Mixed anxiety and depression : From theory to practice.
Symposium "Depression and Anxiety". Montreux (CHE), 1995/06/16.
The 10th International Classification of Disease (ICD-10) introduced the concept of mixed anxiety-depression to define patients presenting both anxiety and depressive symptoms of limited number and/or intensity, not sufficiently severe to fulfill criteria for a specific diagnosis of depressive or anxiety disorder.
Epidemiologic surveys have shown that these patients may display significant levels of functional impairment, have unexplained somatic symptoms and a high use of nonpsychiatric medical care, have long-lasting symptoms, and are at risk for more severe psychiatric disorders.
A DSM-IV field trial concluded that patients with affective symptoms not meeting thresholds for DSM-III-R disorders were at least as common as patients with anxiety or mood disorders, and that their symptoms were associated with significant distress or impairment.
Although some of these patients present residual symptoms from previous psychiatric episodes and may request treatment specific to these conditions, it is not known if those without a psychiatric history could benefit from pharmacologic or psychological treatments usually used in mild outpatient cases.
Mots-clés Pascal : Etat dépressif, Trouble humeur, Trouble anxieux, Association morbide, Classification, Diagnostic and Statistical Manual IV, Diagnostic and Statistical Manual III, Version revisée, International Classification of Diseases 10, Diagnostic, Epidémiologie, Chimiothérapie, Traitement, Antidépresseur, Tranquillisant, Psychotrope, Homme, Article synthèse, Pratique professionnelle
Mots-clés Pascal anglais : Depression, Mood disorder, Anxiety disorder, Concomitant disease, Classification, Diagnostic and Statistical Manual IV, Diagnostic and Statistical Manual III, Revised drafting, International Classification of Diseases 10, Diagnosis, Epidemiology, Chemotherapy, Treatment, Antidepressant agent, Tranquillizer, Psychotropic, Human, Review, Professional practice
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0449262
Code Inist : 002B18C07A. Création : 03/02/1998.