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Anxious forms of depression.

David P Goldberg1

  • 1Health Service & Population Research, Institute of Psychiatry, King's College, London, UK.

Depression and Anxiety
|November 28, 2013
PubMed
Summary
This summary is machine-generated.

Mixed Anxiety Depression Disorder (MADD) is a subclinical form of anxious depression, not a separate disorder. Its recognition is important for public health due to its prevalence and disability in primary care settings.

Keywords:
anxiety/anxiety disordersdepressionmeasurement/psychometricsmood disordersprimary care

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Area of Science:

  • Psychiatry
  • Mental Health
  • Primary Care Research

Background:

  • Distinctive features differentiate anxious and nonanxious major depression.
  • Mixed Anxiety Depression Disorder (MADD) represents a milder, subclinical form of anxious depression.
  • MADD symptoms do not meet full diagnostic criteria for major depression.

Purpose of the Study:

  • To propose the recognition of MADD as a subclinical entity within the anxious depression spectrum.
  • To highlight the public health importance and prevalence of MADD in general medical settings.
  • To integrate MADD into primary care diagnostic frameworks, specifically the ICD-11 Field Trials.

Main Methods:

  • Conceptual analysis and argument for the continuity of MADD with severe anxious depression.
  • Consideration of MADD's prevalence, disability, and clinical significance in primary care.
  • Proposal for a pseudodimensional system encompassing anxiety, depression, and anxious depression.

Main Results:

  • MADD is argued to be a subclinical form of anxious depression, not a distinct disorder.
  • The study supports the inclusion of MADD in ICD-11 primary care field trials.
  • A system of current anxiety, depression, and anxious depression is proposed to cover most distressed patients.

Conclusions:

  • MADD warrants recognition due to its prevalence and impact in primary care.
  • Viewing MADD as continuous with more severe anxious depression is clinically relevant.
  • The proposed diagnostic framework aims to better manage psychologically distressed patients in general medical settings.