · 2021: 39 · 2020: 40 · 2019: 37 · 2018: 34 · 2017: 48 · 2016: 45 · 2015: 45 · 2014: 48 · 2013: 35 · 2012: 35
FWCI: 61.38
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: General Hospital Psychiatry (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Keywords: anxiety disorders, disease, psychiatric comorbidity, irritable bowel syndrome, asthma, cardiovascular disease, cancer, chronic pain, depression, screening and intervention, primary care
MeSH terms: Anxiety Disorders, Asthma, Cardiovascular Diseases, Chronic Disease, Combined Modality Therapy, Cross-Sectional Studies, Depressive Disorder, Humans, Neoplasms, Pain, Risk Factors, Anti-Anxiety Agents, Comorbidity, Cognitive Behavioral Therapy, Selective Serotonin Reuptake Inhibitors, Irritable Bowel Syndrome, Pain Management

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