A family study of generalized anxiety disorder.
ABSTRACT The frequency of generalized anxiety disorder was higher among first-degree relatives of probands with generalized anxiety (N = 20) than among the relatives of control subjects (N = 20), but it was not higher among relatives of probands with panic disorder (N = 40) or agoraphobia (N = 40). Also, the frequency of panic disorder was higher among relatives of probands with panic disorder than among control relatives but was not higher among relatives of generalized anxiety probands. Relatives of probands with generalized anxiety who had the same disorder had a mild, stress-related illness. The results confirm the separation between generalized anxiety disorder and panic disorder but challenge the distinction between generalized anxiety and adjustment disorders.
- SourceAvailable from: Frank H. Wilhelm[Show abstract] [Hide abstract]
ABSTRACT: Although DSM-IV criteria for anxiety disorders include physiological symptoms, these symptoms are evaluated exclusively by verbal report. The current review explores the background for this paradox and tries to demonstrate on theoretical and empirical grounds how it could be resolved, providing new insights about the role of psychophysiological measures in the clinic. The three-systems approach to evaluating anxiety argues that somatic measures as well as verbal and behavioral ones are indispensable. However, the low concordance between these domains of measurement impugns their reliability and validity. We argue that concordance can be improved by examining the relationship of variables less global than anxiety and by restriction to specific anxiety disorders. For example, recent evidence from our and other laboratories indicate a prominent role of self-reported and physiologically measured breathing irregularities in panic disorder. Nonetheless, even within a diagnosis, anxiety patients vary radically in which somatic variables are deviant. Thus, in clinical practice, individual profiles of psychological and physiological anxiety responses may be essential to indicate distinct therapeutic approaches and ways of tracking improvement. Laboratory provocations specific to certain anxiety disorders and advances in ambulatory monitoring vastly expand the scope of self-report and physiological measurement and will likely contribute to a refined assessment of anxiety disorders.Biological Psychology 07/2001; 57(1-3):105-40. DOI:10.1016/S0301-0511(01)00091-6 · 3.47 Impact Factor
- [Show abstract] [Hide abstract]
ABSTRACT: review some of the empirically determined characteristics of worry / suggest theoretical perspectives that may account for the functions and origins of this ubiquitous process nature of worry [conceptual and imaginal cognitive activity, affective experience of worry, attentional activity and memory retrieval, behavioral responding, physiological activity] / functions of worry [cognitive avoidance of threat, inhibition of emotional processing] / origins of chronic worry and [generalized anxiety disorder] GAD [history of trauma, insecure attachment in childhood] (PsycINFO Database Record (c) 2012 APA, all rights reserved)
- [Show abstract] [Hide abstract]
ABSTRACT: ZET Bu yaz ıda alkol kötüye kullan ım ı ve bağımlılığı ile anksiyete bozukluklar ı arasında yapılan epidemiyolojik ve ge-netik çalışmalar ile, alkol kötüye kullan ım ı ve bağımlılığında uygulanan tedaviler gözden geçirilmiştir. Anahtar kelimeler: Alkol, anksiyete bozukluklar ı Düşünen Adam; 1995, 8 (3): 44-49 SUMMARY This articles reviews alcohol dependence and abuse in relation to anxiety disorders. The article also includes epidemiological and genetic studies of the topic. The treatment is also discussed in the article. GIRIŞ Alkolizm ve anksiyete bozukluklar ı son 50 seneye kadar birbirinden bağımsız olarak incelenen psi-kiyatrik bozukluklardı. Fakat son 50 senedir bu iki tanı grubu birbirine giderek yakla şmakta ve bazen belirli noktalarda birbiri ile çak ışmaktadır. Burada belirli gözlemler dikkati çekmektedir: 1. Alkol bağımlılığı ve anksiyete bozukluklar ı ile epidemiyolojik çal ışmalar ve bunları birbirine yaklaştıran nedenler 2. Anksiyete üzerine alkolün etkileri 3. Alkol çekilme ve yoksunluk tablolar ı= anksiyete bozuklukları ile ilişkisi ve bu konuda yapılan ça-lışmalar 4. Alkol bağımlılığı ve anksiyete bozukluklar ı bu-lunan bireylerde yapılan aile çalışmaları 5. Klinik olarak alkolizm ve anksiyete bozuklukla-rının birlikteliği (1,2).