Anxiety in depression
Introduction There are different clinical forms combining anxiety and depression and it is essential to identify them because they will require different management. Among these clinical forms, there is that including anxiety as a symptom within the depressive episode: the anxious depression. Ob...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2021-04-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933821018319/type/journal_article |
| _version_ | 1797617292757958656 |
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| author | E. Tahmazov G. Robert M. Walter C. Lemey |
| author_facet | E. Tahmazov G. Robert M. Walter C. Lemey |
| author_sort | E. Tahmazov |
| collection | DOAJ |
| description |
Introduction
There are different clinical forms combining anxiety and depression and it is essential to identify them because they will require different management. Among these clinical forms, there is that including anxiety as a symptom within the depressive episode: the anxious depression.
Objectives
The objective is to find the characteristics of this anxious depression.
Methods
We conducted a literature review on the PubMed® site giving access to the MEDLINE® database, as well as on the Google Scholar® search engine and retained 127 articles.
Results
By studying anxiety as a symptom of the depression, we identify on the pathophysiological level different neurobiological mechanisms (neuroanatomical, biological, immunological and endocrinological) involved in types of symptoms of different anxiety. Thus, by adopting a dimensional point of view, we can say that there are various anxiety symptoms which can be included in multiple forms of anxiety within the depression: psychic anxiety (anxiety and irritability), somatic anxiety (hypochondria, sweating, cardiological, respiratory, gastrointestinal and urinary symptoms), motor anxiety (agitation), anxious arousal (somatic anxiety, fear, panic) or anxious apprehension (anticipatory anxiety and worry). The prognosis which emerges from it is of a more pejorative evolution, and has specificities on which an increased attention is required, such as suicidal behavior which is more frequently described for example. The treatment must be psychotherapeutic, sociotherapeutic, and medication by antidepressant treatment, with SSRIs in the first line.
Conclusions
It is therefore essential to identify the clinical presentation of the anxious depression because it has specific semiological, neurobiological, prognostic and therapeutic characteristics.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:53:45Z |
| format | Article |
| id | doaj.art-a032075f13614de5bea187d546b9a7f9 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:53:45Z |
| publishDate | 2021-04-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-a032075f13614de5bea187d546b9a7f92023-11-17T05:06:11ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S691S69110.1192/j.eurpsy.2021.1831Anxiety in depressionE. Tahmazov0G. Robert1M. Walter2C. Lemey3Urci Mental Health Department, Brest Medical University Hospital, Brest, France Ea 7479 Spurbo, University of Western Brittany, Brest, FranceAcademic Department Of Adult Psychiatry, Guillaume Régnier Hospital, Ea 4712, Rennes University Hospital, Rennes, France Centre Research Unit Ea 4712 Behavior And Basal Ganglia, Rennes University Hospital, Rennes, FranceUrci Mental Health Department, Brest Medical University Hospital, Brest, France Ea 7479 Spurbo, University of Western Brittany, Brest, FranceUrci Mental Health Department, Brest Medical University Hospital, Brest, France Ea 7479 Spurbo, University of Western Brittany, Brest, France Introduction There are different clinical forms combining anxiety and depression and it is essential to identify them because they will require different management. Among these clinical forms, there is that including anxiety as a symptom within the depressive episode: the anxious depression. Objectives The objective is to find the characteristics of this anxious depression. Methods We conducted a literature review on the PubMed® site giving access to the MEDLINE® database, as well as on the Google Scholar® search engine and retained 127 articles. Results By studying anxiety as a symptom of the depression, we identify on the pathophysiological level different neurobiological mechanisms (neuroanatomical, biological, immunological and endocrinological) involved in types of symptoms of different anxiety. Thus, by adopting a dimensional point of view, we can say that there are various anxiety symptoms which can be included in multiple forms of anxiety within the depression: psychic anxiety (anxiety and irritability), somatic anxiety (hypochondria, sweating, cardiological, respiratory, gastrointestinal and urinary symptoms), motor anxiety (agitation), anxious arousal (somatic anxiety, fear, panic) or anxious apprehension (anticipatory anxiety and worry). The prognosis which emerges from it is of a more pejorative evolution, and has specificities on which an increased attention is required, such as suicidal behavior which is more frequently described for example. The treatment must be psychotherapeutic, sociotherapeutic, and medication by antidepressant treatment, with SSRIs in the first line. Conclusions It is therefore essential to identify the clinical presentation of the anxious depression because it has specific semiological, neurobiological, prognostic and therapeutic characteristics. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933821018319/type/journal_articleAnxietyDepressionanxious depression |
| spellingShingle | E. Tahmazov G. Robert M. Walter C. Lemey Anxiety in depression European Psychiatry Anxiety Depression anxious depression |
| title | Anxiety in depression |
| title_full | Anxiety in depression |
| title_fullStr | Anxiety in depression |
| title_full_unstemmed | Anxiety in depression |
| title_short | Anxiety in depression |
| title_sort | anxiety in depression |
| topic | Anxiety Depression anxious depression |
| url | https://www.cambridge.org/core/product/identifier/S0924933821018319/type/journal_article |
| work_keys_str_mv | AT etahmazov anxietyindepression AT grobert anxietyindepression AT mwalter anxietyindepression AT clemey anxietyindepression |