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The ability to distinguish between anxiety and depression with this model may help increase diagnostic accuracy and help eliminate the complications that occur with comorbidity. [ 4 ] [ 5 ] According to Clark, depressed patients have a comorbidity rate of 57% for any anxiety disorder. [ 6 ]
It has been used in cognitive-behavioral treatments for anxiety disorders (e.g. exposure practices and hierarchy) and for research purposes. There is no hard and fast rule by which a patient can self assign a SUDS rating to his or her disturbance or distress, hence the name subjective. Some guidelines are:
Though the BAI was developed to minimize its overlap with the depression scale as measured by the Beck Depression Inventory, a correlation of r=.66 (p<.01) between the BAI and BDI-II was seen among psychiatric outpatients, [29] suggesting that the BAI and the BDI-II equally discriminate between anxiety and depression. [30]
Treatment sensitivity No published studies formally checking treatment sensitivity. Clinical utility Good The PHQ is free and can be completed independently by the patient; it assesses a wide array of mental health concerns. [1] PHQ-9: Content validity: Excellent Covers the DSM-IV criteria for major depressive disorder. [3]
DASS, the Depression Anxiety Stress Scales, [1] is made up of 42 self-report items to be completed over five to ten minutes, each reflecting a negative emotional symptom. [2] Each of these is rated on a four-point Likert scale of frequency or severity of the participants' experiences over the last week to emphasize states over traits.
The symptoms of anxiety and depression disorders can be very similar. A diagnosis of mixed anxiety–depressive disorder as opposed to a diagnosis of depression or an anxiety disorder can be difficult. Due to this, it has long been a struggle to find a singular set of criteria to use in the diagnosis of mixed-anxiety depressive disorder. [3]
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