Skip Navigation LinksHome > August 2012 - Volume 200 - Issue 8 > Generalized Anxiety Disorder: Between Neglect and an Epidemi...
Journal of Nervous & Mental Disease:
doi: 10.1097/NMD.0b013e318263f947
Original Articles

Generalized Anxiety Disorder: Between Neglect and an Epidemic

Starcevic, Vladan MD, PhD*; Portman, Michael E. DPhil, LISW-S; Beck, Aaron T. MD

Collapse Box

Abstract

Abstract: This article reviews the main issues associated with the concept and the diagnosis of generalized anxiety disorder (GAD) and examines the proposed DSM-5 diagnostic criteria for GAD. The lack of specific features, which is the primary issue for GAD, will not be addressed in DSM-5. The hallmark of the condition will remain pathological worry, although it also characterizes other disorders. Likewise, the proposed behavioral diagnostic criteria lack specificity for GAD, and it is not clear how these will be assessed. The proposed changes will lower the diagnostic threshold for GAD in DSM-5. Although this will not necessarily lead to a better recognition of GAD and an improvement in the perception of its relevance and clinical utility, many currently subthreshold cases will qualify for this diagnosis. The likely inclusion of many such “false-positives” will result in an artificial increase in the prevalence of GAD and will have further negative consequences.

© 2012 Lippincott Williams & Wilkins, Inc.

Login

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.