Major depressive disorder (MDD), panic disorder (PD), generalized anxiety disorder (GAD), and social anxiety disorder (SAD) are among the most prevalent and most frequently co-occurring psychiatric disorders in adults. Estimations of the comorbidity of depression and anxiety range from 10% to more than 50%.
1-4 Therefore, it has been suggested that depression and anxiety have a similar etiology; they also respond to the same treatment strategies.
3 The comorbid condition of depression and anxiety (CDA), however, may differ from MDD in clinical course and characteristics because it has been associated with worse outcome
1,2,4-6 and more severe psychopathology.
4,6,7 Also, the onset of anxiety often precedes the onset of the first depressive episode.
8 However, in studies investigating the neurobiology of depression and anxiety, comorbidity is rarely explicitly studied.