3- 5 10- 16 Indeed, the Diagnostic and Statistical Manual for Mental Disorders, 5 th Edition (DSM 5) acknowledges this comorbidity by including a specifier “with anxious distress” to for depressive disorders accompanied by significant levels of anxiety.
First, depression and anxiety frequently co-occur. However, a measure that provides a single composite score for depression and anxiety also has several potential advantages. There are a number of well-validated measures that assess depression and anxiety as separate domains. 1- 6 Depression and anxiety also result in substantial disability, representing the 2 nd and 5 th leading causes of years lived with disability in the United States 7 and accounting for enormous losses in work productivity as well as high direct and indirect health care costs 8 9 Depression and anxiety are the two most common mental health conditions in the general population as well as in clinical practice.
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