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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 ]
The following diagnostic systems and rating scales are used in psychiatry and clinical psychology.This list is by no means exhaustive or complete. For instance, in the category of depression, there are over two dozen depression rating scales that have been developed in the past eighty years.
A number of researchers have explored HADS data to establish the cut-off points for caseness of anxiety or depression. Bjelland et al (2002) [3] through a literature review of a large number of studies identified a cut-off point of 8/21 for anxiety or depression. For anxiety (HADS-A) this gave a specificity of 0.78 and a sensitivity of 0.9.
However, during a 12-month follow-up, ACT proved to be more effective, showing that it is a highly viable lasting treatment model for anxiety disorders. [106] Computerized CBT (CCBT) has been proven to be effective by randomized controlled and other trials in treating depression and anxiety disorders, [58] [61] [93] [107] [82] [108] including ...
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]
Mental fitness is intended to build resilience against every-day mental and potentially physical health challenges to prevent an escalation of anxiety, depression, and suicidal ideation. [162] This can help people, including older adults with health challenges, to more effectively cope with the escalation of those feelings if they occur. [163]
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