Prediction of 6-yr symptom course trajectories of anxiety disorders by diagnostic, clinical and psychological variables

Spinhoven, P., Batelaan, N., Rhebergen, D., van Balkom, A., Schoevers, R. & Penninx, B. W., Dec-2016, In : Journal of Anxiety Disorders. 44, p. 92-101 10 p.

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  • Philip Spinhoven
  • Neeltje Batelaan
  • Didi Rhebergen
  • Anton van Balkom
  • Robert Schoevers
  • Brenda W. Penninx

This study aimed to identify course trajectories of anxiety disorder using a data-driven method and to determine the incremental predictive value of clinical and psychological variables over and above diagnostic categories. 703 patients with DSM-IV panic disorder with or without agoraphobia, agoraphobia, social phobia, or generalized anxiety disorder were selected from a prospective cohort study. Latent Growth Mixture Modeling was conducted, based on symptoms of anxiety and avoidance as assessed with the Life Chart Interview covering a 6-year time period. In 44% of the participants symptoms of anxiety and avoidance improved, in 24% remained stable, in 25% slightly increased, and in 7% severely increased. Identified course trajectories were predicted by baseline DSM-IV anxiety categories, clinical variables (i.e., severity and duration and level of disability) and psychological predictors (i.e., neuroticism, extraversion, anxiety sensitivity, worry, and rumination). Clinical variables better predicted unfavorable course trajectories than psychological predictors, over and above diagnostic categories. (C) 2016 Elsevier Ltd. All rights reserved.

Original languageEnglish
Pages (from-to)92-101
Number of pages10
JournalJournal of Anxiety Disorders
Publication statusPublished - Dec-2016


  • Anxiety disorder, Anxiety, Avoidance, Disability, Personality traits, Anxiety sensitivity, Worry, Rumination, Symptom course trajectories, 2-YEAR COURSE, DEVELOPMENTAL TRAJECTORIES, PSYCHOMETRIC PROPERTIES, COGNITIVE REACTIVITY, DEPRESSION, RELIABILITY, RECURRENCE, INTERVIEW, VALIDITY, QUESTIONNAIRE

ID: 40198185