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Anxiety disorders: Classification and diagnosis
Author(s) -
Holmberg Gunnar
Publication year - 1987
Publication title -
acta psychiatrica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.849
H-Index - 146
eISSN - 1600-0447
pISSN - 0001-690X
DOI - 10.1111/j.1600-0447.1987.tb07744.x
Subject(s) - agoraphobia , anxiety , panic disorder , panic , generalized anxiety disorder , psychology , dysthymic disorder , depression (economics) , psychiatry , anxiety states , anxiety disorder , clinical psychology , neuroticism , adjustment disorders , cognition , major depressive disorder , personality , economics , social psychology , macroeconomics
Obsessive‐Compulsive Disroder and Panic Disroder with or without agoraphobia are emphasized as specific entities that are easily accessible to pharmacological treatment, while more unspecific and heterogeneous syndromes are less predictable in their reaction to treatment. The DSM‐III system, not yet official in Sweden, is described and commented on. Agoraphobia has undergone a re‐evaluation and should be coupled with Panic Disorder, although the two illness componenets may have somewhat different genetic and biochemical mechanisms. Obsessive‐Compulsive Disorder, on the other hand, should bot be listed under Anxiety States, but have a place of its own. The relatioship between anxiety and depression is discussed, and it is suggested that there is a clear break between specifica affective disorders and specifica anxiety disorders, while there may be continuity between Generalized Anxiety and Neurotic‐reacitve (dysthymic) depression, with mixed cases in between. Still, much work needs to be done in the classification of these disorders.