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Generalized Anxiety Disorder
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- 1DSM-5 criteria for GADA. Excessive anxiety and worry, occurring for at least 6 months. B. Difficult to control the worry. C. The anxiety and worry are associated with at least three symptoms.
D. These symptoms cause significant distress or impairment. - 2GAD symptoms1. Restlessness/feeling keyed up or on edge 2. Easily fatigued 3. Difficulty concentrating or mind going blank
4. Irritability 5. Muscle tension
6. Sleep disturbance - 3History of GAD in the DSM1. residual disorder until DSM-III-R
2. Worry as central characteristic, and 18 somatic symptoms in DSM-III
3. since DSM-IV only 6 somatic symptoms
4. Continues to have lower interrater reliability than many other disorders. - 4Features of GAD1. "basic" anxiety disorder. 2. Strong overlap with depression. 3. Commonly co-occurs with irritable bowel syndrome and headaches. 4. 9% lifetime prevalence. 5. Mean age of onset 30 years. 6. Lower treatment succes rates and unremitting without therapy.
- 5Function of worryIt's not typically an effective problem-solveing strategy.
- 6Distonctions from normal worry (pathological worry)Topics tend to be the same, but greater focus on minor events and personal inadequacy.
Excessiveness and uncontrollability are key
Meta-worry: worry about worry - 7Pathological worry: Distinctions from obsessionsWorry is more likely to be ego-syntonic and focus on non-bizarre content.
Worries are resisted less than obsessions.
Worries are verbal/linguistic, obsessions more often images/impulses - 8Pathological worry: Distinctions from ruminationWorry focuses more on future, rather than past
Worry is broader in content - 9Intolerance of uncertaintyTrait that describes distress when focusing on unvertain or unknown outcomes. Elevated in multiple anxiety disorders but mainly associated with GAD. Escalates because we can never be certain of things. Linked to avoidance behavior.
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- El usuario ha eliminado su información de asignaturas Fichas sobre Generalized Anxiety Disorder, creado por Usuario eliminado el 30/10/2017.
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- Creado por Ellen Klerkx · 27 oct 2017
- Copiado por Ellen Klerkx · 30 oct 2017
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