Anxiety disorders show high comorbidity and correlation with PTSD
the verdict
SUPPORTED
the evidence backs this
refutedsupported
the weight of evidence
14 sources for · 0 against
Multiple peer-reviewed studies and clinical reviews document high comorbidity, shared risk factors, and elevated concurrent prevalence rates between anxiety disorders and post-traumatic stress disorder (PTSD).
BackgroundCanadian public safety personnel (PSP) experience high rates of mental health disorders and face many barriers to treatment. Internet-delivered cognitive behavioral therapy (ICBT) overcomes many such barriers, and is effective for treating depression, anxiety, and posttraumatic stress disorder (PTSD) symptoms. ObjectiveThis study was designed to fill a gap in the literature regarding the use of ICBT tailored specifically for PSP. We examined the effectiveness of a tailored ICBT program for treating depression, anxiety, and PTSD symptoms among PSP in the province of Saskatchewan. MethodsWe employed a longitudinal single-group open-trial design (N=83) with outcome measures administered at screening and at 8 weeks posttreatment. Data were collected between December 5, 2019 and September 11, 2020. Primary outcomes included changes in depression, anxiety, and PTSD symptoms. Secondary outcomes included changes in functional impairment; symptoms of panic, social anxiety, and anger; as well as treatment satisfaction, working alliance, and program usage patterns. ResultsClients reported large symptom reductions on measures of depression and anxiety, as well as moderate reductions on measures of PTSD and secondary symptoms, except for social anxiety. Most clients who reported symptoms above clinical cut-offs on measures of depression, anxiety, and PTSD during screening experienced clinically significant symptom reductions. Results suggested good engagement, treatment satisfac
Objective The COVID-19 pandemic has placed health care workers under psychological stress. Previous reviews show a high prevalence of mental disorders among health care workers, but these need updating and inclusion of studies written in Chinese. The aim of this systematic review and meta-analysis was to provide updated prevalence estimates for depression, anxiety and post-traumatic stress disorder (PTSD) among health care workers during the COVID-19 pandemic, benefitting from the inclusion of studies published in Chinese. Methods Systematic search of EMBASE, MEDLINE, PsycINFO, Global Health, Web of Science, CINAHL, Google Scholar and the Chinese databases SinoMed, WanfangMed, CNKI and CQVIP, for studies conducted between December 2019 and August 2020 on the prevalence of depression, anxiety and PTSD in health care workers during the COVID-19 pandemic. Studies published in both English and Chinese were included. Results Data on the prevalence of moderate depression, anxiety and PTSD was pooled across 65 studies involving 97,333 health care workers across 21 countries. The pooled prevalence of depression was 21.7% (95% CI, 18.3%-25.2%), of anxiety 22.1% (95% CI, 18.2%-26.3%), and of PTSD 21.5% (95% CI, 10.5%-34.9%). Prevalence estimates are also provided for a mild classification of each disorder. Pooled prevalence estimates of depression and anxiety were highest in studies conducted in the Middle-East (34.6%; 28.9%). Subgroup and meta-regression analyses were conducted across
Background Post-COVID condition is most commonly associated with physical symptoms such as dyspnea on exertion, difficulty in concentration, fatigue, and frailty but meta-analyses also document high rates of mental health problems such as anxiety disorders, depression, and post-traumatic stress disorder (PTSD). Methods and findings In the current study, 140 persons (66% female) receiving inpatient pulmonary rehabilitation treatment for post-COVID condition for an average of 27 days (SD = 11) completed self-report measures on mental and physical health at admission and discharge. At admission, 54%, 36%, 36%, and 14% screened positively for somatoform syndrome, generalized anxiety, depression, and PTSD, respectively. Higher pulmonary functioning related to higher self-reported physical functioning (but not to measures of mental health) at admission. Several self-reported indicators for mental and physical health improved from admission to discharge. Conclusions The current study corroborates findings about the high mental and physical burden of post-COVID condition. However, both mental and physical symptoms show partial improvement during a specialized inpatient pulmonary rehabilitation treatment.
Workplace violence is associated with negative consequences for workers, organizations, and society. Experiencing violence at work has consistently been associated with an increased risk of symptoms of depression and anxiety, diagnosis of post-traumatic stress disorder (PTSD), and suicide (1–3). Further, workplace violence has been found to increase the risk of physical health outcomes such as type 2 diabetes and cardiovascular diseases (4, 5). Workplace violence can also lead to higher rates of turnover and sick leave (1, 6), translating into a societal economic burden (7). Longitudinal studies indicate that repeated exposure to workplace violence, compared with single episodes of violence, increases the risk of PTSD and sick leave further (8–10). Moreover, a recent study shows synergistic interaction effects for simultaneous exposure to workplace violence and other psychosocial working conditions, such as high emotional demands and high quantitative demands—conditions that are typically present in the same sectors (such as healthcare and education) where violence is frequently reported (11). Prevalence of workplace violence – the problem persists In a 2022 global survey, the International Labor Organization (ILO) found that more than one-fifth of the workforce experienced violence and harassment at work during their working life (12). While this gives an idea of the magnitude of the problem, it covers large differences between countries and sectors, as well as among types o
ObjectiveThis study aimed to assess the depression, anxiety, sleep disorders, and post-traumatic stress disorder (PTSD) among healthcare workers (HCWs) in Huizhou in the post-pandemic period.MethodsA retrospective multicentric cross-sectional study was conducted from April 25 to May 25, 2023, involving 4,618 HCWs from 46 hospitals in Guangdong Province, China. Psychological well-being was measured using the PHQ-9, GAD-7, Insomnia Severity Index (ISI), and PTSD scales. Chi-square test and multivariable logistic regression were used to identify factors associated with depression, anxiety, insomnia and PTSD.ResultsThe rates of anxiety, depression, insomnia, and PTSD were 45.0%, 59.4%, 40.5%, and 10.5%, respectively. HCWs who did not experience negative events were more likely to show anxiety (OR=2.082, 95%CI:1.734-2.499), depression (OR=2.013, 95%CI:1.647-2.460) and insomnia (OR=2.013, 95%CI:1.683-2.409).ConclusionThere was a high prevalence of anxiety, depression, insomnia, and PTSD in the HCWs after the COVID-19 pandemic.
Abstract Background Armed conflict in Africa has led to displacement of over 24.2 million people, more than 1.4 million of whom are living in Uganda. Studies show that refugees living in Ugandan refugee settlements are at increased risk for post-traumatic stress disorder. However data on the prevalence of other mental health problems among refugees including depression, anxiety and substance use disorder among refugees in Uganda is lacking. Our aim was to determine the prevalence of post-traumatic stress disorder, its main psychiatric comorbidities and perceived psychosocial needs among refugees in Nakivale refugee camp. Methods We conducted a cross-sectional survey of refugee camp residents (n = 387) from nine different countries of origin. Psychiatric disorders were assessed using the MINI International Neuropsychiatric Interview (MINI) and perceived needs by the Humanitarian Emerging Settings Perceived Needs Scale (HESPER). Results The prevalence of psychiatric disorders was high among refugees as was the level of perceived needs. The most prevalent psychiatric disorders were generalized anxiety disorders (73%), post-traumatic stress disorder (PTSD) (67%), major depressive disorder (58%) and substance use disorders (30%). There was a higher level of comorbidity between PTSD and substance use disorder (OR = 5.13), major depressive disorder (OR = 4.04) and generalized anxiety disorder (OR = 3.27). In multivariate analysis, PTSD was positively associated with the perception o
Objective: The aim of the study is to determine symptoms of PTSD and anxiety disorders and evaluate related factors after six years from Marmara Earthquake in Sapanca. Method: This descriptive study was conducted in Sapanca at July-August 2005. The data of 62 participants were collected by a questionnaire which included questions about their sociodemografic characteristics and experiences in Marmara eathquake. Also Clinician Administered Post Traumatic Stress Disorder Scale [CAPS] and Beck Anxiety Inventory were questioned. Findings: Only 24.2% of participants had PTSD, 64.5% had minimal-light anxiety and 25.8% had medium-severe anxiety. There was a statistically significant difference between education status and PTSD and anxiety status [p<0.05]. Both PTSD and anxiety scores were high at low educational status. PTSD and medium to severe anxiety were significantly high at the participants who saw earthquake at their dreams and changed their daily habits [p<0.05]. Seeing earthquake at dream was found related factor with PTSD and changing daily habits was found related factor with PTSD and anxiety in the multivariable analysis. Discussion and Conclusion: In this study we found that, the effects of the earthquake on mental health were still continuing after 6 years. This results show that mental problems related with eathquake continues long period after great disasters. For this reason, community community-based interventional mental health studies are important for promoting c
To examine risk and protective processes for posttraumatic stress reactions and negative sequelae following the Northridge earthquake (EQ) among youths diagnosed for pre-EQ psychopathology.Symptoms of posttraumatic stress disorder (PTSD), depression, general anxiety, and social impairment were evaluated using telephone interviews among 66 children participating in a family-genetic study of childhood-onset depression at the time of the EQ.Significant predictors of PTSD symptoms 1 year after the EQ included perceived stress and resource loss associated with the EQ, a pre-EQ anxiety disorder, and more frequent use of cognitive and avoidance coping strategies. PTSD symptoms were associated with high rates of concurrent general anxiety symptoms, depressive symptoms, and social adjustment problems with friends. The only significant correlation between sibling scores was on measures of sibling reports of objective exposure.Preexisting anxiety disorders represent a risk factor for postdisaster PTSD reactions. Postdisaster services need to attend to the needs of these youths as well as those of youths experiencing high levels of subjective stress, resource loss, and/or high exposure. That children within families show significant variation in postdisaster reactions underscores the need for attention to individual child characteristics and unshared environmental attributes.
Dialectical Behavioral Therapy (DBT) is an evidence-based, comprehensive, transdiagnostic treatment for nonsuicidal self-injurious (NSSI) and suicidal behavior. Since its original inception into the psychotherapeutic reserve, DBT moved from a singular treatment for Borderline Personality Disorder (BPD) to the general marketplace of treatments for a range of clinical disorders, such as mood disorders, anxiety disorders, and PTSD. As many as 50% of BPD sufferers show evidence of PTSD. The comorbidity of BPD and PTSD present a unique set of challenge that complicate treatment and lead to poor treatment outcomes. For example, Prolonged Exposure protocols do not adequately address NSSI and suicidal gestures among comorbid BPD and PTSD sufferers. Consequentially, Melanie Harned’s synthesized DBT PE protocol address both sets of treatment needs and has shown positive results among severely traumatized women, male veterans, and in community samples.
Given the increasing numbers of refugees worldwide, the prevalence of their mental disorders is relevant for public health. Prevalence studies show that, in the first years of resettlement, only post-traumatic stress disorder (PTSD) rates are clearly higher in refugees than in host countries' populations. Five years after resettlement rates of depressive and anxiety disorders are also increased. Exposure to traumatic events before or during migration may explain high rates of PTSD. Evidence suggests that poor social integration and difficulties in accessing care contribute to higher rates of mental disorders in the long-term. Policy and research implications are discussed.
Abstract Background : Amputees have been noted to present with various psychiatric disorders including anxiety, body image disturbances, depression, and Post-Traumatic Stress Disorder (PTSD). However, there is limited data available on the prevalence of anxiety, depression, and PTSD among amputees in Kenya despite the high incidences of amputations in Kenyan hospitals. This study aimed at finding out the prevalence of anxiety, depression, and post-traumatic stress disorder among amputees attending the Jaipur Foot Trust Center in Kenya. Method: This study took a cross-sectional descriptive study design. One hundred and forty-one patients attending the Jaipur Foot Trust were recruited to participate in the study after giving informed consent using a non-probability purposive sampling method. A socio-demographic questionnaire was used to collect socio-demographic characteristics. The Patient Health Questionnaire (PHQ-9) was used to assess the patient's depression. The Generalized Anxiety Disorder (GAD-7) scale was used to assess the patient's anxiety level and The Impact of Event Scale (IES-R) was used to assess the severity of post-traumatic stress disorder (PTSD). Data analysis was done using Statistical Package for Social Science (SPSS) version 23. Results: Findings from this study showed high rates of psychiatric morbidity where two-thirds of the patients reported PTSD (65%) with more than three-quarters of patients being diagnosed with depression (89.4%) and anxiety (91.5%)
This article outlines the epidemiology of psychiatric disorders in individuals with traumatic brain injury (TBI), with a focus on DSM axis I disorders diagnosed on the basis of structured clinical interview. The epidemiology of psychiatric disorders in the general population is described as a basis for understanding the disorders that occur before and after TBI. For each disorder category, including mood disorders, anxiety disorders, acute stress disorder, posttraumatic stress disorder (PTSD), substance use disorders, psychotic disorders, eating disorders, somatoform disorders, and adjustment disorders, the evidence from retrospective, cross-sectional and prospective studies is reviewed, showing the frequency, time course, and predictors of the disorders. Studies show elevated rates of depressive and anxiety disorders after TBI, most commonly major depressive disorder and PTSD, usually emerging in the first year postinjury but with delayed onset in severe injury cases. Although individuals with a preinjury history are more likely to develop these disorders, the nature of the disorders may change after injury, and novel psychiatric disorders are also common. Even though the frequency of anxiety disorders diminishes over the years postinjury, depressive disorders are more persistent during postinjury years. Substance use-while high before injury-declines after injury. The frequency of psychotic, eating, somatoform, and adjustment disorders do not exceed population rates.
The purpose of this analysis was to examine quality of life and dissociation in anxiety disorder subjects with histories of trauma, some of whom met criteria for posttraumatic stress disorder (PTSD).Subjects came from a prospective, longitudinal study of anxiety disorders. Information was gathered on role, social life, suicide attempts, psychiatric hospitalization, alcohol and substance abuse, depression, and dissociation.Subjects with PTSD had the worst functioning on all of the measures examined except social life. Those with histories of trauma but no PTSD differed from subjects who reported no history of trauma, primarily in high rates of alcoholism and minor depression.PTSD has severe effects on quality of life in virtually all spheres of life. The high levels of depression, suicide attempts or gestures, and alcohol abuse are of particular concern and show that trauma can have long-lasting effects.
Among both civilian and veteran populations, substance use disorders (SUDs) and anxiety disorders frequently co-occur. One of the most common comorbid anxiety disorder is posttraumatic stress disorder (PTSD), a condition which may develop after exposure to traumatic events, such as military combat. In comparison with the general population, rates of both SUDs and PTSD are elevated among veterans. Recent data show that soldiers returning from Iraq and Afghanistan demonstrate high rates of co-occurring SUDs, PTSD, and traumatic brain injury. Careful assessment of these conditions is critical and may be complicated by symptom overlap. More research targeting integrated interventions for these conditions is needed to establish optimal treatments.
Everything we examined (14)
This check searched the claim as stated. It did not run a separate search for evidence against it.