The DOI matches its Crossref record; 14 of the 15 references it cites were found in a registry or an index.
The Social Costs of Anxiety Disorders
Open accessAbstract
BACKGROUND: The social costs of anxiety disorders, which afflict a substantial proportion of the general population in the United States, are considered. METHOD: Data from the National Institute of Mental Health (NIMH) Epidemiological Catchment Area Program were analysed. RESULTS: Over 6% of men and 13% of women in the sample of 18,571 had suffered from a DSM-III anxiety disorder in the past six months. Nearly 30% of those with panic disorder had used the general medical system for emotional, alcohol or drug-related problems in the six months prior to the interview. Those with anxiety disorders were also more likely to seek help from emergency rooms and from the specialised mental health system. Men with panic disorder, phobias or obsessive-compulsive disorder in the previous six months are more likely to be chronically unemployed and to receive disability or welfare. DISCUSSION: Once correctly diagnosed there are safe and effective psychopharmacologic and behavioural treatments for the anxiety disorders. Nevertheless the burden of anxiety disorders extends beyond the direct costs of treatment to the indirect costs of impaired social functioning.
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“Patients with anxiety disorder use many primary care and accident and emergency resources C40Leon et al , 1995)”
From Reducing demands on clinicians by offering computer-aided self-help for phobia/panic: Feasibility study (2001) · cites this paper as Leon et al, 1995
Citations
Cites
Robins, L. N. (1981) · Archives of General Psychiatry · doi:10.1001/archpsyc.1981.01780290015001 · Cited by 5,219
Psychiatric disorders in America: the epidemiologic catchment area study
(1991) · Choice Reviews Online · doi:10.5860/choice.28-5931 · Cited by 2,561
Lifetime Prevalence of Specific Psychiatric Disorders in Three Sites
Robins, L. N. (1984) · Archives of General Psychiatry · doi:10.1001/archpsyc.1984.01790210031005 · Cited by 2,550
Regier, D. A. (1988) · Archives of General Psychiatry · doi:10.1001/archpsyc.1988.01800350011002 · Cited by 1,737
The NIMH Epidemiologic Catchment Area Program
Regier, D. A. (1984) · Archives of General Psychiatry · doi:10.1001/archpsyc.1984.01790210016003 · Cited by 1,259
Suicidal Ideation and Suicide Attempts in Panic Disorder and Attacks
Weissman, M. M., Klerman, G. L., Markowitz, J. S., & Ouellette, R. (1989) · New England Journal of Medicine · doi:10.1056/nejm198911023211801 · Cited by 602
Quality of Life in Panic Disorder
Markowitz, J. S. (1989) · Archives of General Psychiatry · doi:10.1001/archpsyc.1989.01810110026004 · Cited by 471
Cognitive-Behavioral and Pharmacological Treatments of Social Phobia: A Controlled Study
Gelernter, C. S. (1991) · Archives of General Psychiatry · doi:10.1001/archpsyc.1991.01810340070009 · Cited by 404
Clomipramine in the Treatment of Patients With Obsessive-Compulsive Disorder
(1991) · Archives of General Psychiatry · doi:10.1001/archpsyc.1991.01810320054008 · Cited by 384
Panic Attacks in the Community
Klerman, G. L. (1991) · JAMA · doi:10.1001/jama.265.6.742 · Cited by 290
Research works printed but not linked: 6
- 10.1001/jama.1991.03460060074027 · DOI
- NIH Consensus Development Conference (1991) Treatment of panic disorder. NIH Consensus Development Conference, September 25–27, 1991, 9. Bethesda, Maryland.
- Eaton, 1991, Psychiatric Disorders in America: The Epidemiologic Catchment Area Study
- Karno, 1991, Psychiatric Disorders in America: The Epidemiologic Catchment Area Study
- Barlow, 1988, Anxiety and its Disorders: The Nature and Treatment
- 1980, Diagnostic and Statistical Manual of Mental Disorders
Cited by
Sorted by citations
The Neuropsychology of Anxiety
Gray, J. A., & McNaughton, N. (2003) · doi:10.1093/acprof:oso/9780198522713.001.0001 · Cited by 1,953
Menzies, L., Chamberlain, S. R., Laird, A. R., Thelen, S. M., Sahakian, B. J., & Bullmore, E. T. (2008) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2007.09.005 · Cited by 1,190
“Suppression of compulsive behaviours leads to high levels of anxiety, and OCD is chronically disabling within the realms of both social and occupational functioning (Leon et al., 1995; Koran et al., 1996).”
BackgroundPrevalence and incidence studies of anxiety disorders: A systematic review of the literature
Somers, J. M., Goldner, E. M., Waraich, P., & Hsu, L. (2006) · The Canadian Journal of Psychiatry · doi:10.1177/070674370605100206 · Cited by 1,114
Assessing Psychiatric Impairment in Primary Care with the Sheehan Disability Scale
Leon, A. C., Olfson, M., Portera, L., Farber, L., & Sheehan, D. V. (1997) · The International Journal of Psychiatry in Medicine · doi:10.2190/t8em-c8yh-373n-1uwd · Cited by 987
Barlow, D. H., Gorman, J. M., Shear, M. K., & Woods, S. W. (2000) · JAMA · doi:10.1001/jama.283.19.2529 · Cited by 953
Metadata
- Authors
- Leon, A. C., Portera, L., & Weissman, M. M.
- Affiliations
- Cornell University (US)
- Columbia University (US)
- Corresponding author
- Leon, Andrew C.
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 1995-04
- Volume
- 166
- Issue
- S27
- Pages
- 19-22
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2764473323
- Cited by
- 335
- References
- 15
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 9 · 2023: 4 · 2022: 5 · 2021: 4 · 2020: 8 · 2019: 5 · 2018: 4 · 2017: 6 · 2016: 6 · 2015: 10 · 2014: 12 · 2013: 7 · 2012: 32
- FWCI
- 12.08
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Columbia Academic Commons (Columbia University)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Keywords
- anxiety disorders, social costs, panic disorder, phobia, obsessive-compulsive disorder, unemployment, disability benefits, welfare, emergency department utilization, mental health service utilization, gender differences, social functioning, indirect costs
- MeSH terms
- Adolescent, Adult, Aged, Anxiety Disorders, Combined Modality Therapy, Cross-Sectional Studies, Disability Evaluation, Female, Health Services Misuse, Humans, Male, Middle Aged, Social Welfare, United States, Incidence, Cost of Illness
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