TY - CHAP
T1 - Comorbid anxiety and depression
T2 - Clinical and conceptual consideration and transdiagnostic treatment
AU - Choi, Kwan Woo
AU - Kim, Yong Ku
AU - Jeon, Hong Jin
PY - 2020/1/1
Y1 - 2020/1/1
N2 - Although anxiety and depression have been considered as two distinct entities according to the diagnostic criteria, anxious depression (comorbid anxiety and depression) is relatively a common syndrome. According to the DSM-5 criteria, it uses “with anxious distress specifier” to define anxious depression in its MDD section. Anxious depression is known to have different neurobiological profiles compared to non-anxious depression. Several studies have revealed significant differences between anxious depression and non-anxious depression regarding the hypothalamic-pituitary-adrenal (HPA) axis function, structural and functional brain imaging findings, inflammation markers, etc. Patients with anxious depression were significantly more likely to be found in primary care setting and more likely to be associated with female gender, non-single, unemployed, less educated, and more severe depression. Previous reports also showed that patients with anxious depression had more frequent episodes of major depression and a higher risk of suicidal ideation and previous suicide attempts than those with non-anxious depression. Although anxious depression is known to be associated with poor treatment outcomes in several studies, recent researches have sought to find better treatment strategy to improve patients with anxious depression.
AB - Although anxiety and depression have been considered as two distinct entities according to the diagnostic criteria, anxious depression (comorbid anxiety and depression) is relatively a common syndrome. According to the DSM-5 criteria, it uses “with anxious distress specifier” to define anxious depression in its MDD section. Anxious depression is known to have different neurobiological profiles compared to non-anxious depression. Several studies have revealed significant differences between anxious depression and non-anxious depression regarding the hypothalamic-pituitary-adrenal (HPA) axis function, structural and functional brain imaging findings, inflammation markers, etc. Patients with anxious depression were significantly more likely to be found in primary care setting and more likely to be associated with female gender, non-single, unemployed, less educated, and more severe depression. Previous reports also showed that patients with anxious depression had more frequent episodes of major depression and a higher risk of suicidal ideation and previous suicide attempts than those with non-anxious depression. Although anxious depression is known to be associated with poor treatment outcomes in several studies, recent researches have sought to find better treatment strategy to improve patients with anxious depression.
KW - Anxious depression
KW - Comorbid anxiety and depressive disorder
KW - DSM-5
KW - Major depressive disorder
KW - RDoC
UR - http://www.scopus.com/inward/record.url?scp=85078710400&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85078710400&partnerID=8YFLogxK
U2 - 10.1007/978-981-32-9705-0_14
DO - 10.1007/978-981-32-9705-0_14
M3 - Chapter
C2 - 32002932
AN - SCOPUS:85078710400
T3 - Advances in Experimental Medicine and Biology
SP - 219
EP - 235
BT - Advances in Experimental Medicine and Biology
PB - Springer
ER -