By Eric J. L. Griez (Editor), Carlo Faravelli (Editor), David Nutt (Editor), Joseph Zohar (Editor)
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Additional info for Anxiety Disorders: An Introduction to Clinical Management and Research
Mean age of onset for men was 22 years, for women 26 years. 6 years for women. Natural Course Obsessive-compulsive disorder has a chronic course, and few patients achieve true remission. Although symptoms may ﬂuctuate over time, the disorder rarely is resolved spontaneously without appropriate treatment (Goodman, 1999). Full remission of OCD symptoms is rare, but episodic improvement in OCD symptoms is not uncommon (Pigott, 1998). In a 40-year follow-up of 122 OCD patients, Skoog and Skoog (1999) substantiated these generalities: 20% achieved complete recovery, 28% recovery with subclinical symptoms, another 35% still had clinical symptoms but did improve.
6% of victims of childhood neglect, met DSM-III-R criteria for lifetime PTSD. Childhood victimisation, however, is not a suﬃcient condition for developing PTSD, also family, individual, and lifestyle variables place individuals at risk and contributed to the symptoms of PTSD (Widom, 1999). North et al. (1999) report on a follow-up on the terrorist Oklahoma City bombing in 1995 where a bomb blast killed 168 people. 3% had PTSD. The onset of PTSD was swift, with 76% reporting same-day onset. The relatively uncommon EPIDEMIOLOGY OF ANXIETY DISORDERS ——————————————— 17 avoidance and numbing symptoms virtually dictated the diagnosis of PTSD (94% meeting avoidance and numbing criteria had full PTSD diagnosis) and were further associated with psychiatric comorbidity, functional impairment, and treatment received.
Greenberg PE, Sisitsky T, Kessler RC, Finkelstein SN, Berndt ER, Davidson JR, Ballenger JC, 20 ———————————— T. OVERBEEK, E. L. GRIEZ Fyer AJ (1999) The economic burden of anxiety disorders in the 1990s. J Clin Psychiatry 60: 427–435. Hirschfeld RM (1996) Panic disorder: Diagnosis, epidemiology, and clinical course. J Clin Psychiatry 57 Suppl 10: 3–8; discussion 9–10. Hollander E (1997) Obsessive-compulsive disorder: The hidden epidemic. J Clin Psychiatry 58 Suppl 12: 3–6. Horwath E, Lish JD, Johnson J, Hornig CD, Weissman MM (1993) Agoraphobia without panic: clinical reappraisal of an epidemiological ﬁnding.
Anxiety Disorders: An Introduction to Clinical Management and Research by Eric J. L. Griez (Editor), Carlo Faravelli (Editor), David Nutt (Editor), Joseph Zohar (Editor)