Hunt Caroline, Slade Tim, Andrews Gavin
School of Psychology, University of Sydney, Sydney, Australia.
Depress Anxiety. 2004;20(1):23-31. doi: 10.1002/da.20019.
We report population data on DSM-IV Generalized Anxiety Disorder (GAD) from the Australian National Survey of Mental Health and Well-Being, obtained from a nationwide household survey of adults using a stratified multistage sampling process. A response rate of 78.1% resulted in 10,641 persons being interviewed. Diagnoses were made using the Composite International Diagnostic Interview. The interview was computerised and conducted by trained lay interviewers. We investigated comorbidity between GAD and major depressive disorder (MDD). The results indicate that sociodemographic correlates of GAD, and associated disablement and service use, are influenced by the presence of a comorbid depressive disorder but cannot be fully explained by the presence of that disorder. In addition, GAD was confirmed as significantly disabling, even as a single disorder. We conclude that the results are consistent with the view that GAD has a significant and independent impact on the burden of mental disorders.
我们报告了来自澳大利亚全国心理健康与幸福调查的关于《精神疾病诊断与统计手册》第四版(DSM-IV)广泛性焦虑障碍(GAD)的人群数据,该数据来自一项针对成年人的全国性家庭调查,采用分层多阶段抽样方法。78.1%的回应率使得10641人接受了访谈。诊断采用综合国际诊断访谈进行。访谈通过计算机进行,由经过培训的非专业访谈员实施。我们调查了广泛性焦虑障碍与重度抑郁症(MDD)之间的共病情况。结果表明,广泛性焦虑障碍的社会人口学相关因素以及相关的残疾和服务使用情况受到共病抑郁症的影响,但不能完全由该疾病的存在来解释。此外,即使作为单一疾病,广泛性焦虑障碍也被证实具有显著的致残性。我们得出结论,这些结果与广泛性焦虑障碍对精神障碍负担具有重大且独立影响的观点一致。