Mixed Anxiety and Depressive Disorder (MADD)
MADD is to be diagnosed when
symptoms of both anxiety and depression are present,
but neither set of symptoms, considered separately, is sufficiently
severe to justify a diagnosis. The
recent UK Office of Population Censuses and Surveys
(OPCS) Survey of Psychiatric Morbidity found a point
prevalence for MADD
of 7.7%, compared to a point prevalence of only
2.1%, for depressive episodes, rates in women being
almost double those in men (9.9% versus 5.4%, respectively).
The course and treatment outcome of MADD
are largely unknown, but the disorder is likely to be of
particular relevance in primary care settings.
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