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Chapter 9 - Anxiety Disorders and OCD in Men

from Section 2 - Body Image and Anxiety Disorders

Published online by Cambridge University Press:  10 March 2021

By
Rupert Goodman ,
Christine Lochner  and
Dan J. Stein
Edited by
David Castle  and
David Coghill
David Castle
Affiliation:
University of Melbourne
David Coghill
Affiliation:
University of Melbourne
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Summary

Fear and anxiety are common and often transient human responses to stressors, danger, or traumatic events. However, when fear and anxiety persist over time, and result in functional impairment, an anxiety disorder may be present. In both the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) (APA, 2013) and the ICD-11 (World Health Organization, 2018) the category of ‘anxiety disorders’ includes a range of conditions that share characteristics of excessive fear or anxiety with consequent distress and impairment. These include generalized anxiety disorder, panic disorder, agoraphobia, and social anxiety disorder (social phobia), among others. This chapter focuses on these conditions with particular reference to how they affect adult men. In addition, obsessive-compulsive disorder (OCD), an anxiety-related disorder placed in a separate DSM-5 and ICD-11 category called ‘Obsessive-Compulsive and Related Disorders’, is also included here due to its historical positioning as an anxiety disorder in earlier editions of the DSM and ICD. Posttraumatic stress disorder (PTSD) has also been reclassified in DSM-5 and ICD-11 from an anxiety disorder to a new diagnostic category known as ‘Trauma and Stressor-Related Disorders’, and is discussed in Chapter 10.

Type
Chapter
Information
Comprehensive Men's Mental Health , pp. 96 - 105
Publisher: Cambridge University Press
Print publication year: 2021

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References

Altemus, M, Sarvaiya, N, and Epperson, CN (2016) Sex differences in anxiety and depression clinical perspectives. Frontiers in Neuroendocrinology 35(3), 320–30.Google Scholar
APA (2013) Diagnostic and Statistical Manual of Mental Disorders: DSM-5. Arlington, VA: American Psychiatric Association.Google Scholar
Asher, M and Aderka, IM (2018) Gender differences in social anxiety disorder. Journal of Clinical Psychology (February), 1–12.Google Scholar
Asher, M, Asnaani, A., and Aderka, I. M. (2017) Gender differences in social anxiety disorder: a review. Clinical Psychology Review 56(May), 1–12.Google Scholar
Barlow, DH (2002) Anxiety and Its Disorders: The Nature and Treatment of Anxiety and Panic. 2nd ed. New York: Guilford Press.Google Scholar
Baxter, AJ, Scott, KM, Vos, T, et al. (2013) Global prevalence of anxiety disorders: a systematic review and meta-regression. Psychological Medicine 43(5), 897–910.Google Scholar
Beesdo, K, Knappe, S, and Pine, DS (2009) Anxiety and anxiety disorders in children and adolescents: developmental issues and implications for DSM-V. Psychiatric Clinics of North America 32(3), 483–524.Google Scholar
Beesdo-Baum, K and Hilbert, K (2015) Generalized Anxiety Disorder. In: Stein, DJ and Vythilingum, B (eds) Anxiety Disorders and Gender. 1st ed. Switzerland: Springer International Publishing, 1–29.Google Scholar
Block, JH (1983) Differential premises arising from differential socialization of the sexes: some conjectures. Child Development 54(6), 1335–54.Google Scholar
Bogetto, F, Venturello, S, Albert, U, et al. (1999) Gender-related clinical differences in obsessive-compulsive disorder. European Psychiatry 14(8), 434–41.Google Scholar
Cairney, J, McCabe, L, Veldhuizen, S, et al. (2007) Epidemiology of social phobia in later life. American Journal of Geriatric Psychiatry 15(3), 224–33.Google Scholar
Chorpita, BF and Barlow, DH (1998) The development of anxiety: the role of control in the early environment. Psychological Bulletin 124(1), 3–21.Google Scholar
Chou, K-L, Liang, K, and Mackenzie, CS (2011) Binge drinking and Axis I psychiatric disorders in community-dwelling middle-aged and older adults. The Journal of Clinical Psychiatry 72(05), 640–7.Google Scholar
Clayton, AH, Stewart, RS, Fayyad, R, et al. (2006) Sex differences in clinical presentation and response in panic disorder: pooled data from sertraline treatment studies. Archives of Women’s Mental Health 9(3), 151–7.Google Scholar
Compton, SN, Nelson, AH, and March, JS (2000) Social phobia and separation anxiety symptoms in community and clinical samples of children and adolescents. Journal of the American Academy of Child & Adolescent Psychiatry 39(8), 1040–6.Google Scholar
Cox, BJ, Swinson, RP, Shulman, ID, et al. (1993) Gender effects and alcohol use in panic disorder with agoraphobia. Behaviour Research and Therapy 31(4), 413–16.Google Scholar
de Jonge, P, Roest, AM, Lim, CCW, et al. (2016) Cross-national epidemiology of panic disorder and panic attacks in the world mental health surveys. Depression and Anxiety 33(12), 1155–77.Google Scholar
Deacon, BJ, Abramowitz, JS, Woods, CM, et al. (2003) The Anxiety Sensitivity Index – revised: psychometric properties and factor structure in two nonclinical samples. Behaviour Research and Therapy 41(12), 1427–49.Google Scholar
Eaton, WW, Kessler, RC, Wittchen, HU, et al. (1994) Panic and panic disorder in the United States. American Journal of Psychiatry 151(3), 413–20.Google Scholar
Fehm, L, Pelissolo, A, Furmark, T, et al. (2005) Size and burden of social phobia in Europe. European Neuropsychopharmacology 15(4), 453–62.Google Scholar
Goodwin, R, Koenen, K, Hellman, F, et al. (2002) Helpseeking and access to mental health treatment for obsessive-compulsive disorder. Acta Psychiatrica Scandinavica 106(5), 143–9.Google Scholar
Grant, JE and Odlaug, BL (2015) Anxiety and related disorders in men. In: Stein, DJ and Vythilingum, B (eds) Anxiety Disorders and Gender. Switzerland: Springer International Publishing, 155–68.Google Scholar
Kajantie, E and Phillips, DIW (2006) The effects of sex and hormonal status on the physiological response to acute psychosocial stress. Psychoneuroendocrinology 31(2), 151–78.Google Scholar
Kessler, RC, Chiu, WT, Jin, R, et al. (2006) The epidemiology of panic attacks, panic disorder, and agoraphobia in the National Comorbidity Survey Replication. Archives of General Psychiatry 63(4), 415.Google Scholar
Kessler, RC, McGonagle, KA, Zhao, S, et al. (1994) Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Archives of General Psychiatry 51(1), 8.Google Scholar
Kessler, RC, Petukhova, M, Sampson, NA, et al. (2012) Twelve-month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States. International Journal of Methods in Psychiatric Research 21(3), 169–84.Google Scholar
Labad, J, Menchon, JM, Alonso, P, et al. (2008) Gender differences in obsessive-compulsive symptom dimensions. Depression and Anxiety 25(10), 832–8.Google Scholar
Leach, LS, Christensen, H, Mackinnon, AJ, et al. (2008) Gender differences in depression and anxiety across the adult lifespan: the role of psychosocial mediators. Social Psychiatry and Psychiatric Epidemiology 43(12), 983–98.Google Scholar
Leckman, JF, Denys, D, Simpson, HB, et al. (2010) Obsessive-compulsive disorder: a review of the diagnostic criteria and possible subtypes and dimensional specifiers for DSM-V. Depression and Anxiety 27(6), 507–27.Google Scholar
Lochner, C, Hemmings, SMJ, Kinnear, CJ, et al. (2004) Gender in obsessive-compulsive disorder: clinical and genetic findings. European Neuropsychopharmacology 14(2), 105–13.Google Scholar
MacKenzie, CS, Reynolds, K, Cairney, J, et al. (2012) Disorder-specific mental health service use for mood and anxiety disorders: associations with age, sex, and psychiatric comorbidity. Depression and Anxiety 29(3), 234–42.Google Scholar
Martin, P (2003) The epidemiology of anxiety disorders: a review. Dialogues in Clinical Neuroscience 5(3), 281–98.Google Scholar
Mathis, MA de, Alvarenga, P de, Funaro, G, et al. (2011) Gender differences in obsessive-compulsive disorder: a literature review. Revista Brasileira de Psiquiatria 33(4), 390–9.Google Scholar
McHenry, J, Carrier, N, Hull, E, et al. (2014) Sex differences in anxiety and depression: role of testosterone. Frontiers in Neuroendocrinology 35(1), 42–57.Google Scholar
McLean, CP and Anderson, ER (2009) Brave men and timid women? A review of the gender differences in fear and anxiety. Clinical Psychology Review 29(6), 496–505.Google Scholar
McLean, CP, Asnaani, A, Litz, BT, et al. (2011) Gender differences in anxiety disorders: prevalence, course of illness, comorbidity and burden of illness. Journal of Psychiatric Research 45(8), 1027–35.Google Scholar
McLean, CP and Hope, DA (2010) Subjective anxiety and behavioral avoidance: gender, gender role, and perceived confirmability of self-report. Journal of Anxiety Disorders 24(5), 494–502.Google Scholar
Moscovitch, DA, Hofmann, SG, and Litz, BT (2005) The impact of self-construals on social anxiety: a gender-specific interaction. Personality and Individual Differences 38(3), 659–72.Google Scholar
Mundo, E, Bareggi, SR, Pirola, R, et al. (1999) Effect of acute intravenous clomipramine and antiobsessional response to proserotonergic drugs: is gender a predictive variable? Biological Psychiatry 45(3), 290–4.Google Scholar
Muris, P, Meesters, C, and Knoops, M (2005) The relation between gender role orientation and fear and anxiety in nonclinic-referred children. Journal of Clinical Child & Adolescent Psychology 34(2), 326–32.Google Scholar
Ohayon, MM and Schatzberg, AF (2010) Social phobia and depression: prevalence and comorbidity. Journal of Psychosomatic Research 68(3), 235–43.Google Scholar
Pierce, KA and Kirkpatrick, DR (1992) Do men lie on fear surveys? Behaviour Research and Therapy 30(4), 415–18.Google Scholar
Raines, AM, Oglesby, ME, Allan, NP, et al. (2018) Examining the role of sex differences in obsessive-compulsive symptom dimensions. Psychiatry Research 259, 265–9.Google Scholar
Roest, AM, Vries, YA, Lim, CCW, et al. (2019) A comparison of DSM‐5 and DSM‐IV agoraphobia in the World Mental Health Surveys. Depression and Anxiety 16, da.22885.Google Scholar
Ruscio, AM, Hallion, LS, Lim, CCW, et al. (2017) Cross-sectional comparison of the epidemiology of DSM-5 generalized anxiety disorder across the globe. JAMA Psychiatry 74(5), 465.Google Scholar
Ruscio, AM, Stein, DJ, Chiu, WT, et al. (2010) The epidemiology of obsessive-compulsive disorder in the National Comorbidity Survey Replication. Molecular Psychiatry 15(1), 53–63.Google Scholar
Schmidt, NB and Koselka, M (2000) Gender differences in patients with panic disorder: evaluating cognitive mediation of phobic avoidance. Cognitive Therapy and Research 24(5), 533–50.Google Scholar
Seedat, S, Scott, KM, Angermeyer, MC, et al. (2009) Cross-national associations between gender and mental disorders in the World Health Organization World Mental Health Surveys. Archives of General Psychiatry 66(7), 785–95.Google Scholar
Shear, K, Feske, U, and Greeno, C (2000) Gender differences in anxiety disorders: clinical implications. In: Frank, E (ed.) Gender and Its Effects on Psychopathology. Washington, DC: American Psychopathological Association, 151–65.Google Scholar
Sheikh, JI, Leskin, GA, and Klein, DF (2002) Gender differences in panic disorder: findings from the national comorbidity survey. American Journal of Psychiatry 159(1), 55–8.Google Scholar
Simon, NM, Zalta, AK, Worthington, JJ, et al. (2006) Preliminary support for gender differences in response to fluoxetine for generalized anxiety disorder. Depression and Anxiety 23(6), 373–6.Google Scholar
Starcevic, V, Djordjevic, A, Latas, M, et al. (1998) Characteristics of agoraphobia in women and men with panic disorder with agoraphobia. Depression and Anxiety 8(1), 8–13.Google Scholar
Stein, DJ, Kasper, S, Andersen, EW, et al. (2004) Escitalopram in the treatment of social anxiety disorder: analysis of efficacy for different clinical subgroups and symptom dimensions. Depression and Anxiety 20(4), 175–81.Google Scholar
Stein, DJ, Lim, CCW, Roest, AM, et al. (2017) The cross-national epidemiology of social anxiety disorder: data from the World Mental Health Survey Initiative. BMC Medicine 15(1), 143.Google Scholar
Stewart, SE, Yen, C-H, Stack, DE, et al. (2006) Outcome predictors for severe obsessive-compulsive patients in intensive residential treatment. Journal of Psychiatric Research 40(6), 511–19.Google Scholar
Stoney, CM, Davis, MC, and Matthews, KA (1987) Sex differences in physiological responses to stress and in coronary heart disease: a causal link? Psychophysiology 24(2), 127–31.Google Scholar
Storch, EA, Abramowitz, J, and Goodman, WK (2008) Where does obsessive-compulsive disorder belong in DSM-V? Depression and Anxiety 5(4), 336–47.Google Scholar
Thompson, AE and Voyer, D (2014) Sex differences in the ability to recognise non-verbal displays of emotion: a meta-analysis. Cognition and Emotion 28(7), 1164–95.Google Scholar
Torresan, RC, Ramos-Cerqueira, ATA, Shavitt, RG, et al. (2013) Symptom dimensions, clinical course and comorbidity in men and women with obsessive-compulsive disorder. Psychiatry Research 209(2), 186–95.Google Scholar
Turgeon, L, Marchand, A, and Dupuis, G (1998) Clinical features in panic disorder with agoraphobia. Journal of Anxiety Disorders 12(6), 539–53.Google Scholar
Vesga-López, O, Schneier, FR, Wang, S, et al. (2008) Gender differences in generalized anxiety disorder: results from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). The Journal of Clinical Psychiatry 69(10), 1606–16.Google Scholar
Weissman, MM, Bland, RC, Canino, GJ, et al. (1994) The cross national epidemiology of obsessive compulsive disorder. The Cross National Collaborative Group. The Journal of Clinical Psychiatry 55 Suppl. 5–10.Google Scholar
Wittchen, HU, Jacobi, F, Rehm, J, et al. (2011) The size and burden of mental disorders and other disorders of the brain in Europe 2010. European Neuropsychopharmacology 21(9), 655–79.Google Scholar
World Health Organization (2018) International Statistical Classification of Diseases and Related Health Problems. 11th revision. Available at: https://icd.who.int/browse11/l-m/en (accessed 26 February 2019).Google Scholar
Xu, Y, Schneier, F, Heimberg, RG, et al. (2012) Gender differences in social anxiety disorder: results from the national epidemiologic sample on alcohol and related conditions. Journal of Anxiety Disorders 26(1), 12–19.Google Scholar
Yonkers, KA, Bruce, SE, Dyck, IR, et al. (2003) Chronicity, relapse, and illness – course of panic disorder, social phobia, and generalized anxiety disorder: findings in men and women from 8 years of follow-up. Depression and Anxiety 17(3), 173–9.Google Scholar
Yonkers, KA, Zlotnick, C, Allsworth, J, et al. (1998) Is the course of panic disorder the same in women and men? The American Journal of Psychiatry 155(5), 596–602.Google Scholar

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