The case for eliminating excessive worry as a requirement for generalized anxiety disorder
| Main Author: | |
|---|---|
| Publication Date: | 2024 |
| Other Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Format: | Article |
| Language: | eng |
| Source: | Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) |
| Download full: | http://hdl.handle.net/10362/175991 |
Summary: | Publisher Copyright: Copyright © The Author(s), 2024. Published by Cambridge University Press. |
| id |
RCAP_b22e9c67df9a9df6a1697d36dd0d6d7d |
|---|---|
| oai_identifier_str |
oai:run.unl.pt:10362/175991 |
| network_acronym_str |
RCAP |
| network_name_str |
Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) |
| repository_id_str |
https://opendoar.ac.uk/repository/7160 |
| spelling |
The case for eliminating excessive worry as a requirement for generalized anxiety disorderA cross-national investigationclassificationdiagnosisepidemiologygeneralized anxiety disorderglobal mental healthworryApplied PsychologyPsychiatry and Mental healthSDG 3 - Good Health and Well-beingPublisher Copyright: Copyright © The Author(s), 2024. Published by Cambridge University Press.Background Around the world, people living in objectively difficult circumstances who experience symptoms of generalized anxiety disorder (GAD) do not qualify for a diagnosis because their worry is not 'excessive' relative to the context. We carried out the first large-scale, cross-national study to explore the implications of removing this excessiveness requirement. Methods Data come from the World Health Organization World Mental Health Survey Initiative. A total of 133 614 adults from 12 surveys in Low- or Middle-Income Countries (LMICs) and 16 surveys in High-Income Countries (HICs) were assessed with the Composite International Diagnostic Interview. Non-excessive worriers meeting all other DSM-5 criteria for GAD were compared to respondents meeting all criteria for GAD, and to respondents without GAD, on clinically-relevant correlates. Results Removing the excessiveness requirement increases the global lifetime prevalence of GAD from 2.6% to 4.0%, with larger increases in LMICs than HICs. Non-excessive and excessive GAD cases worry about many of the same things, although non-excessive cases worry more about health/welfare of loved ones, and less about personal or non-specific concerns, than excessive cases. Non-excessive cases closely resemble excessive cases in socio-demographic characteristics, family history of GAD, and risk of temporally secondary comorbidity and suicidality. Although non-excessive cases are less severe on average, they report impairment comparable to excessive cases and often seek treatment for GAD symptoms. Conclusions Individuals with non-excessive worry who meet all other DSM-5 criteria for GAD are clinically significant cases. Eliminating the excessiveness requirement would lead to a more defensible GAD diagnosis.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNRuscio, Ayelet MeronRassaby, MadeleineStein, Murray B.Stein, Dan J.Aguilar-Gaxiola, SergioAl-Hamzawi, AliAlonso, JordiAtwoli, LukoyeBorges, GuilhermeBromet, Evelyn J.Bruffaerts, RonnyBunting, BrendanCardoso, GraçaChardoul, StephanieDe Girolamo, GiovanniDe Jonge, PeterGureje, OyeHaro, Josep MariaKaram, Elie G.Karam, AimeeKiejna, AndrzejKovess-Masfety, VivianeLee, SueNavarro-Mateu, FernandoNishi, DaisukePiazza, MarinaPosada-Villa, JoséSampson, Nancy A.Scott, Kate M.Slade, TimStagnaro, Juan CarlosTorres, YolandaViana, Maria CarmenVladescu, CristianZarkov, ZahariKessler, Ronald C.2024-11-28T23:10:04Z2024-102024-10-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/175991eng0033-2917PURE: 103623171https://doi.org/10.1017/S003329172400182Xinfo:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2025-05-12T01:45:04Zoai:run.unl.pt:10362/175991Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T19:16:52.347247Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse |
| dc.title.none.fl_str_mv |
The case for eliminating excessive worry as a requirement for generalized anxiety disorder A cross-national investigation |
| title |
The case for eliminating excessive worry as a requirement for generalized anxiety disorder |
| spellingShingle |
The case for eliminating excessive worry as a requirement for generalized anxiety disorder Ruscio, Ayelet Meron classification diagnosis epidemiology generalized anxiety disorder global mental health worry Applied Psychology Psychiatry and Mental health SDG 3 - Good Health and Well-being |
| title_short |
The case for eliminating excessive worry as a requirement for generalized anxiety disorder |
| title_full |
The case for eliminating excessive worry as a requirement for generalized anxiety disorder |
| title_fullStr |
The case for eliminating excessive worry as a requirement for generalized anxiety disorder |
| title_full_unstemmed |
The case for eliminating excessive worry as a requirement for generalized anxiety disorder |
| title_sort |
The case for eliminating excessive worry as a requirement for generalized anxiety disorder |
| author |
Ruscio, Ayelet Meron |
| author_facet |
Ruscio, Ayelet Meron Rassaby, Madeleine Stein, Murray B. Stein, Dan J. Aguilar-Gaxiola, Sergio Al-Hamzawi, Ali Alonso, Jordi Atwoli, Lukoye Borges, Guilherme Bromet, Evelyn J. Bruffaerts, Ronny Bunting, Brendan Cardoso, Graça Chardoul, Stephanie De Girolamo, Giovanni De Jonge, Peter Gureje, Oye Haro, Josep Maria Karam, Elie G. Karam, Aimee Kiejna, Andrzej Kovess-Masfety, Viviane Lee, Sue Navarro-Mateu, Fernando Nishi, Daisuke Piazza, Marina Posada-Villa, José Sampson, Nancy A. Scott, Kate M. Slade, Tim Stagnaro, Juan Carlos Torres, Yolanda Viana, Maria Carmen Vladescu, Cristian Zarkov, Zahari Kessler, Ronald C. |
| author_role |
author |
| author2 |
Rassaby, Madeleine Stein, Murray B. Stein, Dan J. Aguilar-Gaxiola, Sergio Al-Hamzawi, Ali Alonso, Jordi Atwoli, Lukoye Borges, Guilherme Bromet, Evelyn J. Bruffaerts, Ronny Bunting, Brendan Cardoso, Graça Chardoul, Stephanie De Girolamo, Giovanni De Jonge, Peter Gureje, Oye Haro, Josep Maria Karam, Elie G. Karam, Aimee Kiejna, Andrzej Kovess-Masfety, Viviane Lee, Sue Navarro-Mateu, Fernando Nishi, Daisuke Piazza, Marina Posada-Villa, José Sampson, Nancy A. Scott, Kate M. Slade, Tim Stagnaro, Juan Carlos Torres, Yolanda Viana, Maria Carmen Vladescu, Cristian Zarkov, Zahari Kessler, Ronald C. |
| author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) RUN |
| dc.contributor.author.fl_str_mv |
Ruscio, Ayelet Meron Rassaby, Madeleine Stein, Murray B. Stein, Dan J. Aguilar-Gaxiola, Sergio Al-Hamzawi, Ali Alonso, Jordi Atwoli, Lukoye Borges, Guilherme Bromet, Evelyn J. Bruffaerts, Ronny Bunting, Brendan Cardoso, Graça Chardoul, Stephanie De Girolamo, Giovanni De Jonge, Peter Gureje, Oye Haro, Josep Maria Karam, Elie G. Karam, Aimee Kiejna, Andrzej Kovess-Masfety, Viviane Lee, Sue Navarro-Mateu, Fernando Nishi, Daisuke Piazza, Marina Posada-Villa, José Sampson, Nancy A. Scott, Kate M. Slade, Tim Stagnaro, Juan Carlos Torres, Yolanda Viana, Maria Carmen Vladescu, Cristian Zarkov, Zahari Kessler, Ronald C. |
| dc.subject.por.fl_str_mv |
classification diagnosis epidemiology generalized anxiety disorder global mental health worry Applied Psychology Psychiatry and Mental health SDG 3 - Good Health and Well-being |
| topic |
classification diagnosis epidemiology generalized anxiety disorder global mental health worry Applied Psychology Psychiatry and Mental health SDG 3 - Good Health and Well-being |
| description |
Publisher Copyright: Copyright © The Author(s), 2024. Published by Cambridge University Press. |
| publishDate |
2024 |
| dc.date.none.fl_str_mv |
2024-11-28T23:10:04Z 2024-10 2024-10-01T00:00:00Z |
| dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/175991 |
| url |
http://hdl.handle.net/10362/175991 |
| dc.language.iso.fl_str_mv |
eng |
| language |
eng |
| dc.relation.none.fl_str_mv |
0033-2917 PURE: 103623171 https://doi.org/10.1017/S003329172400182X |
| dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
| eu_rights_str_mv |
openAccess |
| dc.format.none.fl_str_mv |
application/pdf |
| dc.source.none.fl_str_mv |
reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia instacron:RCAAP |
| instname_str |
FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia |
| instacron_str |
RCAAP |
| institution |
RCAAP |
| reponame_str |
Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) |
| collection |
Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) |
| repository.name.fl_str_mv |
Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia |
| repository.mail.fl_str_mv |
info@rcaap.pt |
| _version_ |
1833597989845729280 |