Depress Anxiety:焦虑障碍患者或应筛查复杂性悲伤

2013-03-18 小康 医学论坛网

  美国一项研究提示,临界复杂性悲伤(CG)在居丧的原发性焦虑障碍(AD)患者中有临床意义。在AD患者中筛查CG可能是有必要的。该研究论文3月11日在线发表于《抑郁与焦虑》(Depress Anxiety)杂志。   该研究共纳入了242例居丧的原发性AD患者(平均年龄为41.5岁,女性占44.2%),包括广泛性焦虑症(GAD,n=57)、惊恐障碍(PD,n=49)、创伤后应激障

  美国一项研究提示,临界复杂性悲伤(CG)在居丧的原发性焦虑障碍(AD)患者中有临床意义。在AD患者中筛查CG可能是有必要的。该研究论文3月11日在线发表于《抑郁与焦虑》(Depress Anxiety)杂志。

  该研究共纳入了242例居丧的原发性AD患者(平均年龄为41.5岁,女性占44.2%),包括广泛性焦虑症(GAD,n=57)、惊恐障碍(PD,n=49)、创伤后应激障碍(PTSD,n=29)和广泛性社交焦虑障碍(GSAD,n =107)患者,以及当时未接受DSM-Ⅳ轴Ⅰ诊断的居丧的155名健康对照者(平均年龄= 43.0岁 ,女性占51.0%)。19项复杂性悲伤量表(ICG)被用于评估CG症状,ICG评分≥30分被定义为临界CG。生活质量和功能障碍的评估分别采用幸福和生活质量满意度问卷(Q-LES-Q)和功能受损度量工具(LIFE-RIFT)。

  结果显示,与居丧的对照者相比,原发性CG患者的临界CG症状发生率显著升高(12.0% 对 0.65%,Fisher精确检验P<0.001)。与居丧的对照者相比,各类AD患者的临界CG发生率均显著升高。在校正年龄、性别、受教育程度和重性抑郁障碍共病后,在AD患者中,临界CG与生活质量降低(β= - 0.140,P = 0.023)和功能受损增加(β=0.141,P=0.035)相关。

焦虑相关的拓展阅读:


COMPLICATED GRIEF SYMPTOMS IN ANXIETY DISORDERS: PREVALENCE AND ASSOCIATED IMPAIRMENT

Background

Previous research has identified high rates of comorbid anxiety disorders among individuals presenting with primary CG. In the present study, we examined the prevalence of comorbid CG in bereaved primary anxiety disorder (AD) patients compared to bereaved healthy controls. We also examined the impairment associated with comorbid CG in AD.

Methods

Participants were 242 bereaved adults (mean (SD) age = 41.5 (13.1), 44.2% women) with a primary AD diagnosis, including generalized anxiety disorder (GAD; n = 57), panic disorder (PD; n = 49), posttraumatic stress disorder (PTSD; n = 29), and generalized social anxiety disorder (GSAD; n = 107), as well as 155 bereaved healthy controls with no current DSM-IV Axis I diagnosis (mean (SD) age = 43.0 (13.6), 51.0% women). CG symptoms were measured using the 19-item inventory of complicated grief (ICG), with threshold CG defined as an ICG score of ≥30. Quality of life and functional impairment were assessed with the Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) and the Range of Impaired Functioning Tool (LIFE-RIFT), respectively.

Results

Participants with primary ADs had significantly higher rates of threshold CG symptoms than bereaved controls (12.0% vs. 0.65%; Fisher's Exact P < 0.001). Rates of threshold CG were significantly elevated for each AD when compared to bereaved controls. After adjustment for age, sex, education, and comorbid major depressive disorder, threshold CG was associated with lower quality of life (β = −0.140, P = 0.023) and greater impairment (β = 0.141, P = 0.035) among individuals with AD.

Conclusions

Our findings suggest that threshold CG is of clinical relevance in bereaved individuals with a primary anxiety disorder. Screening for CG in patients with ADs may be warranted.



    

版权声明:
本网站所有内容来源注明为“williamhill asia 医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于williamhill asia 医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“williamhill asia 医学”。其它来源的文章系转载文章,或“williamhill asia 号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与williamhill asia 联系,williamhill asia 将立即进行删除处理。
在此留言
评论区 (3)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1923869, encodeId=7f471923869a4, content=<a href='/topic/show?id=3851261084' target=_blank style='color:#2F92EE;'>#anxiety#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2610, encryptionId=3851261084, topicName=anxiety)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c97a2500111, createdName=thinkibmz_44722594, createdTime=Sun Mar 02 13:42:00 CST 2014, time=2014-03-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1587217, encodeId=148a158e217fb, content=<a href='/topic/show?id=9b4a42e01ed' target=_blank style='color:#2F92EE;'>#复杂性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42701, encryptionId=9b4a42e01ed, topicName=复杂性)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b19f17453483, createdName=minlingfeng, createdTime=Wed Mar 20 00:42:00 CST 2013, time=2013-03-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1588661, encodeId=c7d115886615f, content=<a href='/topic/show?id=25c16e29269' target=_blank style='color:#2F92EE;'>#焦虑障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67292, encryptionId=25c16e29269, topicName=焦虑障碍)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0ca317606323, createdName=zhzhxiang, createdTime=Wed Mar 20 00:42:00 CST 2013, time=2013-03-20, status=1, ipAttribution=)]
  2. [GetPortalCommentsPageByObjectIdResponse(id=1923869, encodeId=7f471923869a4, content=<a href='/topic/show?id=3851261084' target=_blank style='color:#2F92EE;'>#anxiety#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2610, encryptionId=3851261084, topicName=anxiety)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c97a2500111, createdName=thinkibmz_44722594, createdTime=Sun Mar 02 13:42:00 CST 2014, time=2014-03-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1587217, encodeId=148a158e217fb, content=<a href='/topic/show?id=9b4a42e01ed' target=_blank style='color:#2F92EE;'>#复杂性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42701, encryptionId=9b4a42e01ed, topicName=复杂性)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b19f17453483, createdName=minlingfeng, createdTime=Wed Mar 20 00:42:00 CST 2013, time=2013-03-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1588661, encodeId=c7d115886615f, content=<a href='/topic/show?id=25c16e29269' target=_blank style='color:#2F92EE;'>#焦虑障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67292, encryptionId=25c16e29269, topicName=焦虑障碍)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0ca317606323, createdName=zhzhxiang, createdTime=Wed Mar 20 00:42:00 CST 2013, time=2013-03-20, status=1, ipAttribution=)]
  3. [GetPortalCommentsPageByObjectIdResponse(id=1923869, encodeId=7f471923869a4, content=<a href='/topic/show?id=3851261084' target=_blank style='color:#2F92EE;'>#anxiety#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2610, encryptionId=3851261084, topicName=anxiety)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c97a2500111, createdName=thinkibmz_44722594, createdTime=Sun Mar 02 13:42:00 CST 2014, time=2014-03-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1587217, encodeId=148a158e217fb, content=<a href='/topic/show?id=9b4a42e01ed' target=_blank style='color:#2F92EE;'>#复杂性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42701, encryptionId=9b4a42e01ed, topicName=复杂性)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b19f17453483, createdName=minlingfeng, createdTime=Wed Mar 20 00:42:00 CST 2013, time=2013-03-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1588661, encodeId=c7d115886615f, content=<a href='/topic/show?id=25c16e29269' target=_blank style='color:#2F92EE;'>#焦虑障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67292, encryptionId=25c16e29269, topicName=焦虑障碍)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0ca317606323, createdName=zhzhxiang, createdTime=Wed Mar 20 00:42:00 CST 2013, time=2013-03-20, status=1, ipAttribution=)]

相关威廉亚洲官网

中国现阶段人群失眠比例占三至四成

       在昨天召开的全国精神医学学术会议上,南京脑科医院医学心理科主任李箕君教授说,根据调查,在中国有35-42%的失眠人群。  全中国有三到四成人正在失眠,你也不算孤单了。  可失眠还是难受啊,所以各种治疗失眠的广告、产品也特别多,其中乱象也不少。在这次会议上,中国失眠治疗威廉亚洲博彩公司 也进行了专题解读,其中对失眠的原因归类极为关注。  什么是失眠?   一个晚上没

Br J Psychiatry:戒烟可减少焦虑

       最新发表在《英国精神病学》(Br J Psychiatry.2013Jan;202:62-7.doi: 10.1192.)杂志的一篇文章中,研究人员跟踪调查了英格兰500名参加NHS戒烟诊所的吸烟者。认为尽管抽烟可以缓解压力,但吸烟者成功戒烟之后感觉焦虑程度降低。        在68名吸烟者戒