Less arguable is that disability occurs only as a consequence of symptoms, and to measure both is a form of double-counting.
It is unclear whether perfectionism is an antecedent of depressive symptoms, a consequence of depressive symptoms, or both.
This is not unusual, particularly given the cyclical nature of mental health symptoms and the expectation that, for some, we may have picked them up at or near the peak of their symptom severity as a consequence of the symptom-level criteria requirement for inclusion in the trial.
However, it is unclear if rhythm abnormalities contribute to depressive symptoms or they are a consequence of mood symptoms.
Although it is often implicitly assumed that (a lack of) self-compassion precedes depressive symptoms, so far no study has tested whether (lack of) self-compassion is a cause or a consequence of depressive symptoms, or both.
Weight loss is often observed (42.2%) at an average loss of 9.6 kilograms, and is more common in cases where the disorder has gone undiagnosed for a longer period of time, though this may be expected of the nutrition deficiencies that often accompany the disorder as a consequence of its symptoms.
In the previous 12 months, 42% had paused from practicing at home/alone as a consequence of musculoskeletal symptoms.
These costs are not related to health care, but are costs as a consequence of these symptoms, such as sick leave of productive persons in paid labour.
Children describe anxiety, low mood and stress as a consequence of their symptoms and the reduction in usual activities, socialising and ability to keep up with school.
4 People with generalised anxiety disorder have high levels of service use (visits to general practitioners and hospital), a consequence of somatic symptoms and worries commonly associated with the disorder and because it commonly coexists with chronic physical health problems.
