| Texto completo | |
| Autor(es): Mostrar menos - |
Roest, Annelieke M.
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de Vries, Ymkje Anna
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Lim, Carmen C. W.
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Wittchen, Hans-Ulrich
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Stein, Dan J.
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Adamowski, Tomasz
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Al-Hamzawi, Ali
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Bromet, Evelyn J.
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Viana, Maria Carmen
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de Girolamo, Giovanni
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Demyttenaere, Koen
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Florescu, Silvia
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Gureje, Oye
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Maria Haro, Josep
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Hu, Chiyi
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Karam, Elie G.
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Caldas-de-Almeida, Jose Miguel
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Kawakami, Norito
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Lepine, Jean Pierre
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Levinson, Daphna
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Medina-Mora, Maria E.
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Navarro-Mateu, Fernando
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O'Neill, Siobhan
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Piazza, Marina
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Posada-Villa, Jose A.
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Slade, Tim
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Torres, Yolanda
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Kessler, Ronald C.
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Scott, Kate M.
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de Jonge, Peter
Número total de Autores: 30
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| Tipo de documento: | Artigo Científico |
| Fonte: | DEPRESSION AND ANXIETY; v. 36, n. 6, p. 12-pg., 2019-06-01. |
| Resumo | |
Background The Diagnostic and Statistical Manual of Mental Disorders, version 5 (DSM-5) definition of agoraphobia (AG) as an independent diagnostic entity makes it timely to re-examine the epidemiology of AG. Study objective was to present representative data on the characteristics of individuals who meet DSM-IV criteria for AG (AG without a history of panic disorder [PD] and PD with AG) but not DSM-5 criteria, DSM-5 but not DSM-IV criteria, or both sets of criteria. Methods Population-based surveys from the World Mental Health Survey Initiative including adult respondents (n = 136,357) from 27 countries across the world. The Composite International Diagnostic Interview was used to assess AG and other disorders. Results Lifetime and 12-month prevalence estimates of DSM-5 AG (1.5% and 1.0%) were comparable to DSM-IV (1.4% and 0.9%). Of respondents meeting criteria in either system, 57.1% met criteria in both, while 24.2% met criteria for DSM-5 only and 18.8% for DSM-IV only. Severe role impairment due to AG was reported by a lower proportion of respondents who met criteria only for DSM-IV AG (30.4%) than those with both DSM-5 and DSM-IV AG (44.0%; chi(2)(1) = 4.7; P = 0.031). The proportion of cases with any comorbidity was lower among respondents who met criteria only for DSM-IV AG (78.7%) than those who met both sets (92.9%; chi(2)(1)= 14.5; P < 0.001). Conclusions This first large survey shows that, compared to the DSM-IV, the DSM-5 identifies a substantial group of new cases with AG, while the prevalence rate remains stable at 1.5%. Severity and comorbidity are higher in individuals meeting DSM-5 AG criteria compared with individuals meeting DSM-IV AG criteria only. (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 |