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| Autor(es): Mostrar menos - |
Ruscio, Ayelet Meron
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Rassaby, Madeleine
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Stein, Murray B.
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Stein, Dan J.
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Aguilar-Gaxiola, Sergio
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Al-Hamzawi, Ali
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Alonso, Jordi
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Atwoli, Lukoye
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Borges, Guilherme
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Bromet, Evelyn J.
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Bruffaerts, Ronny
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Bunting, Brendan
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Cardoso, Graca
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Chardoul, Stephanie
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de Girolamo, Giovanni
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de Jonge, Peter
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Gureje, Oye
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Haro, Josep Maria
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Karam, Elie G.
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Karam, Aimee
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Kiejna, Andrzej
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Kovess-Masfety, Viviane
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Lee, Sue
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Navarro-Mateu, Fernando
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Nishi, Daisuke
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Piazza, Marina
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Posada-Villa, Jose
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Sampson, Nancy A.
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Scott, Kate M.
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Slade, Tim
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Stagnaro, Juan Carlos
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Torres, Yolanda
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Viana, Maria Carmen
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Vladescu, Cristian
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Zarkov, Zahari
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Kessler, Ronald C.
Número total de Autores: 36
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| Tipo de documento: | Artigo Científico |
| Fonte: | PSYCHOLOGICAL MEDICINE; v. N/A, p. 12-pg., 2024-10-04. |
| Resumo | |
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. (AU) | |
| Processo FAPESP: | 03/00204-3 - Estudo epidemiológico dos transtornos psiquiátricos na região metropolitana de São Paulo: prevalências, fatores de risco e sobrecarga social e econômica |
| Beneficiário: | Laura Helena Silveira Guerra de Andrade |
| Modalidade de apoio: | Auxílio à Pesquisa - Temático |