Rethinking the mood and anxiety disorders: a quantitative hierarchical model for DSM-V.

@article{Watson2005RethinkingTM,
  title={Rethinking the mood and anxiety disorders: a quantitative hierarchical model for DSM-V.},
  author={David Watson},
  journal={Journal of abnormal psychology},
  year={2005},
  volume={114 4},
  pages={
          522-36
        }
}
  • D. Watson
  • Published 1 November 2005
  • Psychology
  • Journal of abnormal psychology
The fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association, 1994) groups disorders into diagnostic classes on the basis of the subjective criterion of "shared phenomenological features." There are now sufficient data to eliminate this rational system and replace it with an empirically based structure that reflects the actual similarities among disorders. The existing structural evidence establishes that the mood and anxiety disorders should… 

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References

SHOWING 1-10 OF 99 REFERENCES

Structural relationships among dimensions of the DSM-IV anxiety and mood disorders and dimensions of negative affect, positive affect, and autonomic arousal.

TLDR
Using outpatients with anxiety and mood disorders, several models of the structural relationships of dimensions of key features of selected emotional disorders and dimensions of the tripartite model of anxiety and depression supported the discriminant validity of the 5 symptom domains examined.

Current and lifetime comorbidity of the DSM-IV anxiety and mood disorders in a large clinical sample.

TLDR
A high rate of lifetime comorbidity was found between the anxiety and mood disorders; the lifetime association with mood disorders was particularly strong for PTSD, GAD, obsessive-compulsive disorder, and social phobia.

Structure of anxiety and the anxiety disorders: a hierarchical model.

The authors used a semistructured clinical interview and a self-report battery of questionnaires to measure key features of the anxiety disorders in a large sample of patients seeking treatment at an

Posttraumatic stress disorder and the structure of common mental disorders

TLDR
Factor analytic findings revealed that PTSD showed no affinity with the fear factor defined by panic and phobic disorders, and instead loaded on the anxious‐misery factor defined primarily by mood disorders.

Treatment of generalized anxiety disorder

  • R. Pinder
  • Psychology
    Neuropsychiatric disease and treatment
  • 2007
TLDR
Efficacy in anxiety disorders is not confined to SSRIs, however, and most antidepressants, particularly but not exclusively those with a serotonergic arm to their pharmacology, are in fact anxiolytic – in the previous issue of the journal, the efficacy of the SNRI venlafaxine in panic disorder was reviewed.

Comorbidity among anxiety disorders: implications for treatment and DSM-IV.

TLDR
Treatment implications are presented with preliminary data on the effects of psychosocial treatment of panic disorder on co-morbid generalized anxiety disorder and implications of comorbidity for research on the nature of psychopathology and the ultimate integration of dimensional and categorical features in the nosology are considered.

Positive and negative affectivity and their relation to anxiety and depressive disorders.

TLDR
Findings in normal samples suggest that assessment of two broad mood factors—Negative Aflect (NA) and Positive Affect (PA) may improve their differentiation, and the results suggest that strengthening the PA component in depression measures may enhance their discriminative power.

The DSM-IV field trial for mixed anxiety-depression.

TLDR
A mixed anxiety-depression category be included in the DSM-IV appendix for proposed diagnostic categories that need further study and a criteria set is proposed.

Comorbidity of anxiety and unipolar mood disorders.

TLDR
Research on relationships between anxiety and depression has proceeded at a rapid pace since the 1980s, with data converging on an integrative hierarchical model of mood and anxiety disorders in which each individual syndrome contains both a common and a unique component.

The structure of common mental disorders.

  • R. Krueger
  • Psychology
    Archives of general psychiatry
  • 1999
TLDR
The results suggest that comorbidity results from common, underlying core psychopathological processes, and argue for focusing research on these core processes themselves, rather than on their varied manifestations as separate disorders.
...