Chronic anxiety and social adjustment

Rahul Sangal, Genevieve Coyle, Rudolf Hoehn-Saric

Research output: Contribution to journalArticle

Abstract

Anxiety disorders have a favorable long-term prognosis. In a review of literature, Greer1 found that half of the examined cases had a satisfactory outcome. More recently, Noyes et al.2 reported that 68% of patients who had originally been seen in medical clinics and were diagnosed "anxiety neurosis," either recovered or were only mildly impaired 6 years later. Less known are factors that are responsible or are related to improvement. Noyes et al.2 found poor outcome related to higher age, longer duration of their illness, and membership in lower socio-economic class. Rickels.3 who studied effects of anxiolytic drugs on anxiety disorders, reported better results in patients with high initial symptomatology, low obsessive-compulsiveness, and fewer interpersonala and depressive components. He also reported a positive relationship between high socio-economic status and outcome. In unselected "neurotic" outpatients, many of them suffering from anxiety disorders, favorable outcome was associated with positive personality assets,4 high levels of stress at the onset of illness,4 high initial severity ratings,3 and with positive ratings of the quality of social life at the time of the follow-up.5. Mann et al.5 proposed a triaxial assessment and classification of nonpsychotic psychiatric disorders, in which symptoms, personality, and social states, are evaluated independently. Following their suggestions, we examined changes in a group of chronically anxious patients as they occurred 6-37 months after the initial evaluation.

Original languageEnglish (US)
Pages (from-to)75-78
Number of pages4
JournalComprehensive Psychiatry
Volume24
Issue number1
DOIs
StatePublished - Jan 1 1983

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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