Kuzma John M, Black Donald W
Psychiatry Research MEB, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA.
Curr Psychiatry Rep. 2004 Aug;6(4):268-73. doi: 10.1007/s11920-004-0076-y.
Anxiety disorders are among the most prevalent psychiatric conditions throughout the world, and they are responsible for considerable morbidity and functional impairment. Patients with these disorders make extensive use of medical resources, not only through their use of the mental health system but by frequent utilization of primary care and emergency medical services. Although it is common clinical practice to combine pharmacotherapy and psychotherapy, some researchers have argued that this has not been shown effective in practice and is an inefficient use of limited mental health resources. This article will examine the evidence supporting integrative therapy for the major Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision anxiety disorders and discuss clinical considerations surrounding the use of combined therapies for anxiety.
焦虑症是全球最普遍的精神疾病之一，会导致相当高的发病率和功能损害。患有这些疾病的患者大量使用医疗资源，不仅通过使用心理健康系统，还通过频繁使用初级保健和紧急医疗服务。尽管药物治疗和心理治疗相结合是常见的临床做法，但一些研究人员认为，这在实践中并未被证明有效，而且是对有限心理健康资源的低效利用。本文将研究支持针对《精神疾病诊断与统计手册》第四版修订版中的主要焦虑症进行综合治疗的证据，并讨论围绕焦虑症联合治疗使用的临床考量。
