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Interaction of Depression and Anxiety in the Development of Mixed Anxiety/Depression Disorder. Experimental Studies of the Mechanisms of Comorbidity (review)

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The symptoms of depression and anxiety often accompany each other. This is apparent both in clinical practice and in laboratory studies. The combination of anxiety and depression in humans responds more slowly to treatment, requires higher doses of drugs, and increases the probability of suicide and the frequency of recurrences. In addition, existing antidepressants and anxiolytics exert their therapeutic effects even in the monopolar development of anxiety or depression in only a limited number of cases. This review of the literature and our own data analyzes the relationship between anxiety and depression. Psychotropic drugs with different spectra of action in a model of mixed anxiety/depression disorder induced by chronic social stress in male mice showed that the states of anxiety and depression change independently in response to anxiolytics and antidepressants.

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References

  • Alonso, J., Angermeyer, M. C., Bernert, S., et al., “12-Month comorbidity patterns and associated factors in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project,” Acta Psychiatr. Scand., 109, No. 1420, Supplement, 28–37 (2004).

  • Anderson, I. M., “SSRIs versus tricyclic antidepressants in depressed inpatients: a meta-analysis of efficacy and tolerability,” Depress. Anxiety, 7, No. 1, 11–17 (1998).

    Article  PubMed  Google Scholar 

  • Andreescu, C., Lenze, E. J., Dew, M., et al., “Effect of comorbid anxiety on treatment response and relapse risk in late-life depression: controlled study,” Br. J. Psychiatry, 190, 344–349 (2007).

    Article  PubMed  Google Scholar 

  • Arroll, B., Macgillivray, S., Ogston, S., et al., “Efficacy and tolerability of tricyclic antidepressants and SSRIs compared with placebo for treatment of depression in primary care: a meta-analysis,” Ann. Fam. Med., 3, 449–456 (2005).

    Article  PubMed  PubMed Central  Google Scholar 

  • Avgustinovich, D. F., Alekseenko, O. V., Bakshtanovskaya, I. V., et al., “Dynamic changes in serotoninergic and dopaminergic activity in the brain during the development of anxious depression: an experimental study,” Usp. Fiziol. Nauk., 35, 19–40 (2004a).

    CAS  PubMed  Google Scholar 

  • Avgustinovich, D. F., Alekseyenko, O. V., and Koryakina, L. A., “Effects of chronic treatment with ipsapirone and buspirone on the C57BL/6J strain mice under social stress,” Life Sci., 72, 1437–1444 (2003).

    Article  CAS  PubMed  Google Scholar 

  • Avgustinovich, D. F., Kovalenko, I. L., and Kudryavtseva, N. N., “A model of anxious depression: persistence of behavioral pathology,” Ros. Fiziol. Zh., 90, No. 10, 1235–1245 (2004b).

    CAS  Google Scholar 

  • Avgustinovich, D. F., Lipina, T. V., Bondar, N. F., et al., “Features of the genetically defined anxiety in mice,” Behav. Genet., 30, No. 2, 101–109 (2000).

    Article  CAS  PubMed  Google Scholar 

  • Barbier, E. and Wang, J. B., “Anti-depressant and anxiolytic like behaviors in PKCI/HINT1 knockout mice associated with elevated plasma corticosterone level,” BMC. Neurosci., 10, 132 (2009).

    Article  PubMed  PubMed Central  Google Scholar 

  • Bartolomucci, A., Fuchs, E., Koolhaas, J. M., and Ohl, F., “Acute and chronic social defeat: Stress protocols and behavioral testing,” in: Mood and Anxiety Related Phenotypes in Mice. Neuromethods, Gould, T. D. (ed.), Humana Press, New York (2009), pp. 261–275.

    Chapter  Google Scholar 

  • Batelaan, N. M., Spijker, J., de Graaf, R., and Cuijpers, P., “Mixed anxiety depression should not be included in DSM-5,” J. Nerv. Ment. Dis., 200, No. 6, 495–498 (2012).

    Article  PubMed  Google Scholar 

  • Beitia, G., Garmendia, L., Azpiroz, A., et al., “Time-dependent behavioral, neurochemical, and immune consequences of repeated experiences of social defeat stress in male mice and the ameliorative effects of fluoxetine,” Brain Behav. Immun., 19, No. 6, 530–539 (2005).

    Article  CAS  PubMed  Google Scholar 

  • Belzung, C. and Berton, F., “Further pharmacological validation of the BALB/c neophobia in the free exploratory paradigm as an animal model of trait anxiety,” Behav. Pharmacol., 8, No. 6–7, 541–548 (1997).

    Article  CAS  PubMed  Google Scholar 

  • Berton, O., McClung, C. A., Dileone, R. J., et al., Essential role of BDNF in the mesolimbic dopamine pathway in social defeat stress,” Science, 311, 864–868 (2006).

  • Bjelland, I., Dahl, A. A., Haug, T. T., and Neckelmann, D., “The validity of the hospital anxiety and depression scale., “An updated literature review,” J. Psychosom. Res., 52, No. 2, 69–77 (2002).

  • Bolton, J. M., Pagura, J., Enns, M. W., et al., “A population-based longitudinal study of risk factors for suicide attempts in major depressive disorder,” J. Psychiatr. Res., 44, No. 13, 817–826 (2010).

    Article  PubMed  PubMed Central  Google Scholar 

  • Bondar, N. P., Kovalenko, I. L., Avgustinovich, D. F., et al., “Anhedonia in the shadow of chronic social defeat stress, or When the experimental context matters,” Open Behav. Sci. J., 3, 17–27 (2009).

    Article  Google Scholar 

  • Borodin, Ju. L, Kudryavtseva, N. N., Tenditnik M. V, et al., “Behavioral effects of novel enterosorbent Noolit on mice with mixed depression/anxiety-like state,” Pharmacol. Biochem. Behav., 72, No. 1, 131–141 (2002).

    Article  CAS  PubMed  Google Scholar 

  • Bourke, C. H. and Neigh, G. N., “Behavioral effects of chronic adolescent stress are sustained and sexually dimorphic,” Horm. Behav., 60, No. 1, 112–120 (2011).

    Article  PubMed  PubMed Central  Google Scholar 

  • Boyarskikh, U. A., Bondar, N. P., Filipenko, M. L., and Kudryavtseva, N. N., “Downregulation of serotonergic genes expression in the raphe nuclei of midbrain under chronic social defeat stress in male mice,” Mol. Neurobiol., 48, No. 1, 13–21 (2013).

    Article  CAS  PubMed  Google Scholar 

  • Broekkamp, C. L., Berendsen, H. H., Jenck, F., and Van Del, A. M., “Animal models for anxiety and response to serotonergic drugs,” Psychopathology, 22, No. 1, 2–12 (1989).

    Article  PubMed  Google Scholar 

  • Collinge, J., Pycock, C. J., and Tabemer, P. V., “Studies on the interaction between cerebral 5-hydroxytryptamine and gamma-aminobutyric acid in the mode of action of diazepam in the rat,” Br. J. Pharmacol., 79, No. 3, 637–643 (1983).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • David, D. J., Samuels, B. A., Rainer, Q., et al., “Neurogenesis-dependent and -independent effects of fluoxetine in an animal model of anxiety/ depression,” Neuron, 62, 479–493 (2009).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Deakin, J. F. W., “Three distinct roles of 5-HT in anxiety, panic, and depression,” in: Psychopharmacology of Depression, Corn, T. H. (ed.), Oxford University Press, Montgomery SA (1994) pp. 8–25.

    Google Scholar 

  • Demyttenaere, K., Bonnewyn, A., Bruffaerts, R., et al., “Clinical factors influencing the prescription of antidepressants and benzodiazepines: results from the European study of the epidemiology of mental disorders,” J. Affect. Disord., 110, 84–93 (2008).

    Article  PubMed  Google Scholar 

  • Devoino, L. V., Alperina, E. L., Kudryavtseva, N. N., and Popova, N. K., “Immune responses in male mice with aggressive and submissive behavior patterns: strain differences,” Brain Behav. Immun., 7, 91–96 (1993).

    Article  CAS  PubMed  Google Scholar 

  • Diagnostic and Statistical Manual of Mental Disorders, 4th ed. (DSM-IV, 1994), 5th ed. (DSM-V, 2013), APA, Washington DC.

  • Dulawa, S. C, Holick, K. A., Gundersen, B., and Hen, R., “Effects of chronic fluoxetine in animal models of anxiety and depression,” Neuropsychopharmacology, 29, 1321–1330 (2004).

    Article  CAS  PubMed  Google Scholar 

  • Fawcett, J., Scheftner, W. A., Fogg, L., et al., “Time-related predictors of suicide in major affective disorder,” Am. J. Psychiatry, 147, 1189–1194 (1990).

    Article  CAS  PubMed  Google Scholar 

  • Feinstein, A. R., “The pre-therapeutic classification of comorbidity in chronic disease,” J. Chronic Dis., 23, 455–468 (1970).

    Article  CAS  PubMed  Google Scholar 

  • First M. B., “DSM-5. Proposals for mood disorders: a cost-benefit analysis,” Curr. Opin. Psychiatry, 24, No. 1, 1–9 (2011).

    Article  PubMed  Google Scholar 

  • Galyamina, A. G., Smagin, D. A., Kovalenko I. L., et al., “Effects of diazepam on mixed anxiety/depression disorder in male mice,” Ros. Fiziol. Zh., 99, No. 11, 1240–1249 (2013).

    CAS  Google Scholar 

  • Gijsen, R., Hoeymans, N., Schellevis, E. G., et al., “Causes and consequences of comorbidity: a review,” J. Clin. Epidemiol., 54, No. 7, 661–674 (2001).

    Article  CAS  PubMed  Google Scholar 

  • Gorman, J. M., “Treating generalized anxiety disorder,” J. Clin. Psychiatry, 64, No. 2, 24–29 (2003).

    PubMed  Google Scholar 

  • Gorwood, P., “Generalized anxiety disorder and major depressive disorder comorbidity; an example of genetic pleiotropy?” Eur. Psychiatry, 19, No. 1, 27–33 (2004).

    Article  CAS  PubMed  Google Scholar 

  • Griebel, G., Belzung, C., Misslin, R., and Vogel, E., “The free-exploratory paradigm: an effective method for measuring neophobic behaviour in mice and testing potential neophobia-reducing drugs,” Behav. Pharmacol., 4, No. 6, 637–644 (1993).

    Article  CAS  PubMed  Google Scholar 

  • Hamilton, M., “A rating scale for depression,” J. Neurol. Neurosurg. Psychiatry, 23, 56–62 (1960).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Hamilton, M., “The assessment of anxiety states by rating,” Br. J. Med. Psychol., 32, No. 1, 50–5 (1959).

    Article  CAS  PubMed  Google Scholar 

  • Hirschfeld R. M. A., “The comorbidity of major depression and anxiety disorders: recognition and management in primary care,” Prim. Care Companion J. Clin. Psychiatry, 3, No. 6, 244–254 (2001).

    Article  PubMed  PubMed Central  Google Scholar 

  • Huang, G. B., Zhao, T., Muna, S. S., et al., “Effects of chronic social defeat stress on behaviour, endoplasmic reticulum proteins and choline acetyltransferase in adolescent mice,” Int. J. Neuropsychopharmacol., 16, 1635–1647 (2013).

    Article  CAS  PubMed  Google Scholar 

  • Itoi, K. and Sugimoto, N., “The brainstem noradrenergic systems in stress, anxiety and depression,” J. Neuroendocrinol., 22, 355–361 (2010).

    Article  CAS  PubMed  Google Scholar 

  • Jain, M., Palacio, L. G., Castellanos F. X., et al., “Attention-deficit/hyperactivity disorder and comorbid disruptive behavior disorders: evidence of pleiotropy and new susceptibility loci,” Biol. Psychiatry, 61, 1329–1339 (2007).

    Article  CAS  PubMed  Google Scholar 

  • Kakefuda, K., Oyagi, A., Ishisaka, M., et al., “Diacylglycerol kinase beta knockout mice exhibit lithium-sensitive behavioral abnormalities,” PLoS One, 5, No. 10, e13447 (2010).

    Article  PubMed  PubMed Central  Google Scholar 

  • Kalinin, V. V., Anxiety States in Patients with Endogenous Psychoses and Neurotic Disorders: Auth. Abstr. Dissert. Doct. Med. Sci., Moscow (1996).

  • Kalueff, A. V. and Murphy D. L., “The importance of cognitive phenotypes in experimental modeling of animal anxiety and depression,” Neural. Plast., 52087 (2007).

  • Kalueff, A. V., Wheaton, M., and Murphy, D. L., “What’s wrong with my mouse model? Advances and strategies in animal modeling of anxiety and depression,” Behav. Brain Res., 179, No. 1, 1–18 (2007).

    Article  CAS  PubMed  Google Scholar 

  • Karrenbauer, B. D., Millier, C. P., Ho, Y. J., et al., “Time-dependent in-vivo effects of interleukin-2 on neurotransmitters in various cortices: relationships with depressive-related and anxiety-like behaviour,” J. Neuroimmunol., 237, No. 1–2, 23–32 (2011).

    Article  CAS  PubMed  Google Scholar 

  • Kassano G. B, and Savino M., “Depressive syndromes and concomitant anxiety disorders,” Medikografiya, 16, 6–9 (1994).

    Google Scholar 

  • Keeney, A. J. and Hogg, S., “Behavioural consequences of repeated social defeat in the mouse: preliminary evaluation of a potential animal model of depression,” Behav. Pharmacol., 10, No. 8, 753–764 (1999).

    Article  CAS  PubMed  Google Scholar 

  • Korotkov, S. V. and Radyuk O. M., Classification of Anxiety Disorders (ICD-10) (1998), http://trevoga.depressii.net/index.php?s=1&w=3&a=1 1.

  • Kovalenko, I. L. and Kudryavtseva, N. N., “Development of autistic spectrum symptoms in response to chronic social stress in anxious males: the effects of diazepam,” Psikhofarmakol. Biol. Narkol., 10, No. 1, 2622–2635 (2010).

    Google Scholar 

  • Kovalenko, I. L., Avgustinovich, D. F., and Tolstikova T. G., “Effects of single-dose and chronic administration of fluoxetine in anxiety depression male and female mice,” Ros. Fiziol. Zh., 93, No. 12, 1401–1412 (2007).

    CAS  Google Scholar 

  • Kovalenko, I. L., Galyamina, A. G., Smagin, D. A., et al., “Extended effect of chronic social defeat stress in childhood on the behaviors in adulthood,” PloS One, 9, No. 3, e91762 (2014).

    Article  PubMed  PubMed Central  Google Scholar 

  • Kudryavtseva, N. N. and Avgustinovich, D. F., “Behavioral and physiological markers of experimental depression induced by social conflicts (DISC),” Aggress. Behav., 24, 271–286 (1998).

    Article  Google Scholar 

  • Kudryavtseva, N. N., “Use of the, ‘partition’ test in behavioral and pharmacological experiments,” Neurosci. Behav. Physiol., 33, No. 5, 461–471 (2003).

    Article  CAS  PubMed  Google Scholar 

  • Kudryavtseva, N. N., Avgustinovich, D. F., Bakshtanovskaya, I. V., et al., “Experimental studies of hereditary predisposition to the development of de-pression,” in: Animal Models of Biological Psychiatry, Kalueff, A. (ed.), Nova Science Publishers, New York (2006), Chap. 5, pp. 75–95.

  • Kudryavtseva, N. N., Avgustinovich, D. F., Bondar’, N. P., et al., “An experimental approach to screening psychotropic dugs in conditions approaching the clinical,” Neironauki, 1, 5–18 (2007).

    Google Scholar 

  • Kudryavtseva, N. N., Avgustinovich, D. F., Bondar, N. P., et al., “An experimental approach for the study of psychotropic drug effects un-der simulated clinical conditions,” Curr. Drug Metab., 9, No. 4, 352–360 (2008).

    Article  CAS  PubMed  Google Scholar 

  • Kudryavtseva, N. N., Bakshtanovskaya, I. V., and Koryakina, L. A., “Social model of depression in mice of C57BL/6J strain,” Pharmacol. Biochem. Behav., 38, 315–320 (1991).

    Article  CAS  PubMed  Google Scholar 

  • Kudryavtseva, N. N., Bakshtanovskaya, I. V., Madorskaya I. A., et al., “An experimental model of depression: neurochemical changes and effects of imipramine and citalopram,” Zh. Nevrol. Psikhiat., 92, No. 1, 106–109 (1992).

    CAS  Google Scholar 

  • Kudryavtseva, N. N., Mechanisms of Agonistic Behavior: Auth. Abstr. Dissert. Doct. Biol. Sci., Leningrad (1991).

  • Kudryavtseva, N. N., Shurlygina, A. V., Mel’nikova, E. V., et al., “Impairment to the cell cycle in the thymus and spleen in male mice in response to chronic social stress: effects of diazepam,” Byull. Eksperim. Biol. Med., 151, No. 4, 391–394 (2011b).

    Google Scholar 

  • Kudryavtseva, N. N., Smagin, D. A., Galyamina A. G., et al., “Effects of clomipramine on changes in the subpopulation composition of lymphocytes and the cell cycle in the thymus and spleen occurring in depressive female mice in response to chronic social stress,” Psikhofarmakol. Biol. Narkol., 11, 2677–2681 (2011a).

    CAS  Google Scholar 

  • Kudryavtseva, N. N., Smagin, D. A., Kovalenko, I. L., and Vishnivetskaya, G. B., “Repeated positive fighting experience in male inbred mice,” Nat. Protoc., 9, No. 11, 2705–2017 (2014).

    Article  PubMed  Google Scholar 

  • Kung, J. C., Chen, T. C., Shyu, B. C., et al., “Anxiety- and depressive-like responses and c-fos activity in preproenkephalin knockout mice: oversensitivity hypothesis of enkephalin deficit-induced posttraumatic stress disorder,” J. Biomed. Sci., 17, 29–42 (2010).

    Article  PubMed  PubMed Central  Google Scholar 

  • Lépine J.-P., “The epidemiology of anxiety disorders: Prevalence and societal costs,” J. Clin. Psychiatry, 63, No. 14, 4–8 (2002).

    PubMed  Google Scholar 

  • Levine, J., Cole, D. P., Chengappa, K. N., and Gershon, S., “Anxiety disorders and major depression, together or apart,” Depress. Anxiety, 14, 94–104 (2001).

    Article  CAS  PubMed  Google Scholar 

  • Ligthart, L. and Boomsma, D. I., “Causes of comorbidity: pleiotropy or causality? Shared genetic and environ-mental influences on migraine and neuroticism,” Twin Res. Hum. Gen., 15, No. 2, 158–165 (2012).

    Article  Google Scholar 

  • Lipina, T. V. and Kudryavtseva, N. N., “Changes in exploratory behavior in male CBA/Lac mice with positive and negative experience of social interactions,” Zh. Vyssh. Nerv. Deyat., 58, No. 2, 194–201 (2008).

    CAS  Google Scholar 

  • Lister, R. G., “The use of a plus-maze to measure anxiety in the mouse,” Psychopharmacology (Berl.), 92, 180–185 (1987).

    CAS  Google Scholar 

  • Longo, L. P. and Johnson, B., “Addiction: Part I. Benzodiazepines – side effects, abuse risk and alternatives,” Am. Fam. Physician, 61, 2121–2128 (2000).

    CAS  PubMed  Google Scholar 

  • Maj, M., “’Psychiatric comorbidity’: an artefact of current diagnostic systems?” Br. J. Psychiatry, 186, 182–184 (2005).

    Article  PubMed  Google Scholar 

  • Mashkovskii, M. D., Drugs, Moscow(2008).

  • McEachin, R. C, Sannareddy, K. S., Cavalcoli, J. D., et al., “Convergence of genetic influences in comorbidity,” BMC Bioinformatics, 13, No. 2, S8 (2012).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • McKinney, W. T. and Bunney, W. E., “Animal model of depression I. Review of evidence: implications for research,” Arch. Gen. Psychiatry, 21, No. 2, 240–248 (1969).

    Article  PubMed  Google Scholar 

  • Merikangas, K. R. and Swanson, S. A., “Comorbidity in anxiety disorders,” Curr. Top. Behav. Neurosci., 2, 37–59 (2010).

    Article  PubMed  Google Scholar 

  • Nelson, J. C., “Tricyclic and tetracyclic drugs,” in: The American Psychiatric Publishing Textbook of Psychopharmacology, Shatzberg, A. F. and Nemeroff, C. B. (eds.), American Psychiatric Publishing, Washington, D.C. (2009), pp. 263–289.

    Google Scholar 

  • Oh, J. E., Zupan, B., Gross, S., and Toth, M., “Paradoxical anxiogenic response of juvenile mice to fluoxetine,” Neuropsychopharmacology, 34, 2197–2207 (2009).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Olesen, J., Gustavsson, A., Svensson, M., et al., on behalf of the CDBE2010 Study Group and the European Brain Council, “The economic cost of brain disorders in Europe,” Eur. J. Neurol., 19, 155–162 (2012).

  • Olfson, M. and Marcus, S. C., “National patterns in antidepressant medication,” Arch. Gen. Psychiatry, 66, No. 8, 648–656 (2009).

    Article  Google Scholar 

  • Ordyan, N. E., Smolenskii, I. V., Pivina, S. G., and Akulova, V. K., “Characteristics of the formation of an anxiety depression state in an experimental model of post-traumatic stress disorder in prenatally stressed male rats,” Zh. Vyssh. Nerv. Deyat., 63, No. 2, 280–290 (2013).

    CAS  Google Scholar 

  • Orvaschel, H., Lewinsohn, P. M., and Seeley, J. R., “Continuity of psychopathology in a community sample of adolescents,” J. Am. Acad. Child Adolesc. Psychiatry, 34, No. 11, 1525–1535 (1995).

    Article  CAS  PubMed  Google Scholar 

  • Pauli, S., Lithorst, A. C. E., and Reul J. M. H. M., “Tumor necrosis factor-alfa and interleukin-2 differentially affect hippocampal serotonergic neurotransmission, behavioral activity, body temperature and hypothalamic-pituitary adrenocortical axis activity in the rat,” Eur. J. Neurosci., 10, 868–878 (1998).

    Article  CAS  PubMed  Google Scholar 

  • Plaznik, A., Stefanski, R., Palejko W, et al., “Antidepressant treatment and limbic serotonergic mechanisms regulating rat locomotor activity,” Pharmacol. Biochem. Behav., 48, 315–325 (1994).

    Article  CAS  PubMed  Google Scholar 

  • Porsolt, R. D., Bertin, A., and Jale, M., “Behavioral despair in mice: a primary screening test for antidepressants,” Arch. Int. Pharmacodyn. Ther., 229, 327–336 (1977).

    CAS  PubMed  Google Scholar 

  • Razavi, D., Delvaux, N., Farvacques, C., and Robaye, E., “Screening for adjustment disorders and major depressive disorders in cancer in-patients,” Br. J. Psychiatry, 156, 79–83 (1990).

    Article  CAS  PubMed  Google Scholar 

  • Rohde, P., Lewinsohn, P. M., and Seeley J. R., “Comorbidity of unipolar depression: II. Comorbidity with other mental disorders in adolescents and adults,” J. Abnorm. Psychol., 100, No. 2, 214–222 (1991).

    Article  CAS  PubMed  Google Scholar 

  • Sarkisova, K. Yu., Kulikov, A. M., Kudrin, V. S., et al., “Neurochemical mechanisms of depression-like behavior in WAG/RIG rats,” Zh. Vyssh. Nerv. Deyat., 63, No. 3, 303–316 (2013).

    Google Scholar 

  • Sharma, V., Gilhotra, R., Dhingra, D., and Gilhorta, N., “Possible underlying influence of p38MAPK and NF-κB in the diminished anti-anxiety effect of diazepam in stressed mice,” J. Pharmacol. Sci., 116, No. 3, 257–263 (2011).

    Article  CAS  PubMed  Google Scholar 

  • Shurlygina, A. V., Galyamina, A. G., Mel’nikova, E. V., et al., “Effects of Roncoleukin on measures of immunity and an anxiety depression state induced by chronic social stress in male mice,” Ros. Fiziol. Zh., 100, No. 2, 201–214 (2014).

    CAS  Google Scholar 

  • Silverstone, P. H. and von Studnitz, E., “Defining anxious de-pression: going beyond comorbidity,” Can. J. Psychiatry, 48, 675–680 (2003).

    Article  PubMed  Google Scholar 

  • Smagin, D. A., Galyamina, A. G., Bondar’, N. P., and Kudryavtseva, N. N., “Effects of clomipramine on an anxiety depression stage induced by chronic social stress in male mice,” Psikhofarmakol. Biol. Narkol., 1–2, 2666–2676 (2011).

    Google Scholar 

  • Smulevich, A. B., Glossary of Terms (depression in general medicine), Medical Information Agency, Moscow (2001).

    Google Scholar 

  • Somers, J. M., Goldner, E. M., Waraich, P., and Hsu L., “Prevalence and incidence studies of anxiety disorders: a systematic review of the literature,” Can. J. Psychiatry, 51, 100–113 (2006).

    Article  PubMed  Google Scholar 

  • Stahl, S. M., “Mixed anxiety and depression: clinical implications,” J. Clin. Psychiatry, 54, No. 1, 33–38 (1993).

    PubMed  Google Scholar 

  • Stein, L., Wise, C. D., and Belluzzi, J. D., “Effects of benzodiazepines on central serotonergic mechanisms,” Adv. Biochem. Psychopharmacol., 14, 29–44 (1975).

    CAS  Google Scholar 

  • Stein, M. B., Fuetsch, M., Müller, N., et al., “Social anxiety disorder and the risk of depression: a prospective community study of adolescents and young adults,” Arch. Gen. Psychiatry, 58, No. 3, 251–256 (2001).

    Article  CAS  PubMed  Google Scholar 

  • Stephen, M. S., “Mixed anxiety and depression: clinical implications,” J. Clin. Psychiatry, 54, 33–38 (1993).

    Google Scholar 

  • Sun, Y., Zupan, B., Raaka, B. M., et al., “TRH-receptor-type-2-deficient mice are euthyroid and exhibit increased depression and reduced anxiety phenotypes,” Neuropsychopharmacology, 34, 1601–1608 (2009).

    Article  CAS  PubMed  Google Scholar 

  • Tanaka, M., Yoshida, M., Emoto, H., and Ishii, H., “Noradrenaline systems in the hypothalamus, amygdala and locus coeruleus are involved in the provocation of anxiety: basic studies,” Eur. J. Pharmacol., 405, 397–406 (2000).

    Article  CAS  PubMed  Google Scholar 

  • Tenditnik, M. V., Shurlygina, A. V., Mel’nikova, E. V., et al., “Effects of diazepam on the subpopulation composition of lymphocytes in the immunocompetent organs of anxious male mice,” Byull. Sib. Otdel. Ros. Akad. Med. Nauk., 30, No. 4, 4650 (2010).

    Google Scholar 

  • Valenstein, M., Taylor, K. K., Austin, K., et al., “Benzodiazepine use among depressed patients treated in mental health settings,” Am. J. Psychiatry, 161, 654–661 (2004).

    Article  PubMed  Google Scholar 

  • Vertkin, A. L., Rumyantsev, M. A., and Skotnikov, A. S., “Comorbidity,” Klin. Med., 10, 4–11 (2012).

    Google Scholar 

  • Waraich, P., Goldner, E. M., Somers, J. M., Hsu, L., “Prevalence and incidence studies of mood disorders: a systematic review of the literature,” Can. J. Psychiatry, 49, 124–138 (2004).

    Article  PubMed  Google Scholar 

  • Williams, J. W., Mulrow, C. D., Chiquette, E., et al., “A systematic review of newer pharmacotherapies for depression in adults: evidence report summary,” Ann. Intern. Med., 132, No. 9, 743–756 (2000).

    Article  CAS  PubMed  Google Scholar 

  • Wise, C. D., Berger, B. D., and Stein, L., “Benzodiazepines: anxiety-reducing activity by reduction of serotonin turnover in the brain,” Science, 177, No. 4044, 180–183 (1972).

    Article  CAS  PubMed  Google Scholar 

  • Wittchen, H.-U., Lieb, R., Schuster, P., and Oldehinkel, A., “When is onset? Investigations in early developmental stages of anxiety and depressive disorders,” in: Childhood Onset of ‘Adult’ Psychopathology: Clinical and Research Advances, Rapoport J. L. (ed.)., American Psychiatric Press Inc., Washington (1999), pp. 259–299.

    Google Scholar 

  • Zigmond, A. S. and Snaith, R. P., “The Hospital Anxiety and Depression Scale,” Acta Psychiatr. Scand., 67, No. 6, 361–370 (1983).

    Article  CAS  PubMed  Google Scholar 

  • Zung, W. W., “A rating instrument for anxiety disorders,” Psychosomatics, 12, No. 6, 371–379 (1971).

    Article  CAS  PubMed  Google Scholar 

  • Zung, W. W., “A self-rating depression scale,” Arch. Gen. Psychiatry, 12, 63–70 (1965).

    Article  CAS  PubMed  Google Scholar 

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Correspondence to N. N. Kudryavtseva.

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Translated from Zhurnal Vysshei Nervnoi Deyatel’nosti imeni I. P. Pavlova, Vol. 66, No. 2, 181–201, March–April, 2016.

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Galyamina, A.G., Kovalenko, I.L., Smagin, D.A. et al. Interaction of Depression and Anxiety in the Development of Mixed Anxiety/Depression Disorder. Experimental Studies of the Mechanisms of Comorbidity (review). Neurosci Behav Physi 47, 699–713 (2017). https://doi.org/10.1007/s11055-017-0458-3

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  • DOI: https://doi.org/10.1007/s11055-017-0458-3

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