Comorbidity of Anxiety and Depression : Current view and future perspective(Bases and Clinical Practice of Anxiety and Depression)

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  • 不安と抑うつの共存 : 最近の話題と今後の展望(不安と抑うつの基礎と臨床)(第37回日本心身医学会総会)
  • 不安と抑うつの共存--最近の話題と今後の展望
  • フアン ト ヨクウツ ノ キョウゾン サイキン ノ ワダイ ト コンゴ ノ テ

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It is well known that there is a large overlap between anxiety and depression, and co-occurence of one or more mental disorders is defined as comorbidity. In the primary care setting, frequent are patients who do not meet formal diagnostic criteria of mental disorders, and present anxiety and/or depression of limited number and/or intensity. Of the patients those with both anxiety and depression are tend to show severe social impairment and their outcome is not improved in spite of early recognition and treatment. Some researchers have extracted depression with severe anxious symptoms from typical depression and claim that the prognosis and their response to pharmacotherapy are diffcrent from those of typical depression. International classification of disease and related health problems (10 th version) present a new diagnostic category, mixed anxiety-depression disorder, in which both anxiety and depression are present but none of both fulfill a formal diagnostic category. The idea of "Comorbidity" comes from insufficient diagnostic marker in psychiatry, however, it may provide a cue for better psychiatric treatment.

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