患有焦虑症的基层医疗患者样本中精神共病的频率和模式。
Frequency and patterns of psychiatric comorbidity in a sample of primary care patients with anxiety disorders.
作者信息
Rodriguez Benjamin F, Weisberg Risa B, Pagano Maria E, Machan Jason T, Culpepper Larry, Keller Martin B
机构信息
Department of Psychology, Southern Illinois University-Carbondale, Life Science II, Room 281, Mailcode 6502, Carbondale, IL 62901, USA.
出版信息
Compr Psychiatry. 2004 Mar-Apr;45(2):129-37. doi: 10.1016/j.comppsych.2003.09.005.
The current report examines the rates of psychiatric comorbidity in a sample of 539 primary care patients diagnosed with anxiety disorders using the Structured Clinical Interview for DSM-IV (SCID-IV). Though not a typical psychiatric sample, rates of comorbidity were found to be as high or higher than those reported in studies conducted in traditional mental health settings. Multiple anxiety disorders were diagnosed in over 60% of participants and over 70% of participants had more than one current axis I diagnosis. Rates of current and lifetime comorbid major depression were also very high. Patterns of diagnostic comorbidity were also examined, with significantly elevated risks for the co-occurrence of several specific pairings of disorders being found. The study results are discussed in context of a recently published, large-scale study of anxiety disorder comorbidity in psychiatric patients (Brown et al., 2001). Implications of these results for both the mental health and primary care fields are also discussed.
本报告通过使用《精神疾病诊断与统计手册》第四版（DSM-IV）的结构化临床访谈（SCID-IV），对539名被诊断患有焦虑症的初级保健患者样本中的精神共病率进行了研究。尽管这并非典型的精神科样本，但研究发现共病率与在传统心理健康环境中进行的研究报告的比率一样高或更高。超过60%的参与者被诊断患有多种焦虑症，超过70%的参与者目前有不止一种轴I诊断。目前和终生共病的重度抑郁症发生率也非常高。研究还检查了诊断共病的模式，发现几种特定疾病配对同时出现的风险显著升高。研究结果将结合最近发表的一项关于精神病患者焦虑症共病的大规模研究（Brown等人，2001年）进行讨论。还将讨论这些结果对心理健康和初级保健领域的影响。
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