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The Prognosis of Anxiety Neurosis

Russell Noyes Jr, MD; John Clancy, MD, FRCP(C); Paul R. Hoenk, MSW; Donald J. Slymen, MS
Arch Gen Psychiatry. 1980;37(2):173-178. doi:10.1001/archpsyc.1980.01780150063006.
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• One hundred twelve anxiety neurotics originally seen in the medical clinics of a university hospital were interviewed after six years, and their outcome was compared with that of 110 surgical control subjects. Although socially impaired to a greater extent than control subjects, the majority of patients with anxiety neurosis, despite persisting symptoms, were shown to have a favorable outcome. Sixty-eight percent were either recovered or mildly impaired at follow-up examination. Of the prognostic variables examined, duration of illness and social class proved predictive of outcome. Secondary depression, which was reported by 44% of the neurotic subjects, represented the most frequent and potentially serious complication.


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