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Am J Psychiatry 154:1766-1768, December 1997
© 1997 American Psychiatric Association


Brief Report

Self-Reported Anxiety, General Medical Conditions, and Disability Bed Days

Steven C. Marcus, M.A., Mark Olfson, M.D., M.P.H., Harold Alan Pincus, M.D., M. Katherine Shear, M.D., and Deborah A. Zarin, M.D.

OBJECTIVE: This study examined the effect of self-reported anxiety on the number of days persons with various general medical conditions spend in bed owing to disability. METHOD: Self-reported medical illness and disability data from a nationally representative household survey sample (N=20,884) were analyzed. RESULTS: Among respondents with general medical conditions, those with self-reported anxiety had a nearly fourfold greater length of disability (mean=18.0 bed days) than the nonanxious respondents (mean=4.8 bed days). After adjustment for differences in demographic characteristics and burden of general medical illness, anxiety was associated with an additional 3.8 bed days. CONCLUSIONS: Self-reported anxiety in combination with general medical conditions may be associated with extensive functional impairment. (Am J Psychiatry 1997; 154:1766–1768)




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