Clinician recognition of anxiety disorders in depressed outpatients
Abstract
The recognition of anxiety disorders in depressed patients has potential clinical significance because their presence predicts poorer outcome and may influence treatment selection. In routine clinical settings, an unstructured diagnostic interview is typically used to assess patients at the initiation of treatment. Unstructured interviews, however, may result in missed diagnoses, with potential negative clinical consequences. The goals of the present study were to examine whether anxiety disorders are less frequently identified using a routine unstructured clinical evaluation than a semi-structured diagnostic interview in patients with a principal diagnosis of major depressive disorder (MDD), and to determine patients' desire for treatment for comorbid anxiety disorders. Psychiatric outpatients with MDD were evaluated with either a semi-structured or an unstructured diagnostic interview. Current DSM-IV anxiety disorder diagnoses were compared in the two, nonoverlapping, groups of depressed psychiatric outpatients seen in the same practice setting. Patients with comorbid anxiety disorders who were interviewed with the semi-structured interview were asked if they wanted treatment to address their anxiety symptoms. Individuals interviewed with the semi-structured interview were diagnosed with significantly more current anxiety disorders than individuals who were assessed with an unstructured interview. There was variability in patients' desire for treatment of the different anxi…
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Social anxiety disorder often goes under-recognized and consequently under-treated in these individuals.
“Unfortunately, SAD often goes under-recognized in these individuals and consequently is under-treated (Grant et al., 2005; Zimmerman & Chelminski, 2003).”
From An Integrated, Acceptance-Based Behavioral Approach for Depression With Social Anxiety: Preliminary Results (2014) · cites this paper as Zimmerman & Chelminski, 2003
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“Further, most individuals desire treatment for their comorbid SAD in addition to treatment for their principal condition (Zimmerman and Chelminski, 2003).”
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La asociación psiquiátrica de América Latina
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- Authors
- Zimmerman, M., & Chelminski, I.
- Affiliations
- Brown University (US)
- Corresponding author
- Zimmerman, Mark
- ORCID
- Zimmerman, Mark
- Venue
- Journal of Psychiatric Research
- Publisher
- Elsevier BV
- Published
- 2003-07
- Volume
- 37
- Issue
- 4
- Pages
- 325-333
- ISSN
- 0022-3956 (ISSN-L)
- OpenAlex
- W1974384999
- Cited by
- 71
- References
- 0
- Citations by year
- 2026: 3 · 2023: 4 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 2 · 2018: 4 · 2017: 1 · 2016: 5 · 2015: 3 · 2014: 6 · 2013: 5 · 2012: 2
- FWCI
- 7.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychiatric Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r29mh048732-05)
- National Institute of Mental Health (MH-56404, MH48732)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Keywords
- anxiety disorders, major depressive disorder, comorbidities, under-recognition, psychiatric outpatients, treatment preferences
- MeSH terms
- Adult, Ambulatory Care, Anxiety Disorders, Depression, Major Depressive Disorder, Female, Humans, Male, Middle Aged, Outpatients, Patient Acceptance of Health Care, Comorbidity
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