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editorial
. 2016 Jun 28;6(6):e847. doi: 10.1038/tp.2016.108

Table 2. Summary of the prevalence of exclusion criteria applied in treatment studies of anxiety disorders.

Review paper Bradley et al.16 Ronconi et al.17 Eddy et al.18 Eddy et al.18 Hoertel et al.20 Lincoln and Reif22
Reviews of the reported prevalence of exclusion criteria
 Year range of studies 1980–2003 1980–2012 1980–2001 1980–2001 1980–2004 1996–2002
 Disorder PTSD PTSD OCD OCD PD SO
 Type of treatment Psychotherapy Psychotherapy Psychotherapy Pharmacotherapy Pharmaco/psychotherapy CBT/exposure
 Number of studies reviewed 26 75 15 32 20 26a
             
Percentage prevalence (and number) of studies excluding patients according to each exclusion criterion
 Other psychiatric disorders
  Any DSM Axis I disorders       31.2% (10)   38.5% (10)
  MDD   28.0% (21) 20.0% (3) 59.4% (19) 75.0% (15) 61.5% (16)
  Suicide risk 46.2% (12) 58.7% (44) 20.0% (3) 18.8% (6) 25.0% (5)  
  Bipolar disorder   58.7% (44)   56.3% (18) 35.0% (7) 88.5% (23)
  Psychosis 84.6% (22) 90.7% (68) 66.7% (10) 68.8% (22) 80.0% (16) 88.5% (23)
  Any DSM Axis II disorders     6.7% (1) 15.6% (5) 15.0% (3)  
  Avoidant personality disorder     6.7% (1) 15.6% (5) 15.0% (3) 26.9% (7)
  Antisocial personality disorder            
             
 Alcohol abuse/dependence
  Drug or alcohol abuse/dependence 61.5% (16)          
  Substanceb use     46.7% (7) 68.8% (22)   88.5% (23)
  Substanceb abuse 61.5% (16) 44.0% (33) 46.7% (7) 68.8% (22) 60.0% (12) 88.5% (23)
  Substanceb dependence 61.5% (16) 72.0% (54) 46.7% (7) 68.8% (22) 60.0% (12) 88.5% (23)
             
 Treatments
 Current psychotherapy     60.0% (9) 68.8% (22) 20.0% (4)  
  Recent medication changes   41.3% (31)        
 Current pharmacotherapy     60.0% (9) 68.8% (22) 35.0% (7)  
 History of treatment     26.7% (4)     20.7% (6/29)
             
 Other specific anxiety disorders
 Panic disorder       50.0% (16)   38.5% (10)
  Agoraphobia       43.8% (14)   38.5% (10)
 Eating disorder       43.8% (14)   38.5% (10)
 OCD         30.0% (6) 38.5% (10)
  Specific & social phobias            
             
 Other medical conditions
 Major medical condition     20.0% (3) 71.9% (23) 55.0% (11)  
  Organic disorder 76.9% (20)   66.7% (10) 68.8% (22) 35.0% (7)  
  Serious comorbidityc 61.5% (16)          
  Exclusion of low severity           43.3% (13/30)
 Pregnancy         25.0% (5)  

Abbreviations: CBT, cognitive behavioral therapy; DSM, Diagnostic and Statistical Manual of Mental Disorders; MDD, major depressive disorder; OCD, obsessive-compulsive disorder; PD, panic disorder; PTSD, post-traumatic stress disorder; SO, social phobia.

a

Four additional studies did not provide information regarding the most common exclusion criteria.

b

Substance use/abuse/dependence includes both alcohol and/or drug use/abuse/dependence.

c

General term, Bradley et al.16 notes that the definition of serious comorbidity was often not described.