Skip to main content

Dimensional Approaches to Diagnosis and the Problem of Anxiety and Depression

  • Chapter
Perspectives and Promises of Clinical Psychology

Part of the book series: Applied Clinical Psychology ((NSSB))

Abstract

For any field of scientific investigation to advance, a consensually agreed upon way to classify the phenomena of interest is required. In the United States, the prevailing way to classify the problems that bring people to mental health professionals is the Diagnostic and Statistical Manual, 3rd edition, revised (DSM-III-R, American Psychiatric Association, 1987). The DSM-III-R is primarily a categorical system, although it has dimensional components (e.g., the Axis V ratings of level of adaptive functioning). In a categorical nosology, sets of criteria are used to determine which diagnostic category best fits a person’s presenting problems. Categorical nosologies assume discontinuity and qualitative differences between categories.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Akiskal, H.S. (1985). Anxiety: Definition, relationship to depression, and proposal for an integrative model. In A.H. Tuma & J. Maser (Eds.), Anxiety and the anxiety disorders, (pp. 787–797). Hillsdale, New Jersey: Erlbaum.

    Google Scholar 

  • Alloy, L.B., Kelly, K.A., Mineka, S., & Clements, C.M. (1990). Comorbidity in anxiety and depressive disorders: A helplessness/hopelessness perspective. In J.D. Maser & R. Cloninger (Eds.), Comorbidity of anxiety and mood disorders. Washington, D.C., American Psychiatric Press, Inc.

    Google Scholar 

  • American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders, (3rd ed.). Washington, DC.: Author.

    Google Scholar 

  • American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders, (3rd ed. rev.). Washington, DC.: Author.

    Google Scholar 

  • Angst, J., & Dobler-Mikola, A. (1985). The Zurich Study: VI. A continuum from depression to anxiety disorders? European Archives of Psychiatry and Neurological Science, 235, 179–186.

    Article  Google Scholar 

  • Angst, J., Vollrath, M., Merikangas, K.R., & Ernst, C. (1990). Comorbidity of anxiety and depression in the Zurich cohort study of young adults. In J.D. Maser & CR. Cloninger, (Eds.). Comorbidity of anxiety and mood disorders. Washington, D.C., American Psychiatric Press, Inc.

    Google Scholar 

  • Barlow, D.H., Di Nardo, P.A., Vermilyea, B.B., Vermilyea, J., & Blanchard, E.B. (1986). Comorbidity and depression among anxiety disorders: Issues in diagnosis and classification. The Journal of Nervous and Mental Disease, 174, 63–72.

    Article  PubMed  Google Scholar 

  • Barlow, D.H. (1988). Anxiety and its disorders. New York: Guilford Press.

    Google Scholar 

  • Becker, J. & Kleinman, A. (in press). Psychosocial aspects of mood disorders. Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Benshoof, B.B., Moras, K., Di Nardo, P., & Barlow, D.H. (1989). A comparison of symptomatology in anxiety and depressive disorders. Unpublished manuscript, State University of New York, Center for Stress and Anxiety Disorders, Albany.

    Google Scholar 

  • Blashfield, R.K. (1990). Co-Morbidity and classification. In J. Maser & CR. Cloninger (Eds.), Comorbidity in anxiety and mood disorders, Washington, D.C.: American Psychiatric Press.

    Google Scholar 

  • Cantor, N., Smith, E.E., French, R., & Mezzich, J. (1980). Psychiatric diagnosis as prototype categorization. Journal of Abnormal Psychology, 89, 181–193.

    Article  PubMed  Google Scholar 

  • Clark, L.A. (1989). The anxiety and depressive disorders: Descriptive psychopathology and differential diagnosis. In P.C. Kendall & D. Watson (Eds.), Anxiety and depression: Distinctive and overlapping features (pp. 83–129). San Diego: Academic Press.

    Google Scholar 

  • Clark, L.A., & Watson, D. (1989). Psychometric issues relevant to a potential DSM-IV category of mixed anxiety-depression. Review paper for the DSM-IV Generalized Anxiety Disorder and Mixed Anxiety Depression Workgroup. Southern Methodist University, Dallas.

    Google Scholar 

  • De Ruiter, C., Ruken, H., Garssen, B., van Schaik, A., & Kraaimaat, F. (1989). Comorbidity among the anxiety disorders. Journal of Anxiety Disorders, 3, 57–68.

    Article  Google Scholar 

  • Di Nardo, P.A., & Barlow, D.H. (1990). Syndrome and symptom comorbidity in the anxiety disorders. In J.D. Maser & C.R. Qoninger (Eds.), Comorbidity of anxiety and mood disorders. Washington, D.C.: American Psychiatric Press.

    Google Scholar 

  • Dobson, K.S. (1985). The relationship between anxiety and depression. Clinical Psychology Review, 5, 307–324.

    Article  Google Scholar 

  • Eysenck, H.J. (1970). A dimensional system of psychdiagnostics. In A. R. Mahrer (Ed.), New approaches to personality classification (pp. 169–207). New York: Columbia University Press.

    Google Scholar 

  • Frances, A. & Widiger, T.A. (1986). Methodological issues in personality disorder diagnosis. In T. Millon & G. L. Klerman (Eds.), Contemporary directions in psychopathology: Toward the DSM-IV (pp. 381–402). New York: Guilford Press.

    Google Scholar 

  • Frances, A., Widiger, T., Fyer, M.R. (1990). The influence of classification methods on comorbidity. In J.D. Maser & CR. Cloninger (Eds.), Comorbidity of anxiety and mood disorders. Washington, D.C.: American Psychiatric Association Press.

    Google Scholar 

  • Gotlib, I.H., & Cane, D.B. (1989). Self-report assessment of depression and anxiety. In P.C. Kendall & D. Watson (Eds.), Anxiety and depression: Distinctive and overlapping features (pp. 131–169). San Diego: Academic Press.

    Google Scholar 

  • Hamilton, M. (1959). The assessment of anxiety states by rating. British Journal of Medical Psychology, 32, 50–55.

    Article  PubMed  Google Scholar 

  • Hamilton, M. (1960). A rating scale for depression. Journal of Neurology, Neurosurgery and Psychiatry, 23, 56–62.

    Article  PubMed  Google Scholar 

  • Harris, E.L., Noyes, R., Crowe, R.R., & Chaudhry, D.R. (1983). Family study of agoraphobia: Report of a pilot study. Archives of General Psychiatry, 40, 1061–1064.

    Article  PubMed  Google Scholar 

  • Hiller, W., Zaudig, M., & Bose, M. (1989). The overlap between depression and anxiety on different levels of psychopathology. Journal of Affective Disorders, 16, 223–231.

    Article  PubMed  Google Scholar 

  • Katz, M.M., Cole, J.O., & Barton, W.E. (Eds.). (1968). The role and methodology of classification in psychiatry and psychopathology (DHEW Publication No. HSM 72–9015). Washington, D.C., U.S. Government Printing Office.

    Google Scholar 

  • Kendall, P.C., & Watson, D. (Eds.). (1989). Anxiety and depression: Distinctive and overlapping features. San Diego: Academic Press.

    Google Scholar 

  • Kendell, R.E. (1975). The role of diagnosis in psychiatry. Oxford, England: Blackwell Scientific Publications.

    Google Scholar 

  • Lesser, I.M., Rubin, R.T., Pecknold, J.C., Rifkin, A., Swinson, R.P., Lydiard, R.B., Burrows, G.D., Noyes, R., & DuPont, R.L. (1988). Secondary depression in panic disorder and agoraphobia: 1. Frequency, severity, and response to treatment Archives of General Psychiatry, 45, 437–443.

    Article  PubMed  Google Scholar 

  • Lorr, M. (1986). Classifying psychotics: Dimensional and categorical approaches. In T. Millon & G. L. Klerman (Eds.), Contemporary directions in psychopathology: Toward the DSM-IV, (pp. 331–345). New York: The Guilford Press.

    Google Scholar 

  • Maser, J.D., & Cloninger, C.R. (Eds.). (1990). Comorbidity of anxiety and mood disorders. Washington, D.C.: American Psychiatric Press.

    Google Scholar 

  • McCauley, P.A., Di Nardo, P.A., & Barlow, D.H. (1987, November). Differentiating anxiety and depression using a modified scoring system for the Hamilton scales. Poster presented at the annual meeting of the Association for Advancement of Behavioral Therapy, Boston.

    Google Scholar 

  • Meehl, P.E., & Golden, R. (1982). Taxometric methods. In P. Kendall & J. Butcher (Eds.), Handbook of research methods in clinical psychology (pp. 127–181), New York: Wiley.

    Google Scholar 

  • Moras, K. (1989). Diagnostic comorbidity in the DSM-IE and III-R Anxiety and Mood Disorders: Implications for the DSM-IV. Review paper for the DSM-IV Generalized Anxiety Disorder and Mixed Anxiety Depression Workgroup. Center for Stress and Anxiety Disorders, State University of New York, Albany.

    Google Scholar 

  • Pepper, S. (1966). World hypotheses. Berkeley: University of California Press.

    Google Scholar 

  • Racagni, G., & Smeraldi, E. (Eds.). (1987). Anxious depression: Assessment and treatment. New York: Raven Press.

    Google Scholar 

  • Riskind, J.H., Beck, A.T., Brown, G., & Steer, R.A. (1987). Taking the measure of anxiety and depression: Validity of the reconstructed Hamilton scales. The Journal of Nervous and Mental Disease, 175, 474–479.

    Article  PubMed  Google Scholar 

  • Robins, L.N., Heizer, J.E., Croughan, J., & Ratcliff, K.S. (1981). National Institute of Mental Health Diagnostic Interview Schedule: Its history, characteristics, and validity. Archives of General Psychiatry, 38, 381–389.

    Article  PubMed  Google Scholar 

  • Rosch, E. (1978). Principles of categorization. In E. Rosch & B. Lloyd (Eds.), Cognition and categorization. Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Russell, J.A. (1980). A circumplex model of affect. Journal of Personality and Social Psychology, 39, 1161–1178.

    Article  Google Scholar 

  • Sanderson, W.C, Di Nardo, P.A., Rapee, R.M, & Barlow, D.H. (in press). Syndrome co-morbidity in patients diagnosed with a DSM-III-Revised anxiety disorders. Journal of Abnormal Psychology.

    Google Scholar 

  • Sanderson, W.C, & Beck, A. T. (1989). Syndrome co-morbidity in patients with major depression or dysthymia: Prevalence and temporal relationships. Manuscript submitted for publication.

    Google Scholar 

  • Skinner, H.A. (1986). Construct validation approach to psychiatric classification. In T. Millon and G.L. Klerman (Eds.), Contemporary directions in psychopathology: Toward the DSM-IV (pp. 307–330). New York: Guilford Press.

    Google Scholar 

  • Spitzer, R.L., Endicott, J., & Robins, E. (1978). Research diagnostic criteria: Rationale and reliability. Archives of General Psychiatry, 35, 773–782.

    Article  PubMed  Google Scholar 

  • Stavrakaki, C. & Vargo, B. (1986). The relationship of anxiety and depression: A review of the literature. British Journal of Psychiatry, 149, 7–16.

    Article  PubMed  Google Scholar 

  • Tellegen, A. (1985). Structures of mood and personality and their relevance to assessing anxiety, with an emphasis on self-report. In A. H. Tuma & J. Maser (Eds.), Anxiety and the anxiety disorders, (pp. 787–797). Hillsdale, New Jersey: Erlbaum.

    Google Scholar 

  • Van Valkenburg, C., Akiskal, H.S., Puzantian, V., & Rosenthal, T. (1984). Anxious depressions: Clinical, family history, and naturalistic outcome-comparisons with panic and major depressive disorders. Journal of Affective Disorders, 6, 67–82.

    Article  Google Scholar 

  • Watson, D., Clark, L.A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 1063–1070.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1991 Springer Science+Business Media New York

About this chapter

Cite this chapter

Moras, K., Barlow, D.H. (1991). Dimensional Approaches to Diagnosis and the Problem of Anxiety and Depression. In: Ehlers, A., Fiegenbaum, W., Florin, I., Margraf, J. (eds) Perspectives and Promises of Clinical Psychology. Applied Clinical Psychology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-3674-5_3

Download citation

  • DOI: https://doi.org/10.1007/978-1-4899-3674-5_3

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-3676-9

  • Online ISBN: 978-1-4899-3674-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics