Health-Related Quality of Life Across the Anxiety Disorders: Results From the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) Article

Comer, JS, Blanco, C, Hasin, DS et al. (2011). Health-Related Quality of Life Across the Anxiety Disorders: Results From the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) . Journal of Clinical Psychiatry, 72(1), 43-50. 10.4088/JCP.09m05094blu

cited authors

  • Comer, JS; Blanco, C; Hasin, DS; Liu, SM; Grant, BF; Turner, JB; Olfson, M
  • Comer, Jonathan S; Blanco, Carlos; Hasin, Deborah S; Liu, Shang-Min; Grant, Bridget F; Turner, J Blake; Olfson, Mark

sustainable development goals

abstract

  • Objective: Although clinical studies have documented that specific anxiety disorders are associated with impaired psychosocial functioning, little is known regarding their comparative effects on health-related quality of life within a general population. The current analysis compares health-related quality of life in a US community-dwelling sample of adults with DSM-IV social anxiety disorder, generalized anxiety disorders (GAD), panic disorder, and specific phobia. Method: A face-to-face survey of a US nationally representative sample of over 43,000 adults aged 18 years and older residing in households and group quarters was conducted. Prevalence of DSM-IV anxiety disorders and relative associations with health-related quality of life indicators were examined. The survey was conducted from 2001 to 2002. Results: Roughly 9.8% of respondents met diagnostic criteria for at least 1 of 4 twelve-month DSM-IV anxiety disorders which, relative to the non-anxiety-disordered general population, were each associated with lower personal income, increased rates of 12-month physical conditions, and greater numbers of Axis I and Axis II DSM-IV psychiatric conditions. After adjusting for sociodemographic and clinical correlates, including other anxiety disorders, GAD was associated with significant decrements in the SF-12 mental component summary score. In similar models, GAD and, to a lesser extent, panic disorder were significantly associated with impairment in social functioning, role emotional, and mental health SF subscales. Conclusions: GAD, followed by panic disorder, appears to exact significant and independent tolls on health-related quality of life. Results underscore the importance of prompt and accurate clinical identification and improving access to effective interventions for these disorders. © Copyright 2010 Physicians Postgraduate Press, Inc.

authors

publication date

  • January 1, 2011

published in

keywords

  • AVOIDANT PERSONALITY-DISORDER
  • COMORBIDITY
  • DSM-IV DISORDERS
  • Life Sciences & Biomedicine
  • MENTAL-DISORDERS
  • PANIC DISORDER
  • PAROXETINE TREATMENT
  • PSYCHIATRIC-DISORDERS
  • Psychiatry
  • Psychology
  • Psychology, Clinical
  • SOCIAL PHOBIA
  • SUICIDAL IDEATION
  • Science & Technology
  • Social Sciences
  • UNITED-STATES

Digital Object Identifier (DOI)

start page

  • 43

end page

  • 50

volume

  • 72

issue

  • 1