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Clinical Report — The Impact of Social Media on Children, Adolescents, and Families
Allgulander C. "Generalized Anxiety Disorder: Between Now and
DSM-V," Psychiatric Clinics of North America
(Sept. 2009): Vol. 32, No. 3, pp. 611–28.
Alwahhabi F. "Anxiety Symptoms and Generalized Anxiety Disorder
in the Elderly: A Review," Harvard Review of Psychiatry
(July-Aug. 2003): Vol. 11, No. 4, pp. 180–93.
Culpepper L. "Generalized Anxiety Disorder and Medical Illness,"
Journal of Clinical Psychiatry (2009): Vol. 70 Suppl. 2,
Leach LS, et al. "Gender Differences in Depression and Anxiety
Across the Adult Lifespan: The Role of Psychosocial Mediators,"
Social Psychiatry and Psychiatric Epidemiology (Dec.
2008): Vol. 43, No. 12, pp. 983–98.
Lehti AH, et al. "The Western Gaze—An Analysis of Medical
Research Publications Concerning the Expressions of Depression,
Focusing on Ethnicity and Gender," Health Care for Women
International (Feb. 2010): Vol. 31, No. 2, pp. 100–12.
Liu RT, et al. "Stress Generation in Depression: A Systematic
Review of the Empirical Literature and Recommendations for Future
Study," Clinical Psychology Review (July 2010): Vol. 30,
No. 5, pp. 582–93.
Ropeik D. "Understanding Factors of Risk Perception," Nieman
Reports (Winter 2002).
Slovic P, et al. "Affect, Risk, and Decision Making," Health
Psychology (July 2005): Vol. 24, No. 4 Suppl., pp. S35–40.
Yun K, et al. "Moving Mental Health into the
Disaster-Preparedness Spotlight," New England Journal of
Medicine (Sept. 23, 2010): Vol. 363, No. 13, pp. 1193–5.
Anxiety is often a healthy response to uncertainty and danger,
but constant worry and nervousness may be a sign of generalized
This common disorder affects about 5% to 6% of Americans at some
point in their lives. Women are twice as likely as men to develop
generalized anxiety disorder. Some research suggests that
prevalence of this disorder increases with age. Generalized
anxiety disorder usually first appears from young adulthood
through the mid-50s — a later onset than seen with other
While other types of anxiety disorders — such as specific phobias
or social anxiety disorder — arise from particular situations,
generalized anxiety disorder is characterized chiefly by
debilitating worry and agitation about nothing in particular or
anything at all. The constant and continually changing worries of
people with generalized anxiety disorder are mostly about
everyday matters. They can't shake the feeling that something bad
will happen and they will not be prepared. They may worry to
excess about missing an appointment, losing a job, or having an
accident. Some people even worry about worrying too much.
Physical symptoms — racing heart, dry mouth, upset stomach,
muscle tension, sweating, trembling, and irritability — are an
integral part of generalized anxiety disorder. Over time, these
physical manifestations of anxiety may adversely affect
Although men are less likely than women to develop depression, it
remains a significant mental health problem for them. About 10%
to 17% of men will develop major depression at some point in
their lives. Moreover, depression may be more deadly for men than
for women. Depression is a key risk factor for suicide, and four
times as many men compared with women die from suicide. One
reason may be men's reluctance to convey their feelings and seek
help when they are in despair.
Another mortal concern for men with depression is cardiovascular
disease. Depression is a well-known risk factor for coronary
artery disease, heart attack, and stroke. Men are especially
vulnerable because they develop these diseases at a higher rate
and at an earlier age than women.
Given the toll depression takes on men, it's important that those
who need help receive it. But often the symptoms of depression
are different in men than in women — partly because of cultural
pressures for members of each gender to behave in certain ways —
a factor that may contribute to missed diagnoses.
Risk perception is rarely entirely rational. Instead, people
assess risks using a mixture of cognitive skills (weighing the
evidence, using reasoning and logic to reach conclusions) and
emotional appraisals (intuition or imagination). After reviewing
the research, risk expert David Ropeik identified 14 specific
factors that affect perception of danger:
According to researchers, women with bipolar disorder were more
likely to have their condition negatively affected by
Patients with schizophrenia who received nicotine replacement
therapy during hospitalization experienced a decrease in
agitation during their stays.
Dr. Michael Miller, editor in chief of the Harvard Mental Health
Letter, explains why parents should make the effort to understand
their children's use of the internet and social media.