Generalizability of clinical trial results for generalized anxiety disorder to community samples.

Abstract:

BACKGROUND:There has been little research on the generalizability of clinical trials for generalized anxiety disorder (GAD). The present study examines the generalizability of pharmacological and psychotherapy clinical trials' results of individuals with DSM-IV GAD to a large community sample. METHODS:Data were drawn from the National Epidemiological Survey on Alcohol and Related Conditions (NESARC), a large national representative face-to-face sample of 43,093 adults of the United States population. We applied a standard set of eligibility criteria representative of GAD pharmacological and psychotherapy clinical trials to all adults with past 12 months GAD (n = 894), and to a subgroup of participants seeking treatment (n = 329). Our aim was to assess how many participants with GAD would fulfil typical eligibility criteria. RESULTS:We found that more than seven out of 10 participants with GAD were excluded by at least one criterion. In the subgroup of GAD participants who sought treatment, the exclusion rate by at least one criterion raised to more than eight out of 10 participants with GAD. For the overall sample and the treatment-seeking subsample, having a current depression was the criterion excluding the highest percentage of individuals. Having a lifetime history of bipolar disorder, a current significant medical condition, a current diagnosis of alcohol abuse or dependence, and a social or specific phobia also excluded a substantial proportion of individuals in both samples. CONCLUSIONS:Clinical trials exclude a majority of adults with GAD. Clinical trials should carefully consider the impact of eligibility criteria on the generalizability of their results.

journal_name

Depress Anxiety

journal_title

Depression and anxiety

authors

Hoertel N,Le Strat Y,Blanco C,Lavaud P,Dubertret C

doi

10.1002/da.21937

subject

Has Abstract

pub_date

2012-07-01 00:00:00

pages

614-20

issue

7

eissn

1091-4269

issn

1520-6394

journal_volume

29

pub_type

杂志文章
  • Psychometric properties of the dimensional anxiety scales for DSM-V in an unselected sample of German treatment seeking patients.

    abstract:BACKGROUND:Dimensional assessments are planned to be included as supplements to categorical diagnoses in DSM-V. The aim of this study was to examine the unidimensionality, reliability, validity, and clinical sensitivity of brief self-rated scales for specific anxiety disorders in an unselected German sample of consecut...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.21994

    authors: Beesdo-Baum K,Klotsche J,Knappe S,Craske MG,Lebeau RT,Hoyer J,Strobel A,Pieper L,Wittchen HU

    更新日期:2012-12-01 00:00:00

  • ASSOCIATION STUDY BETWEEN OLIGODENDROCYTE TRANSCRIPTION FACTOR 2 GENE AND OBSESSIVE-COMPULSIVE DISORDER IN A CHINESE HAN POPULATION.

    abstract:BACKGROUND:Oligodendrocyte transcription factor 2 (OLIG2) is primarily concentrated in the brain and spinal cord ventricular zone, where this protein stimulates oligodendrocytes and specific neurons, determines motor neuron and oligodendrocyte differentiation, and sustains replication in early development. Recent studi...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.22394

    authors: Zhang X,Liu J,Guo Y,Jiang W,Yu J

    更新日期:2015-10-01 00:00:00

  • Effects of sertraline on depressive symptoms and attentional and executive functions in major depression.

    abstract::Reports on the severity and reversibility of cognitive disturbances in major depression in the literature diverge due to methodological biases. The present study, using a precise methodology, examined attention and executive functions in 20 relatively young, depressed patients presenting a first or second episode of u...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.20060

    authors: Constant EL,Adam S,Gillain B,Seron X,Bruyer R,Seghers A

    更新日期:2005-01-01 00:00:00

  • Psychological resilience in older U.S. veterans: results from the national health and resilience in veterans study.

    abstract:BACKGROUND:Although a large body of empirical research has examined negative psychological outcomes in older veterans, relatively little is known about the prevalence and determinants of psychological resilience in this population. METHODS:A nationally representative sample of 2,025 U.S. veterans aged 60 and older (me...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.22083

    authors: Pietrzak RH,Cook JM

    更新日期:2013-05-01 00:00:00

  • The role of early adverse experience and adulthood stress in the prediction of neuroendocrine stress reactivity in women: a multiple regression analysis.

    abstract::Sensitization of stress-responsive neurobiological systems as a possible consequence of early adverse experience has been implicated in the pathophysiology of mood and anxiety disorders. In addition to early adversities, adulthood stressors are also known to precipitate the manifestation of these disorders. The presen...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.10015

    authors: Heim C,Newport DJ,Wagner D,Wilcox MM,Miller AH,Nemeroff CB

    更新日期:2002-01-01 00:00:00

  • Sex differences in DNA methylation may contribute to risk of PTSD and depression: a review of existing evidence.

    abstract::There are well-established sex differences in the prevalence of certain mental disorders. Work in animal models has provided us with an emerging understanding of the role that epigenetic factors play in establishing sex differences in the brain during development. Similarly, work in animal models, and a more limited b...

    journal_title:Depression and anxiety

    pub_type: 杂志文章,评审

    doi:10.1002/da.22167

    authors: Uddin M,Sipahi L,Li J,Koenen KC

    更新日期:2013-12-01 00:00:00

  • Race and religion: differential prediction of anxiety symptoms by religious coping in African American and European American young adults.

    abstract:BACKGROUND:Psychosocial factors, including religious coping, consistently have been implicated in the expression of anxiety disorders. This study sought to investigate the relationship between religious coping on anxiety symptoms among a nonclinical sample of African American and European American young adults. METHOD...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.20510

    authors: Chapman LK,Steger MF

    更新日期:2010-03-01 00:00:00

  • Treatment of severe depression with the selective serotonin reuptake inhibitors.

    abstract::The selective serotonin reuptake inhibitors (SSRIs) are recognized as effective as and better tolerated than older antidepressant therapies and have become the drugs of choice in the treatment of mild to moderate depression. However, there is a clinical impression that the SSRIs are less effective than older therapies...

    journal_title:Depression and anxiety

    pub_type: 杂志文章,评审

    doi:10.1002/(SICI)1520-6394(1996)4:4<182::AID-DA4>3.0.

    authors: Schatzberg AF

    更新日期:1996-01-01 00:00:00

  • Impaired neural habituation to neutral faces in families genetically enriched for social anxiety disorder.

    abstract:BACKGROUND:Social anxiety disorder (SAD) is an incapacitating disorder running in families. Previous work associated social fearfulness with a failure to habituate, but the habituation response to neutral faces has, as of yet, not been investigated in patients with SAD and their family members concurrently. Here, we ex...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.22962

    authors: Bas-Hoogendam JM,van Steenbergen H,Blackford JU,Tissier RLM,van der Wee NJA,Westenberg PM

    更新日期:2019-12-01 00:00:00

  • The utility of the Generalized Anxiety Disorder Severity Scale (GADSS) with older adults in primary care.

    abstract:BACKGROUND:The Generalized Anxiety Disorder Severity Scale (GADSS) is an interview rating scale designed specifically for assessing symptom severity of generalized anxiety disorder (GAD), which has demonstrated positive psychometric data in a sample of adult primary care patients with GAD and panic disorder. However, t...

    journal_title:Depression and anxiety

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/da.20520

    authors: Weiss BJ,Calleo J,Rhoades HM,Novy DM,Kunik ME,Lenze EJ,Stanley MA

    更新日期:2009-01-01 00:00:00

  • Parental predictors of pediatric panic disorder/agoraphobia: a controlled study in high-risk offspring.

    abstract::Our objective was to evaluate parental risk factors for pediatric-onset panic disorder/agoraphobia (PD/AG) in offspring at high risk for PD/AG. Comparisons were made between parents with PD who had a child with PD or AG (N = 27) and parents with PD without children with PD or AG (N = 79). Comparisons were also made be...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.20122

    authors: Biederman J,Petty C,Faraone SV,Hirshfeld-Becker DR,Henin A,Dougherty M,Lebel TJ,Pollack M,Rosenbaum JF

    更新日期:2005-01-01 00:00:00

  • Adverse effects of antidepressant use in pregnancy: an evaluation of fetal growth and preterm birth.

    abstract:OBJECTIVE:To compare the rates of low birth weight, preterm delivery and small for gestational age (SGA), in pregnancy outcomes among women who were exposed and nonexposed to antidepressants during pregnancy. METHODS:At The Motherisk Program, we analyzed pregnancy outcomes of 1,243 women in our database who took vario...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.20598

    authors: Einarson A,Choi J,Einarson TR,Koren G

    更新日期:2010-01-01 00:00:00

  • Cortisol awakening response in adolescents with acute sexual abuse related posttraumatic stress disorder.

    abstract:BACKGROUND:Little is known regarding changes in the hypothalamic-pituitary-adrenal axis (HPA axis) of adolescent girls with and without posttraumatic stress disorder (PTSD) who have recently experienced sexual abuse. Therefore, in this pilot study, we utilized non-stressed home saliva collection three times a day for t...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.22154

    authors: Keeshin BR,Strawn JR,Out D,Granger DA,Putnam FW

    更新日期:2014-02-01 00:00:00

  • Potential mechanisms of the sleep therapies for depression.

    abstract::Sleep deprivation for one night has been investigated as a treatment for depression since the first publications describing its antidepressant properties almost 30 years ago [Pflug and Tolle, 1971: Int Pharmacopsychiatry 6:187-196]. It remains a field of active research. It is the only intervention consistently demons...

    journal_title:Depression and anxiety

    pub_type: 杂志文章,评审

    doi:10.1002/da.1044

    authors: Ringel BL,Szuba MP

    更新日期:2001-01-01 00:00:00

  • Investigation of telomere length and psychological stress in rape victims.

    abstract:BACKGROUND:Women are at an increased risk of depression and other mental health problems following rape. Various etiological factors for depression, including predisposing genetic factors, have been identified. Telomeres are repetitive nucleoprotein structures located at chromosomal ends that protect them from prematur...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.20903

    authors: Malan S,Hemmings S,Kidd M,Martin L,Seedat S

    更新日期:2011-12-21 00:00:00

  • Impact of childhood adversity on the course and suicidality of depressive disorders: the CRESCEND study.

    abstract:OBJECTIVE:The impact of childhood adversity persists across the life course. This study aimed to investigate the associations of childhood adversity with the course, suicidality, and treatment outcomes of depressive disorders. METHOD:A total of 919 people with depressive disorders were recruited. Childhood adversities...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.22088

    authors: Kim SW,Kang HJ,Kim SY,Kim JM,Yoon JS,Jung SW,Lee MS,Yim HW,Jun TY

    更新日期:2013-10-01 00:00:00

  • Complicated grief associated with hurricane Katrina.

    abstract:BACKGROUND:Although losses are important consequences of disasters, few epidemiological studies of disasters have assessed complicated grief (CG) and none assessed CG associated with losses other than death of loved one. METHODS:Data come from the baseline survey of the Hurricane Katrina Community Advisory Group, a re...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.20865

    authors: Shear MK,McLaughlin KA,Ghesquiere A,Gruber MJ,Sampson NA,Kessler RC

    更新日期:2011-08-01 00:00:00

  • Duration of last depressive episode may influence serum BDNF levels in remitted patients with major depression.

    abstract:BACKGROUND:Brain-derived neurotrophic factor (BDNF) may have an important role in the pathophysiology of depression. Previous studies indicate that serum BDNF levels were lower in patients with depression and increased after treatment with antidepressants. However, results of studies on serum BDNF levels in remitted pa...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.21933

    authors: Takebayashi N,Maeshima H,Baba H,Nakano Y,Satomura E,Kita Y,Namekawa Y,Nomoto H,Suzuki T,Arai H

    更新日期:2012-09-01 00:00:00

  • Morbidity of comorbid psychiatric diagnoses in the clinical presentation of panic disorder.

    abstract::This study seeks to determine how panic disorder patients with anxiety and depression comorbidity differ from panic disorder patients without comorbidity at the time of presentation for treatment. One-hundred seventy-one panic disorder patients presenting for their initial assessment and treatment at the Payne Whitney...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/1520-6394(2000)12:2<78::AID-DA3>3.0.CO;2-5

    authors: Apfeldorf WJ,Spielman LA,Cloitre M,Heckelman L,Shear MK

    更新日期:2000-01-01 00:00:00

  • Fluoxetine in child and adolescent depression: acute and maintenance treatment.

    abstract::The objective was to present naturalistic 1-year follow-up information of 96 child and adolescent outpatients with major depressive disorder who had been randomized in an 8-week double-blind, placebo-controlled trial of fluoxetine. Subjects were children and adolescents, ages 8-18 years, who were entered in a randomiz...

    journal_title:Depression and anxiety

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1002/(sici)1520-6394(1998)7:1<32::aid-da4>3.0.c

    authors: Emslie GJ,Rush AJ,Weinberg WA,Kowatch RA,Carmody T,Mayes TL

    更新日期:1998-01-01 00:00:00

  • Brain activation during fear extinction predicts exposure success.

    abstract:BACKGROUND:Exposure therapy, a gold-standard treatment for anxiety disorders, is assumed to work via extinction learning, but this has never been tested. Anxious individuals demonstrate extinction learning deficits, likely related to less ventromedial prefrontal cortex (vmPFC) and more amygdala activation, but the rela...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.22583

    authors: Ball TM,Knapp SE,Paulus MP,Stein MB

    更新日期:2017-03-01 00:00:00

  • EEG effects of ECT: implications for rTMS.

    abstract::Electroconvulsive therapy (ECT) involves the use of electrical stimulation to elicit a series of generalized tonic-clonic seizures for therapeutic purposes and is the most effective treatment known for major depression. These treatments have significant neurophysiologic effects, many of which are manifest in the elect...

    journal_title:Depression and anxiety

    pub_type: 杂志文章,评审

    doi:10.1002/1520-6394(2000)12:3<157::AID-DA7>3.0.CO;2-

    authors: Krystal AD,West M,Prado R,Greenside H,Zoldi S,Weiner RD

    更新日期:2000-01-01 00:00:00

  • Endogenous oxytocin is associated with the experience of compassion and recalled upbringing in Borderline Personality Disorder.

    abstract:BACKGROUND/OBJECTIVE:The role of the neuropeptide oxytocin (OT) in Borderline Personality Disorder (BPD) is poorly understood. It is particularly unknown how early experiences with caregivers moderate the action of OT in BPD. Here, we examined the association of plasma OT levels in BPD patients with the experience of c...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.22683

    authors: Ebert A,Edel MA,Gilbert P,Brüne M

    更新日期:2018-01-01 00:00:00

  • Obsessive-compulsive disorder in youth with and without a chronic tic disorder.

    abstract::The goal of this study was to discriminate subtypes of pediatric obsessive-compulsive disorder (OCD) among youth with and without a comorbid tic disorder. Seventy-four youth (M(age)=9.7+/-2.3 years) with a principal diagnosis of OCD, with (n=46) or without (n=28) a comorbid tic disorder, were assessed with a semi-stru...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.20304

    authors: Storch EA,Stigge-Kaufman D,Marien WE,Sajid M,Jacob ML,Geffken GR,Goodman WK,Murphy TK

    更新日期:2008-01-01 00:00:00

  • Transdiagnostic versus diagnosis-specific cbt for anxiety disorders: a preliminary randomized controlled noninferiority trial.

    abstract:BACKGROUND:Transdiagnostic cognitive-behavioral treatments for anxiety disorders have been gaining increased attention and empirical study in recent years. Despite this, research on transdiagnostic anxiety treatments has, to date, relied on open trials, or comparisons to waitlist conditions, published benchmarks, or re...

    journal_title:Depression and anxiety

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/da.21974

    authors: Norton PJ,Barrera TL

    更新日期:2012-10-01 00:00:00

  • Approach-avoidance coping conflict in a sample of burn patients at risk for posttraumatic stress disorder.

    abstract:BACKGROUND:Following an acute burn injury, higher distress is consistently observed among individuals exhibiting a conflict between approach coping (e.g., processing) and avoidance coping (e.g., suppression) relative to those individuals who use only one of these methods. Study objectives were to determine if contradic...

    journal_title:Depression and anxiety

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/da.20439

    authors: Fauerbach JA,Lawrence JW,Fogel J,Richter L,Magyar-Russell G,McKibben JB,McCann U

    更新日期:2009-01-01 00:00:00

  • Developing biomarkers in mood disorders research through the use of rapid-acting antidepressants.

    abstract::An impediment to progress in mood disorders research is the lack of analytically valid and qualified diagnostic and treatment biomarkers. Consistent with the National Institute of Mental Health (NIMH)'s Research Domain Criteria (RDoC) initiative, the lack of diagnostic biomarkers has precluded us from moving away from...

    journal_title:Depression and anxiety

    pub_type: 杂志文章,评审

    doi:10.1002/da.22224

    authors: Niciu MJ,Mathews DC,Nugent AC,Ionescu DF,Furey ML,Richards EM,Machado-Vieira R,Zarate CA Jr

    更新日期:2014-04-01 00:00:00

  • KETAMINE FOR TREATMENT-RESISTANT UNIPOLAR AND BIPOLAR MAJOR DEPRESSION: CRITICAL REVIEW AND IMPLICATIONS FOR CLINICAL PRACTICE.

    abstract::There is an urgent need for more rapidly effective pharmacotherapies for major depressive disorder and bipolar disorder (BP) that are efficacious and tolerable for depressed patients who respond poorly to conventional treatments. Multiple controlled trials have now demonstrated a rapid, nonsustained antidepressive res...

    journal_title:Depression and anxiety

    pub_type: 杂志文章,评审

    doi:10.1002/da.22505

    authors: Bobo WV,Vande Voort JL,Croarkin PE,Leung JG,Tye SJ,Frye MA

    更新日期:2016-08-01 00:00:00

  • Competitive memory training (COMET) for treating low self-esteem in patients with depressive disorders: a randomized clinical trial.

    abstract:BACKGROUND:Self-esteem is a major concern in mood disorders. Low self-esteem is a symptom of depressive disorders and is considered by some to be a predictor for relapse, whereas high self-esteem seems to buffer against depression. Recently, Competitive Memory Training (COMET) has shown to be effective for the enhancem...

    journal_title:Depression and anxiety

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/da.20921

    authors: Korrelboom K,Maarsingh M,Huijbrechts I

    更新日期:2012-02-01 00:00:00

  • Uncertainty increases neural indices of attention in obsessive-compulsive disorder.

    abstract:BACKGROUND:Patients with obsessive-compulsive disorder (OCD) experience abnormally high levels of uncertainty, and unpredictability is evaluated negatively and not well tolerated. The current study examined neural correlates of attentional processing in response to experimentally induced uncertainty in OCD. METHODS:Tw...

    journal_title:Depression and anxiety

    pub_type: 杂志文章

    doi:10.1002/da.22655

    authors: Dieterich R,Endrass T,Kathmann N

    更新日期:2017-11-01 00:00:00