tacks versus feelings of worthlessness) and those that arc shared (e.g. difficulty of these symptoms clearly differentiate patients of disorder vcrsus the othcr (Clark J9R9). When rated by clini- of libido, loss of appetite, feelings ofworthlcssncss, or guilt) arc gcnerally or both types of measures assessing syndromal depression and anxiety are gener- of convergent validity for both self- of self-ratings is poor in both adults (Clark & of clinicians. However, of anxiety and depression in children by clinicians, teachers, and parents of behavioral and observational rating : concentrating). 11owever, few with one type cians, panic attacks, agoraphobic avoidance, and overall autonomic symptoms (but, surprisingly, not anxious mood) tend to be found more fi-cqllcntly anxi- ety disorder patients, whereas depressed mood, llnhedonia, psycllOl11otor retar- ANXIETY AND DEPRESSION As noted, lifetime diagnoses of anxicty and de- pression show extensivc cOll1orbidity. In Clark's (19S9) meta-analysis, de- pressed patients had an overall rate of 57% for any anxiety disorder. The NCS found a remarkably similar 58% lifetime prcvalencc rate (Kessler et al 1996) and an only slightly lower (51.2%) 12-month prevalence rate. [n general, the

doi:10.4324/9780203825266-41

Chapter

tacks versus feelings of worthlessness) and those that arc shared (e.g. difficulty of these symptoms clearly differentiate patients of disorder vcrsus the othcr (Clark J9R9). When rated by clini- of libido, loss of appetite, feelings ofworthlcssncss, or guilt) arc gcnerally or both types of measures assessing syndromal depression and anxiety are gener- of convergent validity for both self- of self-ratings is poor in both adults (Clark & of clinicians. However, of anxiety and depression in children by clinicians, teachers, and parents of behavioral and observational rating

Chapter

tacks versus feelings of worthlessness) and those that arc shared (e.g. difficulty of these symptoms clearly differentiate patients of disorder vcrsus the othcr (Clark J9R9). When rated by clini- of libido, loss of appetite, feelings ofworthlcssncss, or guilt) arc gcnerally or both types of measures assessing syndromal depression and anxiety are gener- of convergent validity for both self- of self-ratings is poor in both adults (Clark & of clinicians. However, of anxiety and depression in children by clinicians, teachers, and parents of behavioral and observational rating

concentrating). 11owever, few with one type cians, panic attacks, agoraphobic avoidance, and overall autonomic symptoms (but, surprisingly, not anxious mood) tend to be found more fi-cqllcntly anxi- ety disorder patients, whereas depressed mood, llnhedonia, psycllOl11otor retar- ANXIETY AND DEPRESSION As noted, lifetime diagnoses of anxicty and de- pression show extensivc cOll1orbidity. In Clark's (19S9) meta-analysis, de- pressed patients had an overall rate of 57% for any anxiety disorder. The NCS found a remarkably similar 58% lifetime prcvalencc rate (Kessler et al 1996) and an only slightly lower (51.2%) 12-month prevalence rate. [n general, the

ABSTRACT

382 MINEKA ET AL