The Zurich study. VI: A continuum from depression to anxiety disorders?

A representative sample of 456 persons from the normal population aged 22 and 23 years was used to study the overlap of depression with anxiety disorders. The 1-year prevalence rate for major depression (DSM-III), minor depression, and anxiety disorder together was 16.4%. The observed cases of major...

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Bibliographic Details
Published in:European Archives of Psychiatry and Neurological Sciences 1985-12, Vol.235 (3), p.179-186
Main Authors: ANGST, J, DOBLER-MIKOLA, A
Format: Article
Language:English
Subjects:
Adult
Adult and adolescent clinical studies
Anxiety Disorders - diagnosis
Anxiety Disorders - psychology
Biological and medical sciences
Depression
Depressive Disorder - diagnosis
Depressive Disorder - psychology
Female
Humans
Longitudinal Studies
Male
Medical sciences
Mood disorders
Phobic Disorders - diagnosis
Phobic Disorders - psychology
Psychiatric Status Rating Scales
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Switzerland
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Summary:A representative sample of 456 persons from the normal population aged 22 and 23 years was used to study the overlap of depression with anxiety disorders. The 1-year prevalence rate for major depression (DSM-III), minor depression, and anxiety disorder together was 16.4%. The observed cases of major depression occurred in 36% with anxiety disorder, the cases with minor depression in 60%. On the level of symptoms assessed by a semistructured clinical interview and on the level of self-assessed items of the symptom check list SCL-90, the overlap was even greater. The main finding was that subjects with both diagnoses, depression and anxiety disorder, were more severely affected in general. Discriminant analyses of the SCL-90 scales together with the qualitative distribution of SCL items characterizing depression, anxiety, or phobia, did not disprove the hypothesis of a continuum.
ISSN:0175-758X
1433-8491
DOI:10.1007/BF00380990