Anxiety disorders among adolescents and young adults: Prevalence and mental health care service utilization in a regional epidemiological study in Germany
Abstract
Background Anxiety disorders are among the most prevalent mental disorders. While it is known that a majority of individuals with anxiety disorders remains untreated, actual treatment rates for adolescents and young adults in Germany remain largely unknown.Methods As part of the Behavior and Mind Health (BeMIND) study, examining a random community sample of 14-21-year-olds (Dresden; Germany; N = 1,180), the lifetime prevalence for DSM-5 anxiety disorders and lifetime service utilization rates were determined by a standardized interview (DIA-X-5/CIDI).Results In the present sample, 23.3 % of adolescents and young adults fulfilled DSM-5 criteria for at least one lifetime anxiety disorder. Of those, 39.1 % used any health care services, most frequently they visited an outpatient psychotherapist/psychologist (23.0 %). Individuals with agoraphobia were most likely to use any in- or outpatient specialized service (64.8 %), while individuals with a specific phobia were least likely (22.3 %). Having a comorbid disorder or being female increased the likelihood of seeking help.Conclusion The results showed that approximately 2/3 of adolescents and young adults suffering from an anxiety disorder did not seek help and only few report contacts with a psychotherapist. Given the adverse long-term consequences of anxiety disorders, these findings suggest to improve efforts on increasing intervention awareness and treatment possibilities for these individuals.
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Generalized Anxiety Disorder has 12-month prevalence estimates of 2.1% and 6-month prevalence estimates of 9.7% in adolescence.
“12-month prevalence estimates of 2.1% [20] and 6-month prevalence estimates of 9.7% [3] have been reported for GAD.”
From Acceptance and commitment therapy as a transdiagnostic approach to adolescents with different anxiety disorders: study protocol. (2025) · cites this paper as [20]
Social Anxiety Disorder has 12-month prevalence estimates of 4.8% and point prevalence estimates of 9.4% in adolescence.
“12-month prevalence estimates of 4.8% [20] and point prevalence estimates of 9.4% [67] have been reported for SAD”
From Acceptance and commitment therapy as a transdiagnostic approach to adolescents with different anxiety disorders: study protocol. (2025) · cites this paper as [20]
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- Authors
- Niermann, H. C. M., Voss, C., Pieper, L., Venz, J., Ollmann, T. M., & Beesdo-Baum, K.
- Affiliations
- Technische Universität Dresden (DE)
- University Medical Center Hamburg-Eppendorf (DE)
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2021-10
- Volume
- 83
- Pages
- 102453
- ISSN
- 0887-6185 (ISSN-L)
- OpenAlex
- W3181776308
- Cited by
- 39
- References
- 48
- Citations by year
- 2026: 7 · 2025: 13 · 2024: 9 · 2023: 6 · 2022: 4
- FWCI
- 4.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Journal of Anxiety Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Bundesministerium für Bildung und Forschung (01ER1303, 01ER1703)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- anxiety disorders, adolescents, young adults, lifetime prevalence, mental health service utilization, help-seeking, agoraphobia, specific phobia, comorbidities, gender differences, psychotherapy
- MeSH terms
- Adolescent, Anxiety Disorders, Mental Disorders, Female, Germany, Humans, Mental Health, Comorbidity, Prevalence, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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