Public Health Perspectives on Generalized Anxiety Disorder
Murray B. Stein, MD, MPH, FRCPC
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Generalized anxiety disorder (GAD) is a chronic condition characterized by worry and concomitant
anxiety symptoms that cause extreme distress and/or interfere with function. The 12-month prevalence
of GAD in the general population ranges in studies from approximately 2% to 5%, with the
majority of cases occurring comorbid with major depression. GAD is particularly prevalent in certain
special populations, such as older adults, in whom it is the most common anxiety disorder. In clinical
and community studies, GAD emerges as a strong predictor of functional impairment, over and above
that explained by major depression. These observations lead to the conclusion that current public
health efforts focused on identification and treatment of major depression should be extended to include
GAD and other anxiety disorders.
J Clin Psychiatry 2004;65(suppl 13):3-7
© Copyright 2004 Physicians Postgraduate Press, Inc.
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