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Chronic Anxiety

It is widely recognized that chronic anxiety plays a central role in a broad variety of psychological and psychiatric disorders. Yet, despite its significance, generalized anxiety disorder (GAD)--an official psychiatric diagnosis that is akin to chronic anxiety--is one of the newest, least studied, and most misunderstood of the anxiety disorders. Bringing together leading researchers who discuss the nature and treatment of GAD, this is the first book to focus specifically on the topic. In addition, the volume examines the overlap of GAD and depressive disorders, presenting important new information on mixed-anxiety depression (MAD).
Providing a well-rounded approach, chapters in the first half of the volume address theoretical considerations while those in the second cover clinical issues. The book opens with a description of the general nature of anxiety and its relation to depression and stress that places GAD into the broad context of emotional disorders. As the primary characteristic of both chronic anxiety and GAD, the cognitive process of worry is discussed in detail. Remaining chapters describe the nature, etiology and treatment of the broad psychological construct of chronic anxiety and the specific psychiatric diagnosis of GAD. Biological and psychological factors are considered, as are issues of comorbidity.
Clinical chapters commence with a discussion of the diagnosis of GAD and its revisions for DSM-IV. Recognizing that many individuals complain of equal mixtures of low levels of anxiety and depressed mood, particularly in primary care settings, the DSM-IV Task Force is considering the inclusion of mixed anxiety-depression (MAD) as a possible category. One chapterprovides an overview of ongoing conceptual and empirical work on this topic. Other topics include pharmacotherapy and psychosocial treatments for GAD. Throughout, chapters are based on DSM-IV considerations.
Providing readers with both a fundamental understanding of the topic and a detailed examination of clinical issues, CHRONIC ANXIETY will be valued by researchers in the area of psychiatric and emotional disorders as well as by clinical psychologists, psychiatrists, and general practitioners. The work also serves as a text for graduate courses on anxiety disorders, emotional disorders, psychopathology, and therapy.
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Table of Contents

1. The Nature of Anxiety: Anxiety, Depression, and Emotional Disorders, Barlow 2. The Nature of Normal and Pathological Worry, Borkovec, Shadick, and Hopkins 3. The Biology of Generalized Anxiety Disorder and Chronic Anxiety, Cowley and Roy-Byrne 4. Psychological Factors Involved in Generalized Anxiety, Rapee 5. The Diagnosis of Generalized Anxiety Disorder: Development, Current Status, and Future Directions, Barlow and Di Nardo 6. Chronic Anxiety and Generalized Anxiety Disorder: Issues in Comorbidity, Sanderson and Wetzler 7. Mixed Anxiety-Depression: A New Diagnostic Category?, Zinbarg and Barlow 8. The Relation of Generalized Anxiety Disorder to Depression in General and Dysthymic Disorder in Particular, Riskind, Hohmann, Beck, and Stewart 9. Pharmacotherapy of Generalized Anxiety Disorder, Schweizer and Rickels 10. Developing Psychological Treatments for Generalized Anxiety Disorder, Butler and Booth

About the Author

Ronald M. Rapee, Ph.D., is a Senior Lecturer in the School of Behavioural Sciences, Macquarie University, Sydney, Australia and is Co-Coordinator of the clinical training program. Prior to his current position, he was Assistant Director of the Phobia and Anxiety Disorders Clinic at SUNY-Albany. He has published more than 80 papers and book chapters and four books, mostly in the area of anxiety and anxiety disorders, and has presented numerous conference papers and workshops on stress and anxiety. Dr. Rapee is a member of the Generalized Anxiety Disorder subcommittee for the DSM-IV. His current research interests are primarily in the areas of social fears, basic models of anxiety, and children's anxiety. Dr. Rapee has received an Early Career Award from the Australian Psychological Society and is on a number of journal editorial boards. He is a member of the Australian Psychological Society and maintains a private practice.


"Drs. Rapee and Barlow have contributed immeasurably in the past to both scientific and clinical understanding of anxiety disorders. Once again in this book they have successfully brought together many disciplines and points of view to present a cohesive, illuminating, and important description of chronic anxiety. The book is eminently readable and informative and will appeal both to specialists in the field of anxiety disorder research as well as to clinicians and patients with anxiety disorder who want to understand the most current recommendations for treatment."--Jack M. Gorman, M.D. College of Physicians & Surgeons of Columbia University "Barlow and Rapee have edited an outstanding comprehensive text on the subject of Generalized Anxiety Disorders. This relatively neglected orphan of DSM III Anxiety Disorders is in need of a focused academic research effort, similar to that undertaken over the past decade for panic disorder. [This book] provides the foundation upon which such an effort could be based. The list of contributing authors includes the key clinical researchers in this field. The topics covered provide a comprehensive view of the current state of psychological and biological knowledge..."--Katherine Shear, M.D., Associate Professor of Psychiatry, Cornell University, Director of Anxiety Disorders Clinic, N.Y. Hospital, Payne-Whitney Clinic

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