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The Differentiation of Anxiety and Depressive Syndromes

  • Chapter
Anxiety Disorders

Abstract

Since Freud (1895) differentiated anxiety neurosis from the other neurotic disorders there has been debate about whether this particular entity exists separate from other nosological entities. Recent interest in the clear delineation of psychiatric states from each other has had impetus from a number of directions. These include the examination of the rates and criteria for the diagnosis of schizophrenia across countries (Carpenter, Strauss, & Bartko, 1973), the development of specific criteria for the diagnosis of psychiatric disorders (Feighner et al., 1972), and the introduction of diagnostic systems which rely on definite criteria (e.g., DSM-III, American Psychiatric Association, 1980). All of these developments force greater precision in psychiatric diagnosis and classification. They are relevant mainly because of changes in treatment techniques and the increasing ability of clinicians to be able to match specific treatments to specific clinical problems.

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References

  • American Psychiatric Association (1980). Diagnostic and statistical manual of mental disorders (3rd edition). Washington, D.C. Author.

    Google Scholar 

  • Bowen, R.C., & Kohut, J. (1979). The relationship between agoraphobia and primary affective disorders. Canadian Journal of Psychiatry, 24, 317–321.

    CAS  Google Scholar 

  • Brier, A., Charney, D.S., & Heninger, G.R. (1984). Major depression in patients with agoraphobia and panic disorder. Archives of General Psychiatry, 41, 1129–1135.

    Article  Google Scholar 

  • Buglass, D., Clarke, J., Henderson, A.S., Kreitman, N., & Presley, A.S. (1977). A study of agoraphobic housewives. Psychological Medicine, 7, 73–86.

    Article  PubMed  CAS  Google Scholar 

  • Carpenter, W.T., Strauss, S.J., & Bartko, J.J. (1973). Flexible system for the diagnosis of schizophrenia. Report from the W.H.O. International Pilot Study on Schizophrenia, 182, 57–63.

    Google Scholar 

  • Cassidy, W.L., Flanagan, N.B., & Spellman, M.N. (1957). Clinical observations in manic-depressive disease: A quantitative study of one hundred manic depressive patients and fifty medically sick controls. Journal of the American Medical Association, 164, 1535–1546.

    Article  PubMed  CAS  Google Scholar 

  • Clancy, J., Noyes, R. Jr., Hoenk, P.R., & Slymen, D.J. (1978). Secondary depression in anxiety neurosis. Journal of Nervous and Mental Disorders, 166, 846–850.

    Article  CAS  Google Scholar 

  • Cleghorn, J. (1970). The anxiety-depression syndrome. Psychosomatics 11, 438–441.

    Google Scholar 

  • Curtis, G.C., Cameron, O.G., & Nesse, R.M. (1982). The dexamethasone suppression test in panic disorder and agoraphobia. American Journal of Psychiatry, 139, 1043–1046.

    PubMed  CAS  Google Scholar 

  • Dealy, R.S., Ishiki, D.M., Avery, D.H., Wilson, L.G., & Dumes, D.L. (1981). Secondary depression in anxiety disorders. Comprehensive Psychiatry, 22, 612–618.

    Article  PubMed  CAS  Google Scholar 

  • Delmas cited in Mapother, E. (1926). Discussion on manic-depressive psychosis. British Medical Journal, 1, 225–227.

    Article  Google Scholar 

  • Derogatis, L.R., Klerman, G.L., & Lipman, R.S. (1972). Anxiety states and depressive neuroses. The Journal of Nervous and Mental Disease, 155, 392–403.

    Article  PubMed  CAS  Google Scholar 

  • Derogatis, L.R., Lipman, R.S., Covi, L., & Rickels, K. (1971). Neurotic symptom dimensions: As perceived by psychiatrists and patients of various social classes. Archives of General Psychiatry, 24, 454–464.

    Article  PubMed  CAS  Google Scholar 

  • Dimes, D.L. (1981). Secondary depression in anxiety disorders. Comprehensive Psychiatry, 22, 612–618.

    Article  Google Scholar 

  • Feighner, J.P., Robins, E., Guze, S.B., Woodruff, R.A., Winokur, G., & Munoz, R. (1972). Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 57–63.

    Article  PubMed  CAS  Google Scholar 

  • Finlay-Jones, R., & Brown, G.W. (1981). Types of stressful life event and the onset of anxiety and depressive disorders. Psychological Medicine, 11, 803–815.

    Article  PubMed  CAS  Google Scholar 

  • Freud, S. (1895). The standard edition of the complete psychological works of Sigmund Freud. London: Hogarth.

    Google Scholar 

  • Gersh, F.S., & Fowles, D.C. (1979). Neurotic depression: The concept of anxious depression. In R.A. Depue (Ed.), The psychobiology of the depressive disorders: Implications for the effects of stress. New York: Academic Press.

    Google Scholar 

  • Goldberg, D.P., Rickeis, K., Downing, R., & Hesbacher, P. (1976). A comparison of two psychiatric screening tests. British Journal of Psychiatry, 129, 61–67.

    Article  PubMed  CAS  Google Scholar 

  • Goldberg, D.P. (1982). Depressive reactions in adults. In G.F.M. Russell and L. Hersor (Eds.), Handbook of psychiatry: Vol. IV. Cambridge: Cambridge University Press.

    Google Scholar 

  • Gurney, C., Roth, M., Garside, R.F., Kerr, T.A., & Schapira, K. (1972). Studies in the classification of affective disorders. The relationship between anxiety states and depressive illnesses-II. British Journal of Psychiatry, 121, 162–166.

    Article  PubMed  CAS  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  • Hamilton, M. (1981). Depression and anxiety: A clinical viewpoint. In M. Hamilton and J.B. Bakker (Eds.). Psychiatry in the 80’s: Ideas, research, practice. Excerpta Medica.

    Google Scholar 

  • Hays, P. (1964). Modes of onset of psychotic symptoms. British Medical Journal, 2, 779–784.

    Article  PubMed  CAS  Google Scholar 

  • Houshang, G., Zitrin, C.G., & Klein, D.F. (1984). Treatment of panic disorder with imipramine alone. American Journal of Psychiatry, 141, 446–448.

    Google Scholar 

  • Kerr, T.A., Schapira, K., & Roth, M. (1969). The relationship between premature death and affective disorders. British Journal of Psychiatry, 115, 1277–1282.

    Article  PubMed  CAS  Google Scholar 

  • Klein, D.F. (1981). Anxiety reconceptualized. In D.F. Klein and J.G. Rabkin (Eds.), Anxiety: New research and changing concepts. New York: Raven Press.

    Google Scholar 

  • Leckman, J.F., Merikangas, K.R., Pauls, D.L., Prusoff, B.A., & Weissman, M.M. (1983). Anxiety disorders and depression: Contradictions between family study data and DSM-III conventions. American Journal of Psychiatry, 140, 880–882.

    PubMed  CAS  Google Scholar 

  • Leckman, J.F., Weissman, M.M., Merikangas, K.R., Pauls, D.L., & Prusoff, B.A. (1983). Panic disorder and major depression. Archives of General Psychiatry, 40, 1055–1060.

    Article  PubMed  CAS  Google Scholar 

  • Lewis, A.J. (1934). Melancholic — a clinical survey of depressive states. Journal of Mental Sciences, 80, 277–278.

    Google Scholar 

  • Mapother, E. (1926). Discussion on manic-depressive psychosis. British Medical Journal, 1, 225–227.

    Article  Google Scholar 

  • McNair, D.M., & Fisher, S. (1978). Separating anxiety from depression. In Lipton, DiMascio, and Kilman (Eds.), Psychopharmacology: A generation of progress. New York: Raven Press.

    Google Scholar 

  • Mendel, J.G.C., & Klein, D.F. (1969). Anxiety attacks with subsequent agoraphobia. Comprehensive Psychiatry, 10, 190–195.

    Article  PubMed  CAS  Google Scholar 

  • Mountjoy, C.Q., Roth, M., Garside, R.F., & Leitcn, I.M. (1977). A clinical trial of phenelzine and anxiety depressive and phobic neurosis. British Journal of Psychiatry, 131, 486–492.

    Article  PubMed  CAS  Google Scholar 

  • Myers, J.K., Weissman, M.M., Tischler, G.L., Holzer, C.E. III., Leaf, P.J., Anthony, J.C., Boyd, J.H., Burke, J.D. Jr., Kramer, M., & Stoltzman, R. (1984). Six month prevalence of psychiatric disorders in three communities. Archives of General Psychiatry, 41, 959–967.

    Article  PubMed  CAS  Google Scholar 

  • Noyes, R., Clancy, J., Hoenk, P.R., & Slymen, D.J. (1980). The prognosis of anxiety neurosis. Archives of General Psychiatry, 37, 173–178.

    Article  PubMed  Google Scholar 

  • Pitts, F.N., Jr., & McLure, J.N., Jr. (1967). Lactate metabolism in anxiety neurosis. New England Journal of Medicine, 277, 1329–1336.

    Article  PubMed  Google Scholar 

  • Pollitt, J., & Young, J. (1971). Anxiety state or masked depression. British Journal of Psychiatry, 139, 1043–1046.

    Google Scholar 

  • Prusoff, B. & Klerman, G.L. (1974). Differentiating depressed from anxious neurotic outpatients: Use of discriminant function analysis for separation of neurotic affective states. Archives of General Psychiatry, 30, 302–309.

    Article  PubMed  CAS  Google Scholar 

  • Rickeis, K., Downing, R.W., & Stein, M. (1979). The differentiation between neurotic depression and anxiety and drug treatment. In Saletu, Bruner, & Hollister (Eds.), Neuropsychopharmacology. New York: Permagon Press.

    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  CAS  Google Scholar 

  • Robins, L.N., Heizer, J.E., Weissman, M.M., Orvaschel, H., Gruenberg, E., Burke, J.D., Jr. & Regier, D.A. (1984). Lifetime prevalence of specific psychiatric disorders in three sites. Archives of General Psychiatry, 41, 949–958.

    Article  PubMed  CAS  Google Scholar 

  • Roth, M., Gurney, C., Garside, R.F., & Kerr, T.A. (1972). Studies in the classification of affective disorders. The relationship between anxiety states and depressive illness — I. British Journal of Psychiatry, 121, 147–161.

    Article  PubMed  CAS  Google Scholar 

  • Roth, M., & Mountjoy, C.Q. (1982). The distinction between anxiety states and depressive disorders. In E.S. Paykel (Ed.), Handbook of Affective Disorders. New York: Guilford Press.

    Google Scholar 

  • Sheehan, D.V., Coleman, J.H., Greenblatt, D.J., Jones, K.J., Levine, P.H., Orsulak, P.J., Peterson, M., Schildkraut, J.J., Uzogara, E., & Watkins, D. (1984). Some biochemical correlates of panic attacks with agoraphobia and their response to a new treatment. Journal of Clinical Psychopharmacology, 4, 66–75.

    Article  PubMed  CAS  Google Scholar 

  • Snaith, R.P., Bridge, G.W.K., & Hamilton, M. (1976). The Leeds scale for the self-assessment of anxiety and depression. The British Journal of Psychiatry, 128, 156–165.

    Article  PubMed  CAS  Google Scholar 

  • Spitzer, R., & Williams, J. (1986). The classification of anxiety disorders. In B.F. Shaw, Z.V. Segal, T.M. Vallis, & F. Cashman (Eds.), Anxiety Disorders: Psychological and biological perspectives. New York: Plenum Press.

    Google Scholar 

  • Spitzer, R., & Williams, J. (1983). The structured clinical interview for DSM III (SCID). Biometrics Research Department, New York State Psychiatric Institute, New York, New York.

    Google Scholar 

  • Strian, F., & Klicpera, C. (1984). Anxiety and depression in affective disorders. Psychopathology, 17, 37–48.

    Article  PubMed  CAS  Google Scholar 

  • Swinson, R.P., & McCormick, O.W. (1981). Diagnostic practice survey. Unpublished manuscript. University of Toronto.

    Google Scholar 

  • Weissman, M.M., Leckman, J.F., Merikangas, K.R., Gammon, G.D., & Prusoff, B.A. (1984). Depression and anxiety disorders in parents and children. Archives of General Psychiatry, 41, 845–852.

    Article  PubMed  CAS  Google Scholar 

  • Wing, J.K., Nixon, J.M., Mann, S.A., & Leff, J.P. (1977). Reliability of the PSE (ninth edition) used in a population study. Psychological Medicine, 7, 505–516.

    Article  PubMed  CAS  Google Scholar 

  • Woodruff, R.A., Guze, S.B., & Clayton, P.J. (1972). Anxiety neurosis among psychiatric outpatients. Comprehensive Psychiatry, 13, 165–170.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. University of Toronto, Canada

    Richard P. Swinson & Marlene Kirby

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  1. Richard P. Swinson
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  2. Marlene Kirby
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Editors and Affiliations

  1. University of Toronto, Toronto, Ontario, Canada

    Brian F. Shaw , Zindel V. Segal , T. Michael Vallis  & Frank E. Cashman , ,  & 

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© 1986 Plenum Press, New York

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Swinson, R.P., Kirby, M. (1986). The Differentiation of Anxiety and Depressive Syndromes. In: Shaw, B.F., Segal, Z.V., Vallis, T.M., Cashman, F.E. (eds) Anxiety Disorders. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-5254-9_2

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  • DOI: https://doi.org/10.1007/978-1-4684-5254-9_2

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4684-5256-3

  • Online ISBN: 978-1-4684-5254-9

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