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焦虑症患者的生活质量。

Quality of life in the anxiety disorders.

作者信息

Mogotsi M, Kaminer D, Stein D J

机构信息

University of Stellenbosch, Tygerberg, South Africa.

出版信息

Harv Rev Psychiatry. 2000 Dec;8(6):273-82.

Abstract

Although quality of life (QOL) issues have long been recognized in severe psychiatric disorders, they have only recently come to be considered for the anxiety disorders. Conceptual and methodological developments in the study of QOL are briefly outlined, and the overlap among measures of QOL, functional impairment, and disability is discussed. Existing empirical studies on subjective and objective QOL dimensions in each of the anxiety disorders are then reviewed. QOL has been examined in panic disorder, social anxiety disorder, and posttraumatic stress disorder but has received little attention in generalized anxiety disorder and specific phobia. Despite substantial evidence showing that the anxiety disorders are associated with impaired QOL, data are scarce concerning the impact of treatments on QOL in many of the anxiety disorders. Future research on QOL in the anxiety disorders would benefit from greater conceptual clarity and methodological consistency, the use of prospective research designs, greater attention to QOL as a treatment outcome, and consideration of QOL in the caregiver and the family as well as the patient.

摘要

尽管生活质量(QOL)问题在严重精神疾病中早已得到认可,但直到最近才开始在焦虑症中得到考虑。本文简要概述了生活质量研究中的概念和方法发展,并讨论了生活质量、功能损害和残疾测量之间的重叠。然后回顾了关于每种焦虑症主观和客观生活质量维度的现有实证研究。生活质量已在惊恐障碍、社交焦虑障碍和创伤后应激障碍中进行了研究,但在广泛性焦虑障碍和特定恐惧症中受到的关注较少。尽管有大量证据表明焦虑症与生活质量受损有关,但在许多焦虑症中,关于治疗对生活质量影响的数据却很稀少。未来关于焦虑症生活质量的研究将受益于更高的概念清晰度和方法一致性、前瞻性研究设计的使用、对生活质量作为治疗结果的更多关注,以及对照顾者、家庭和患者生活质量的考虑。

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