Apfeldorf W J, Spielman L A, Cloitre M, Heckelman L, Shear M K
Department of Psychiatry, Joan and Sanford I. Medical College of Cornell University, White Plains, New York 10605, USA. wapfeldo%
Depress Anxiety. 2000;12(2):78-84. doi: 10.1002/1520-6394(2000)12:2<78::AID-DA3>3.0.CO;2-5.
This study seeks to determine how panic disorder patients with anxiety and depression comorbidity differ from panic disorder patients without comorbidity at the time of presentation for treatment. One-hundred seventy-one panic disorder patients presenting for their initial assessment and treatment at the Payne Whitney Anxiety Disorders Clinic agreed to participate and completed self-report and diagnostic assessments. Sixty-seven percent of panic disorder subjects were found to have at least one comorbid anxiety or depression diagnosis. Age and gender ratio were not affected by the presence of comorbid diagnoses. Comorbidity significantly contributed to psychological distress and symptom load, overall impairment, and interpersonal impairment.
本研究旨在确定伴有焦虑和抑郁共病的惊恐障碍患者在接受治疗时与无共病的惊恐障碍患者有何不同。171名在佩恩·惠特尼焦虑症诊所接受初次评估和治疗的惊恐障碍患者同意参与并完成了自我报告和诊断评估。发现67%的惊恐障碍受试者至少有一种共病焦虑或抑郁诊断。共病诊断的存在并未影响年龄和性别比例。共病显著导致了心理困扰和症状负荷、总体功能损害以及人际功能损害。