Evidence map›Paper›PMID 41555769›Full record

ArticleInternational journal of methods in psychiatric research2026

The Onset, Course and Co-Occurrence of Depressive and Anxiety Disorders Over a 9-Year Period in the General Population.

Margreet Ten Have, Marlous Tuithof, Premysl Velek, Saskia Van Dorsselaer, Simone Korteling, Brenda W J H Penninx, Annemarie I Luik

Abstract read
In one paragraph

Article in International journal of methods in psychiatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Margreet Ten HaveTrimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, the Netherlands.ORCID 0000-0003-0086-2199
Marlous TuithofTrimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, the Netherlands.
Premysl VelekDepartment of Epidemiology, Erasmus University Medical Center, Rotterdam, the Netherlands.
Saskia Van DorsselaerTrimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, the Netherlands.
Simone KortelingTrimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, the Netherlands.
Brenda W J H PenninxDepartment of Psychiatry, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Annemarie I LuikTrimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, the Netherlands.

Funding

the Ministry of Health, Welfare and Sport
6 · The paper itself

Abstract

objectivesLongitudinal studies that visualise individual trajectories of depressive and/or anxiety disorders can inform prevention and treatment strategies.

methodsParticipants of the Netherlands Mental Health Survey and Incidence Study (NEMESIS) were assessed at four timepoints from 2007-2009 to 2016-2018 (N = 6646 at baseline). DSM-IV disorders were assessed using the Composite International Diagnostic Interview. Onset and course trajectories were visualised with Sankey diagrams and summarised in incidence, remission, recurrence, and persistency rates, considering presence of any depressive or anxiety disorder as outcome.

resultsAmong those without a lifetime depressive or anxiety disorder at baseline, 13% developed a depressive and/or anxiety disorder over 9 years, with higher rates in women and younger adults. Recurrence rates over 9 years were 28% for depressive, 26% for anxiety, and 38% for comorbid disorders. For those with a current disorder at baseline, recurrence (including persistence) was 33%, 31%, and 51%, respectively. Course trajectories were similar across sexes but less favourable for younger adults with a disorder history.

conclusionsBetween 31% and 51% of persons with a current depressive and/or anxiety disorder do not remit over 9 years. This highlights the need for long-term treatment strategies, including ongoing monitoring, management, and relapse prevention.

Indexed as

Anxiety DisordersDepressive DisorderDisease ProgressionAdolescentAdultAgedComorbidityFemaleHealth SurveysHumansIncidenceLongitudinal StudiesMaleMiddle AgedNetherlandsRecurrenceanxiety disordersdisease trajectoriesepidemiologymood disorderspopulation surveysprospective studiessankey diagrams

Identifiers

PMID41555769
PMCPMC12816878

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.