Jaeschke R.,Klinika Psychiatrii Doroslych SU |
Siwek M.,Klinika Psychiatrii Doroslych SU |
Grabski B.,Klinika Psychiatrii Doroslych SU |
Dudek D.,Klinika Psychiatrii Doroslych SU
Psychiatria | Year: 2010
The authors present the problem of comorbidity of anxiety disorders and depressive disorders. Although anxiety is one of the most common concomitant symptoms of depression. International Statistical Classification of Diseases and Related Health Problems (Tenth Revision) and Diagnostic and Statistical Manual of Mental Disorders , (Fourth Edition, Text Revision) classifications do not mention it among diagnostic criteria of depressive disorders. Comorbidity of those medical states is associated with more severe clinical course and greater drop-out risk. Generalized anxiety disorder is the most common comorbid anxiety disorder accompanying major depressive disorder. The latter is - on the other hand - the most prevalent complication of obsessive-compulsive disorder. Pathogenesis of the comorbidity of anxiety disorders and depressive disorders is explained by neuroendocrine, monoamine and psychological models. Data on the comorbid anxiety and depressive disorders is relatively scarce. Therapeutic strategies used in these conditions can be divided into sequential and concurrent ones. © Copyright 2010 Via Medica.