Anxiety disorders are estimated to affect 26.9 million individuals in
the United States at some point during their lives. This study used th
e human capital approach to estimate the direct and indirect costs of
these highly prevalent disorders. In 1990, costs associated with anxie
ty disorders were $46.6 billion, 31.5% of total expenditures for menta
l illness. Less than one-quarter of costs associated with anxiety diso
rders were for direct medical treatment; over three-quarters were attr
ibutable to lost or reduced productivity. Most of these indirect costs
were associated with morbidity as mortality accounted for just 2.7% o
f the total. Greater availability of effective, relatively low-cost ou
tpatient treatment could substantially reduce the economic and social
burden of these common and often crippling disorders. (C) 1996 Wiley-L
iss, Inc.