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 diagsis 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 diagsis of GAD. Biological and psychological factors are considered, as are issues of comorbidity. Clinical chapters commence with a discussion of the diagsis 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 chapter provides 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.
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.