Zayfert Claudia, Becker Carolyn B, Unger Danielle L, Shearer Deirdre K
Department of Psychiatry, Dartmouth Medical School, Lebanon, New Hampshire 03756, USA.
J Trauma Stress. 2002 Feb;15(1):31-8. doi: 10.1023/A:1014379127240.
Research indicates that posttraumatic stress disorder (PTSD) is associated with high rates of comorbid psychiatric diagnoses. Yet, it remains unknown whether PTSD is associated with greater comorbidity relative to patients with other anxiety disorders. This study examined prevalence of comorbid anxiety disorders with PTSD relative to other disorders among a treatment-seeking population. Patients with PTSD (n = 83) evidenced greater overall comorbidity as compared to patients with other anxiety (n = 151) or Axis I (n = 73) disorders. Compared to patients with panic disorder, patients with PTSD were more likely to be diagnosed with depression and social phobia, but not other anxiety disorders. Extent of anxiety disorder comorbidity was not related to PTSD severity. These findings are discussed in terms of their relevance for treatment of PTSD.
研究表明，创伤后应激障碍（PTSD）与高共病性精神疾病诊断率相关。然而，与其他焦虑症患者相比，PTSD是否与更高的共病率相关仍不清楚。本研究调查了寻求治疗人群中PTSD合并焦虑症与其他疾病相比的患病率。与其他焦虑症患者（n = 151）或轴I障碍患者（n = 73）相比，PTSD患者（n = 83）表现出更高的总体共病率。与惊恐障碍患者相比，PTSD患者更有可能被诊断为抑郁症和社交恐惧症，但其他焦虑症则不然。焦虑症共病程度与PTSD严重程度无关。本文将根据这些发现与PTSD治疗的相关性进行讨论。
