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Anxiety Disorders

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Diagnostic Interviewing

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Abstract

Anxiety disorders are common in virtually all cultures; however, accurately diagnosing them can be challenging. This chapter briefly describes each of the anxiety disorders categorized in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and available diagnostic interviewing tools. The advantages and weaknesses of various interviewing and assessment strategies for anxiety disorders are discussed. Issues related to diversity, differential diagnosis, and other noteworthy diagnostic considerations are described to provide context for attending to individual differences and evaluating complex presentations. We also make recommendations for best practices when evaluating anxiety disorders.

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References

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5). Arlington, VA: American Psychiatric Publications.

    Book  Google Scholar 

  • American Psychiatric Association. (2014). Desk reference to the diagnostic criteria from DSM-5. Arlington, VA: American Psychiatric Publications.

    Google Scholar 

  • American Psychological Association. (2014). Guidelines for psychological practice with older adults. American Psychologist, 69(1), 34–65.

    Article  Google Scholar 

  • Asnaani, A., Richey, J. A., Dimaite, R., Hinton, D. E., & Hofmann, S. G. (2010). A cross-ethnic comparison of lifetime prevalence rates of anxiety disorders. The Journal of Nervous and Mental Disease, 198(8), 551–555.

    Article  Google Scholar 

  • Asmundson, G. J., Taylor, S., & Smits, J. (2014). Panic disorder and agoraphobia: An overview and commentary on DSM-5 changes. Depression and Anxiety, 31(6), 480–486.

    Article  Google Scholar 

  • Barlow, D. H. (2004). Anxiety and its disorders: The nature and treatment of anxiety and panic. New York, NY: Guilford Press.

    Google Scholar 

  • Basco, M. R., Bostic, J. Q., Davies, D., Rush, A. J., Witte, B., Hendrickse, W., & Barnett, V. (2000). Methods to improve diagnostic accuracy in a community mental health setting. American Journal of Psychiatry, 157(10), 1599–1605.

    Article  Google Scholar 

  • Beck, A. T., & Clark, D. A. (1997). An information processing model of anxiety: Automatic and strategic processes. Behaviour Research and Therapy, 35(1), 49–58.

    Article  Google Scholar 

  • Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56(6), 893–897.

    Article  Google Scholar 

  • Bergman, R. L., Piacentini, J., & McCracken, J. T. (2002). Prevalence and description of selective mutism in a school-based sample. Journal of the American Academy of Child & Adolescent Psychiatry, 41(8), 938–946.

    Article  Google Scholar 

  • Bögels, S. M., & Zigterman, D. (2000). Dysfunctional cognitions in children with social phobia, separation anxiety disorder, and generalized anxiety disorder. Journal of Abnormal Child Psychology, 28(2), 205–211.

    Article  Google Scholar 

  • Borkovec, T. D., & Ruscio, A. M. (2001). Psychotherapy for generalized anxiety disorder. Journal of Clinical Psychiatry, 62(Suppl11), 37–42.

    Google Scholar 

  • Breslau, J., Aguilar-Gaxiola, S., Kendler, K. S., Su, M., Williams, D., & Kessler, R. C. (2006). Specifying race-ethnic differences in risk for psychiatric disorder in a USA national sample. Psychological Medicine, 36(1), 57–68.

    Article  Google Scholar 

  • Briggs-Gowan, M. J., Carter, A. S., & Schwab-Stone, M. (1996). Discrepancies among mother, child, and teacher reports: Examining the contributions of maternal depression and anxiety. Journal of Abnormal Child Psychology, 24(6), 749–765.

    Article  Google Scholar 

  • Brown, T. A., Barlow, D. H., & Di Nardo, P. A. (2014). Anxiety disorders interview schedule for DSM-5 (ADIS-5): Client interview schedule. New York: Oxford University Press.

    Google Scholar 

  • Byers, A. L., Yaffe, K., Covinsky, K. E., Friedman, M. B., & Bruce, M. L. (2010). High occurrence of mood and anxiety disorders among older adults: The National Comorbidity Survey Replication. Archives of General Psychiatry, 67(5), 489–496.

    Article  Google Scholar 

  • Carleton, R. N., Norton, M. P. J., & Asmundson, G. J. (2007). Fearing the unknown: A short version of the Intolerance of Uncertainty Scale. Journal of Anxiety Disorders, 21(1), 105–117.

    Article  Google Scholar 

  • Chambless, D. L., Caputo, G. C., Bright, P., & Gallagher, R. (1984). Assessment of fear of fear in agoraphobics: The body sensations questionnaire and the agoraphobic cognitions questionnaire. Journal of Consulting and Clinical Psychology, 52(6), 1090–1097.

    Article  Google Scholar 

  • Chapman, E. N., Kaatz, A., & Carnes, M. (2013). Physicians and implicit bias: How doctors may unwittingly perpetuate health care disparities. Journal of General Internal Medicine, 28(11), 1504–1510.

    Article  Google Scholar 

  • Chou, T., Asnaani, A., & Hofmann, S. G. (2012). Perception of racial discrimination and psychopathology across three US ethnic minority groups. Cultural Diversity and Ethnic Minority Psychology, 18(1), 74–81.

    Article  Google Scholar 

  • Conner, K. O., Copeland, V. C., Grote, N. K., Koeske, G., Rosen, D., Reynolds, C. F., III, & Brown, C. (2010). Mental health treatment seeking among older adults with depression: The impact of stigma and race. The American Journal of Geriatric Psychiatry, 18(6), 531–543.

    Article  Google Scholar 

  • Costello, E. J., Egger, H. L., & Angold, A. (2005). The developmental epidemiology of anxiety disorders: Phenomenology, prevalence, and comorbidity. Child and Adolescent Psychiatric Clinics, 14(4), 631–648.

    Article  Google Scholar 

  • Craske, M. (2003). Origins of phobias and anxiety disorders: Why more women than men? (BRAT series on clinical psychology) (1st ed.). Amsterdam: Elsevier.

    Google Scholar 

  • Craske, M. G., & Tsao, J. C. I. (1999). Self-monitoring with panic and anxiety disorders. Psychological Assessment, 11(4), 466–479.

    Article  Google Scholar 

  • Dugas, M. J., Buhr, K., & Ladouceur, R. (2004). The role of intolerance of uncertainty in etiology and maintenance. In R. G. Heimberg, C. L. Turk, & D. S. Mennin (Eds.), Generalized anxiety disorder: Advances in research and practice (pp. 143–163). New York, NY: Guilford Press.

    Google Scholar 

  • Dugas, M. J., Gosselin, P., & Ladouceur, R. (2001). Intolerance of uncertainty and worry: Investigating specificity in a nonclinical sample. Cognitive Therapy and Research, 25(5), 551–558.

    Article  Google Scholar 

  • Edelstein, B. A., Woodhead, E. L., Segal, D. L., Heisel, M. J., Bower, E. H., Lowery, A. J., & Stoner, S. A. (2007). Older adult psychological assessment: Current instrument status and related considerations. Clinical Gerontologist, 31(3), 1–35.

    Article  Google Scholar 

  • Ehring, T., & Watkins, E. R. (2008). Repetitive negative thinking as a transdiagnostic process. International Journal of Cognitive Therapy, 1(3), 192–205.

    Article  Google Scholar 

  • Eisenberg, D., Gollust, S. E., Golberstein, E., & Hefner, J. L. (2007). Prevalence and correlates of depression, anxiety, and suicidality among university students. American Journal of Orthopsychiatry, 77(4), 534–542.

    Article  Google Scholar 

  • First, M. B., Williams, J. B., Karg, R. S., & Spitzer, R. L. (2016). SCID-5-CV: Structured clinical interview for DSM-5 disorders: Clinician version. Arlington, VA: American Psychiatric Association.

    Google Scholar 

  • Foa, E. B., Huppert, J. D., Leiberg, S., Langner, R., Kichic, R., Hajcak, G., & Salkovskis, P. M. (2002). The Obsessive-Compulsive Inventory: Development and validation of a short version. Psychological Assessment, 14(4), 485–496.

    Article  Google Scholar 

  • Goodman, J. H., Watson, G. R., & Stubbs, B. (2016). Anxiety disorders in postpartum women: A systematic review and meta-analysis. Journal of Affective Disorders, 203, 292–331.

    Article  Google Scholar 

  • Hallion, L. S., & Ruscio, A. M. (2013). Should uncontrollable worry be removed from the definition of GAD? A test of incremental validity. Journal of Abnormal Psychology, 122(2), 369–375.

    Article  Google Scholar 

  • Heimberg, R. G., & Magee, L. (2014). Social anxiety disorder. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders: A step-by-step treatment manual (pp. 114–154). New York, NY: Guilford Publications.

    Google Scholar 

  • Hofmann, S. G., Asnaani, A., & Hinton, D. E. (2010). Cultural aspects in social anxiety and social anxiety disorder. Depression and Anxiety, 27(12), 1117–1127.

    Article  Google Scholar 

  • Hudson, C. G. (2005). Socioeconomic status and mental illness: Tests of the social causation and selection hypotheses. American Journal of Orthopsychiatry, 75(1), 3–18.

    Article  Google Scholar 

  • Hunsley, J., & Mash, E. J. (2007). Evidence-based assessment. Annual Review of Clinical Psychology, 3, 29–51.

    Google Scholar 

  • Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 593–602.

    Article  Google Scholar 

  • Leyro, T. M., Zvolensky, M. J., & Bernstein, A. (2010). Distress tolerance and psychopathological symptoms and disorders: A review of the empirical literature among adults. Psychological Bulletin, 136(4), 576–600.

    Article  Google Scholar 

  • Liebowitz, M. R. (1987). Social phobia. Modern Problems of Pharmacopsychiatry, 22, 141–173.

    Google Scholar 

  • Loughnan, S. A., Wallace, M., Joubert, A. E., Haskelberg, H., Andrews, G., & Newby, J. M. (2018). A systematic review of psychological treatments for clinical anxiety during the perinatal period. Archives of Women’s Mental Health, 21(5), 481–490.

    Article  Google Scholar 

  • Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the depression anxiety stress scales. Sydney: Psychology Foundation of Australia.

    Google Scholar 

  • Matthey, S., Barnett, B., Howie, P., & Kavanagh, D. J. (2003). Diagnosing postpartum depression in mothers and fathers: Whatever happened to anxiety? Journal of Affective Disorders, 74(2), 139–147.

    Article  Google Scholar 

  • Matud, M. P. (2004). Gender differences in stress and coping styles. Personality and Individual Differences, 37(7), 1401–1415.

    Article  Google Scholar 

  • McLaughlin, K. A., & Nolen-Hoeksema, S. (2011). Rumination as a transdiagnostic factor in depression and anxiety. Behaviour Research and Therapy, 49(3), 186–193.

    Article  Google Scholar 

  • McLean, C. P., Asnaani, A., Litz, B. T., & Hofmann, S. G. (2011). Gender differences in anxiety disorders: Prevalence, course of illness, comorbidity and burden of illness. Journal of Psychiatric Research, 45(8), 1027–1035.

    Article  Google Scholar 

  • Merikangas, K. R., He, J. P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., … Swendsen, J. (2010). Lifetime prevalence of mental disorders in US adolescents: Results from the National Comorbidity Survey Replication–Adolescent Supplement (NCS- A). Journal of the American Academy of Child & Adolescent Psychiatry, 49(10), 980–989.

    Article  Google Scholar 

  • Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 28(6), 487–495.

    Article  Google Scholar 

  • Miller, P. R., Dasher, R., Collins, R., Griffiths, P., & Brown, F. (2001). Inpatient diagnostic assessments: 1. Accuracy of structured vs. unstructured interviews. Psychiatry Research, 105(3), 255–264.

    Article  Google Scholar 

  • Newman, M. G., Zuellig, A. R., Kachin, K. E., Constantino, M. J., Przeworski, A., Erickson, T., & Cashman-McGrath, L. (2002). Preliminary reliability and validity of the Generalized Anxiety Disorder Questionnaire-IV: A revised self-report diagnostic measure of generalized anxiety disorder. Behavior Therapy, 33(2), 215–233.

    Google Scholar 

  • Ollendick, T. H., & Hirshfeld-Becker, D. R. (2002). The developmental psychopathology of social anxiety disorder. Biological Psychiatry, 51(1), 44–58.

    Article  Google Scholar 

  • Pachana, N. A., Byrne, G. B., Siddle, H., Koloski, N., Harley, E., & Arnold, E. (2007). Development and validation of the Geriatric Anxiety Inventory. International Psychogeriatrics, 19, 103–114.

    Google Scholar 

  • Puliafico, A. C., Comer, J. S., & Pincus, D. B. (2012). Adapting parent-child interaction therapy to treat anxiety disorders in young children. Child and Adolescent Psychiatric Clinics, 21(3), 607–619.

    Article  Google Scholar 

  • Peterson, R. A. (2001). On the use of college students in social science research: Insights from a second-order meta-analysis. Journal of Consumer Research, 28(3), 450–461.

    Article  Google Scholar 

  • Pieper, M. J., Francke, A. L., van der Steen, J. T., Scherder, E. J., Twisk, J. W., Kovach, C. R., & Achterberg, W. P. (2016). Effects of a stepwise multidisciplinary intervention for challenging behavior in advanced dementia: A cluster randomized controlled trial. Journal of the American Geriatrics Society, 64(2), 261–269.

    Article  Google Scholar 

  • Rapee, R. M., & Heimberg, R. G. (1997). A cognitive-behavioral model of anxiety in social phobia. Behaviour Research and Therapy, 35(8), 741–756.

    Article  Google Scholar 

  • Roy-Byrne, P. P., Joesch, J. M., Wang, P. S., & Kessler, R. C. (2009). Low socioeconomic status and mental health care use among respondents with anxiety and depression in the NCS- R. Psychiatric Services, 60(9), 1190–1197.

    Article  Google Scholar 

  • Segal, D. L., June, A., Payne, M., Coolidge, F. L., & Yochim, B. (2010). Development and initial validation of a self-report assessment tool for anxiety among older adults: The Geriatric Anxiety Scale. Journal of Anxiety Disorders, 24, 709–714.

    Article  Google Scholar 

  • Shear, M. K., Brown, T. A., Barlow, D. H., Money, R., Sholomskas, D. E., Woods, S. W., … Papp, L. A. (1997). Multicenter collaborative Panic Disorder Severity Scale. American Journal of Psychiatry, 154, 1571–1575.

    Article  Google Scholar 

  • Sheehan, D. V. (2015). Mini international neuropsychiatric interview 7.0. Jacksonville, FL: Medical Outcomes Systems.

    Google Scholar 

  • Silverman, W. K., Saavedra, L. M., & Pina, A. A. (2001). Test-retest reliability of anxiety symptoms and diagnoses with the Anxiety Disorders Interview Schedule for DSM-IV: Child and parent versions. Journal of the American Academy of Child & Adolescent Psychiatry, 40(8), 937–944.

    Article  Google Scholar 

  • Simons, J., & Gaher, R. (2005). The Distress Tolerance Scale: Development and validation of a self-report measure. Motivation and Emotion, 29, 83–102.

    Article  Google Scholar 

  • Southam-Gerow, M. A., & Chorpita, B. F. (2007). Anxiety in children and adolescents. In E. J. Mash & R. A. Barkley (Eds.), Assessment of childhood disorders (4th ed., pp. 347–397). New York, NY: Guilford Press.

    Google Scholar 

  • Spielberger, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.

    Google Scholar 

  • Stockdale, S. E., Lagomasino, I. T., Siddique, J., McGuire, T., & Miranda, J. (2008). Racial and ethnic disparities in detection and treatment of depression and anxiety among psychiatric and primary health care visits, 1995–2005. Medical Care, 46(7), 668–677.

    Article  Google Scholar 

  • Summerfeldt, L. J., & Antony, M. M. (2002). Structured and semistructured diagnostic interviews. In M. M. Antony & D. H. Barlow (Eds.), Handbook of assessment and treatment planning for psychological disorders (pp. 3–37). New York, NY: Guilford Press.

    Google Scholar 

  • Szymanski, J., & O’Donohue, W. (1995). Fear of spiders questionnaire. Journal of Behavior Therapy and Experimental Psychiatry, 26(1), 31–34.

    Article  Google Scholar 

  • Taylor, S., Zvolensky, M. J., Cox, B. J., Deacon, B., Heimberg, R. G., Ledley, D. R., … Cardenas, S. J. (2007). Robust dimensions of anxiety sensitivity: Development and initial validation of the Anxiety Sensitivity Index-3. Psychological Assessment, 19, 176–188.

    Article  Google Scholar 

  • Testa, A., Giannuzzi, R., Daini, S., Bernardini, L., Petrongolo, L., & Gentiloni Silveri, N. (2013). Psychiatric emergencies (part III): Psychiatric symptoms resulting from organic diseases. European Review for Medical and Pharmacological Sciences, 17(Suppl 1), 86–99.

    Google Scholar 

  • Tolin, D. F., Fitch, K. E., Frost, R. O., & Steketee, G. (2010). Family informants’ perceptions of insight in compulsive hoarding. Cognitive Therapy and Research, 34(1), 69–81.

    Article  Google Scholar 

  • Tolin, D. F., Gilliam, C., Wootton, B. M., Bowe, W., Bragdon, L. B., Davis, E., … Hallion, L. S. (2018). Psychometric properties of a structured diagnostic interview for DSM-5 anxiety, mood, and obsessive-compulsive and related disorders. Assessment, 25(1), 3–13.

    Article  Google Scholar 

  • Turner, S. M., Beidel, D. C., Dancu, C. V., & Stanley, M. A. (1989). An empirically derived inventory to measure social fears and anxiety: The Social Phobia and Anxiety Inventory. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 1(1), 35–40.

    Article  Google Scholar 

  • Wilper, A. P., Woolhandler, S., Boyd, J. W., Lasser, K. E., McCormick, D., Bor, D. H., & Himmelstein, D. U. (2009). The health and health care of US prisoners: Results of a nationwide survey. American Journal of Public Health, 99(4), 666–672.

    Article  Google Scholar 

  • Wolitzky-Taylor, K. B., Castriotta, N., Lenze, E. J., Stanley, M. A., & Craske, M. G. (2010). Anxiety disorders in older adults: A comprehensive review. Depression and Anxiety, 27(2), 190–211.

    Article  Google Scholar 

  • Wolpe, J., & Lang, P. J. (1974). A Fear Survey Schedule for use in behavior therapy. In Behavior modification procedure: A sourcebook (pp. 228–232). New Brunswick: Aldine Transaction.

    Google Scholar 

  • Wood, J. J., Piacentini, J. C., Bergman, R. L., McCracken, J., & Barrios, V. (2002). Concurrent validity of the anxiety disorders section of the Anxiety Disorders Interview Schedule for DSM-IV: Child and parent versions. Journal of Clinical Child and Adolescent Psychology, 31(3), 335–342.

    Article  Google Scholar 

  • Woodward, A. T., Taylor, R. J., Bullard, K. M., Aranda, M. P., Lincoln, K. D., & Chatters, L. M. (2012). Prevalence of lifetime DSM-IV affective disorders among older African Americans, Black Caribbeans, Latinos, Asians and Non-Hispanic White people. International Journal of Geriatric Psychiatry, 27(8), 816–827.

    Article  Google Scholar 

  • Young, A. S., Klap, R., Sherbourne, C. D., & Wells, K. B. (2001). The quality of care for depressive and anxiety disorders in the United States. Archives of General Psychiatry, 58(1), 55–61.

    Article  Google Scholar 

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Authors and Affiliations

  1. West Virginia University, Morgantown, WV, USA

    Cierra B. Edwards, Amber L. Billingsley & Shari A. Steinman

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  1. Cierra B. Edwards
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Correspondence to Shari A. Steinman .

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  1. Department of Psychology, University of Colorado, Colorado Springs, CO, USA

    Daniel L. Segal

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Edwards, C.B., Billingsley, A.L., Steinman, S.A. (2019). Anxiety Disorders. In: Segal, D.L. (eds) Diagnostic Interviewing. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-9127-3_6

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