CMN 552
Module 2
Primary Study Guide
University of South Alabama
, CMN 552
Module 2 Primary Study Guide
Sadock, Chapter 14 Anxiety Disorders P. 1720
PDF 1810
Sec6on 14.1 Anxiety Disorders:
Introduc6on and Overview P. 1720 PDF
1810
DSM-5 ModificaCons in Anxiety Disorders P. 1721 PDF 1811
The major subtypes of anxiety disorders in the DSM-5 include panic
disorder (with or without agoraphobia), agoraphobia (without a history of
panic disorder), specific phobia, social phobia, and generalized anxiety
disorder (GAD). Revisions to the classifica6on of anxiety disorders in the
DSM-5 involve removing obsessive- compulsive disorder and
posVrauma6c disorder have been subsumed under newly created
―obsessive-compulsive and related disorders‖ and ―trauma- and stressor-
related disorders‖ categories, respec6vely. Therefore, both obsessive–
compulsive disorder and posVrauma6c stress disorder are not considered
in this chapter. Other modifica6ons to the proposed DSM-5 anxiety
disorders category include the addi6on of separa6on anxiety disorder
(contained under Disorders Usually First Diagnosed in Infancy, Childhood,
or Adolescence in the DSM-IV), the iden6fica6on of agoraphobia as a
dis6nct and codable disorder (diagnosed only with reference to panic
disorder in the DSM-IV), minor revisions to criterion language to enhance
clarity, objec6vity, and consistency across the anxiety disorders, and the
relabeling of social phobia as social anxiety disorder (SAD). As such, the
term ―social phobia‖ will now be replaced with ―social
anxiety disorder.‖
Sec6on 14.2 Clinical Features of
the Anxiety Disorders
Agoraphobia: Epidemiology P. 1725 PDF 1815
1
,Similar to Panic Disorder, more women than men have agoraphobia and the
age of onset peaks in the late teens to early twen6es. Agoraphobia in the
absence of
2
, PanicNMDisorderNMisNMconsideredNMtoNMbeNMrarerNMthanNMagorap
hobiaNMwithNMcomorbidNMPanicN M Disorder.NMHowever,NMthereNMis
NMsomeNMvariabilityNMinNMtheNMprevalenceNMdata.NMTheNMmeasur
edNMprevalenceNMofNMagoraphobiaNMinNMspecificNMclinicalNMse^ng
sNMmayNMevolveNMasNMtheNMDSM-
5‘sN M recogni6onNMofNMagoraphobiaNMwithoutNMPanicNMDisorderN
MwillNMspurNMcliniciansNMtoNMscreenNMandNMconsiderNMtheNMdis
orderNMmoreNMfrequently,NMevenNMinNMpa6entsNMwhoNMdoNMnotN
MpresentN M withNMpanicNMaVacks.NMOtherNManxietyNMdisordersNM
areNMseenNMalongsideNMagoraphobiaNMinNMcomorbidityNMratesNMt
hatNMoaenNMexceedNM50NMpercent.NMComorbidNMdepressiveNMdis
ordersN M areNMseenNMinNM33NMtoNM52NMpercentNMofNMcases,NM
withNMsomeNMsugges6onNMthatNMtheNMpresenceNMofN M comorbidN
MpanicNMaVacksNMincreasesNMtheNMriskNMofNMcomorbidNMdepressi
veNMepisodes.
SocialNMAnxietyNMDisorder:NMDifferenCalNMDiagnosis,NMECology
,NMCourse,NMTreatmentNMP.N M 1725NMPDFNM1815
AsNMmen6onedNMabove,NMAvoidantNMPersonalityNMDisorderNM(des
cribedNMinNMmoreNMdetailNMelsewhereNMinNMthisNMbook)NMhasN
MbeenNMtheNMsubjectNMofNMdebateNMoverNMwhetherNMitNMisNMdi
s6nctN M fromNMSocialNMAnxietyNMDisorder,NMwithNMtheNMDSM-
5NMsepara6ngNMtheNMtwo.NMSocialNMAnxietyNMDisorderNMhasNMa
NMhighNMcomorbidityNMwithNMotherNManxietyNMandNMaffec6veNMdi
sorders,NMasN M well.NMTheNMuseNMofNMillicitNManxioly6csNMandN
Mseda6vesNMleadsNMtoNMtheNMrela6velyNMhighNMrateNMofN M com
orbidNMsubstanceNMuseNMdisorders.NMTheNMcomorbidityNMbetween
NMSocialNMAnxietyN M DisorderNMandNMSelec6veNMMu6smNMisNMd
iscussedNMelsewhereNMinNMthisNMchapter.NMSocialNMAnxietyNMDis
orderNMisNMaNMcommonNMcomorbidityNMinNMchildrenNMwithNManN
MAu6smNMSpectrumN M diagnosisNMandNMalsoNMappearsNMatNMrat
esNMaboveNMpopula6onNMbaselineNMinNMpa6entsNMwithNMSchizop
hrenia.
RiskNMfactorsNMforNMSocialNMAnxietyNMDisorderNMincludeNMfemale
NMgender,NMfamilyNMhistory,NMandNMchildhoodNMsignsNMofNMbeha
vioralNMinhibi6on.NMThereNMisNMinsufficientNMdataNMonNMspecificN
M gene6cNMfactorsNMmedia6ngNMtheNMincreasedNMfamilialNMrisk,N
3
Module 2
Primary Study Guide
University of South Alabama
, CMN 552
Module 2 Primary Study Guide
Sadock, Chapter 14 Anxiety Disorders P. 1720
PDF 1810
Sec6on 14.1 Anxiety Disorders:
Introduc6on and Overview P. 1720 PDF
1810
DSM-5 ModificaCons in Anxiety Disorders P. 1721 PDF 1811
The major subtypes of anxiety disorders in the DSM-5 include panic
disorder (with or without agoraphobia), agoraphobia (without a history of
panic disorder), specific phobia, social phobia, and generalized anxiety
disorder (GAD). Revisions to the classifica6on of anxiety disorders in the
DSM-5 involve removing obsessive- compulsive disorder and
posVrauma6c disorder have been subsumed under newly created
―obsessive-compulsive and related disorders‖ and ―trauma- and stressor-
related disorders‖ categories, respec6vely. Therefore, both obsessive–
compulsive disorder and posVrauma6c stress disorder are not considered
in this chapter. Other modifica6ons to the proposed DSM-5 anxiety
disorders category include the addi6on of separa6on anxiety disorder
(contained under Disorders Usually First Diagnosed in Infancy, Childhood,
or Adolescence in the DSM-IV), the iden6fica6on of agoraphobia as a
dis6nct and codable disorder (diagnosed only with reference to panic
disorder in the DSM-IV), minor revisions to criterion language to enhance
clarity, objec6vity, and consistency across the anxiety disorders, and the
relabeling of social phobia as social anxiety disorder (SAD). As such, the
term ―social phobia‖ will now be replaced with ―social
anxiety disorder.‖
Sec6on 14.2 Clinical Features of
the Anxiety Disorders
Agoraphobia: Epidemiology P. 1725 PDF 1815
1
,Similar to Panic Disorder, more women than men have agoraphobia and the
age of onset peaks in the late teens to early twen6es. Agoraphobia in the
absence of
2
, PanicNMDisorderNMisNMconsideredNMtoNMbeNMrarerNMthanNMagorap
hobiaNMwithNMcomorbidNMPanicN M Disorder.NMHowever,NMthereNMis
NMsomeNMvariabilityNMinNMtheNMprevalenceNMdata.NMTheNMmeasur
edNMprevalenceNMofNMagoraphobiaNMinNMspecificNMclinicalNMse^ng
sNMmayNMevolveNMasNMtheNMDSM-
5‘sN M recogni6onNMofNMagoraphobiaNMwithoutNMPanicNMDisorderN
MwillNMspurNMcliniciansNMtoNMscreenNMandNMconsiderNMtheNMdis
orderNMmoreNMfrequently,NMevenNMinNMpa6entsNMwhoNMdoNMnotN
MpresentN M withNMpanicNMaVacks.NMOtherNManxietyNMdisordersNM
areNMseenNMalongsideNMagoraphobiaNMinNMcomorbidityNMratesNMt
hatNMoaenNMexceedNM50NMpercent.NMComorbidNMdepressiveNMdis
ordersN M areNMseenNMinNM33NMtoNM52NMpercentNMofNMcases,NM
withNMsomeNMsugges6onNMthatNMtheNMpresenceNMofN M comorbidN
MpanicNMaVacksNMincreasesNMtheNMriskNMofNMcomorbidNMdepressi
veNMepisodes.
SocialNMAnxietyNMDisorder:NMDifferenCalNMDiagnosis,NMECology
,NMCourse,NMTreatmentNMP.N M 1725NMPDFNM1815
AsNMmen6onedNMabove,NMAvoidantNMPersonalityNMDisorderNM(des
cribedNMinNMmoreNMdetailNMelsewhereNMinNMthisNMbook)NMhasN
MbeenNMtheNMsubjectNMofNMdebateNMoverNMwhetherNMitNMisNMdi
s6nctN M fromNMSocialNMAnxietyNMDisorder,NMwithNMtheNMDSM-
5NMsepara6ngNMtheNMtwo.NMSocialNMAnxietyNMDisorderNMhasNMa
NMhighNMcomorbidityNMwithNMotherNManxietyNMandNMaffec6veNMdi
sorders,NMasN M well.NMTheNMuseNMofNMillicitNManxioly6csNMandN
Mseda6vesNMleadsNMtoNMtheNMrela6velyNMhighNMrateNMofN M com
orbidNMsubstanceNMuseNMdisorders.NMTheNMcomorbidityNMbetween
NMSocialNMAnxietyN M DisorderNMandNMSelec6veNMMu6smNMisNMd
iscussedNMelsewhereNMinNMthisNMchapter.NMSocialNMAnxietyNMDis
orderNMisNMaNMcommonNMcomorbidityNMinNMchildrenNMwithNManN
MAu6smNMSpectrumN M diagnosisNMandNMalsoNMappearsNMatNMrat
esNMaboveNMpopula6onNMbaselineNMinNMpa6entsNMwithNMSchizop
hrenia.
RiskNMfactorsNMforNMSocialNMAnxietyNMDisorderNMincludeNMfemale
NMgender,NMfamilyNMhistory,NMandNMchildhoodNMsignsNMofNMbeha
vioralNMinhibi6on.NMThereNMisNMinsufficientNMdataNMonNMspecificN
M gene6cNMfactorsNMmedia6ngNMtheNMincreasedNMfamilialNMrisk,N
3
