title: Probability and predictors of first treatment contact for anxiety disorders in the United States: analysis of data from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC).
abstract: BACKGROUND
  Despite the high prevalence of anxiety disorders and the demonstrated efficacy of their treatment, most individuals with anxiety disorders never utilize mental health services.
  
  
  OBJECTIVE
  To identify predictors of treatment-seeking for DSM-IV anxiety disorders from a range of sociodemographic factors and comorbid mental disorders.
  
  
  METHODS
  Survival analysis with time-varying covariates was performed using data from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC).
  
  
  METHODS
  Face-to-face interviews conducted in the United States.
  
  
  METHODS
  34,653 respondents, aged 18 years and older, from the 2004-2005 Wave 2 NESARC.
  
  
  METHODS
  The cumulative probability of treatment-seeking (assessed by the Alcohol Use Disorder and Associated Disabilities Interview Schedule-DSM-IV version, Wave 2 version) across the anxiety disorders in 1 year, 10 years, and lifetime and the median delay to the first treatment contact.
  
  
  RESULTS
  Most individuals with panic disorder sought treatment within the same year of disorder onset, whereas the median delays to first treatment contact for generalized anxiety disorder, specific phobia, and social anxiety disorder were 1 year, 13 years, and 16 years, respectively. Several personality disorders and earlier age at anxiety disorder onset decreased the probability of treatment contact. By contrast, younger cohort membership, a recent change in marital status, treatment for a psychiatric disorder other than substance use disorder, and comorbid anxiety disorders increased the lifetime probability of treatment contact.
  
  
  CONCLUSIONS
  Treatment-seeking rates for most anxiety disorders are low, are associated with long delays, and sometimes are hindered by co-occurrence of other psychopathology. These patterns highlight the complex interplay of personal characteristics, individual psychopathology, and social variables in the treatment-seeking process.
authors: New York State Psychiatric Institute/Department of Psychiatry, College of Physicians and Surgeons of Columbia University, 1051 Riverside Drive, New York, NY 10032 MIzaC@fjd.es.
authors: Miren
authors: M
authors: Iza
authors: Mark
authors: M
authors: Olfson
authors: Donna
authors: D
authors: Vermes
authors: Marcela
authors: M
authors: Hoffer
authors: Shuai
authors: S
authors: Wang
authors: Carlos
authors: C
authors: Blanco
mesh_terms: D000367:Age Factors; D014151:Anti-Anxiety Agents / Q000627:therapeutic use*; D001008:Anxiety Disorders / Q000175:diagnosis / Q000188:drug therapy* / Q000453:epidemiology* / Q000523:psychology; D015331:Cohort Studies; D015897:Comorbidity; D016021:Epidemiologic Studies; D005260:Female; D006801:Humans; D008297:Male; D008913:Minority Groups / Q000523:psychology / Q000706:statistics & numerical data; D016584:Panic Disorder / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology / Q000523:psychology; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D010554:Personality Disorders / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology / Q000523:psychology; D010698:Phobic Disorders / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology / Q000523:psychology; D011336:Probability; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012737:Sex Factors; D012933:Social Identification; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D014481:United States; D014600:Utilization Review / Q000706:statistics & numerical data
chemical_list: D014151:Anti-Anxiety Agents