Anxiety State and Depressive Disorders: Separation in Terms of Symptom-Cluster, Patient-Groups and Personality Features

  • D. Caetano
  • M. Roth
  • C. Mountjoy

Abstract

Since the recognition of anxiety as a syndrome in 1871 by Da-Costa1 there have been disagreements about the relationship between anxiety state and depressive illness. These disagreements are concerned with two viewpoints: one that brings anxiety along the same continuum with depression2–4, and another that states that there is a relevant difference between depressive and anxiety states5–7. The former approach represents a Unitarian view8,9, while the latter one postulates a categorical model10. With the development of computer technology sophisticated statistical techniques became feasible and have been applied to tackle the problem of classification of affective disorders. Although some of these investigations11–13 favor the unitarian view, the great majority, however, have consistently shown that anxiety and depressive state, despite some overlap, constitute two distinct syndromes10,14–20, However, there is still some confusion in the nomenclature used to nominate the affective disorder where anxiety and depressive symptoms are combined. This is exemplified by the current concept of “anxious depression” used by many psychiatrists.

Keywords

Placebo Depression Neurol Diazepam Kelly 

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Copyright information

© Springer Science+Business Media New York 1985

Authors and Affiliations

  • D. Caetano
    • 1
  • M. Roth
    • 1
  • C. Mountjoy
    • 1
  1. 1.Department of PsychiatryClinical Medical School Cambridge UniversityCambridgeUK

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