Table 3.

DSM-IV research criteria for mixed anxiety depressive disorder [19]

Persistent or recurrent dysphoric mood for at least 1 month

The dysphoric mood is accompanied by at least 1 month of four (or more) of the following symptoms

Difficulty concentrating or mind going blank

Sleep disturbance (difficulty falling asleep or staying asleep, or restless unsatisfying sleep)

Fatigue or low energy

Irritability

Worry

Being easily moved to tears

Hypervigilance

Anticipating the worst

Hopelessness

Low self-esteem or feelings of worthlessness

The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning

The symptoms are not a result of the direct physiological effects of a substance or a general medical condition

All of the following

Criteria have never been met for major depressive disorder, dysthymic disorder, panic disorder, or GAD

Criteria are not currently met for any other anxiety or mood disorder (including an anxiety or mood disorder in partial remission)

The symptoms are not better accounted for by any other mental disorder