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[不同形式焦虑症与抑郁症的共病情况]

[Comorbidity of different forms of anxiety disorders and depression].

作者信息

Małyszczak Krzysztof, Szechiński Marcin

机构信息

Kliniki Psychiatrii AM we Wrocławiu.

出版信息

Psychiatr Pol. 2004 Jul-Aug;38(4):603-9.

Abstract

AIM

Comorbidity of some anxiety disorders and depression were examined in order to compare their statistical closeness.

METHOD

Patients treated in an out-patient care center for psychiatric disorders and/or family medicine were recruited. Persons that have anxiety and depressive symptoms as a consequence of somatic illnesses or consequence of other psychiatric disorders were excluded. Disorders were diagnosed a with diagnostic questionnaire based on Schedule for Assessment in Neuropsychiatry (SCAN), version 2.0, according to ICD-10 criteria. Analyses include selected disorders: generalized anxiety disorder, panic disorder, agoraphobia, specific phobias, social phobia and depression.

RESULTS

104 patients were included. 35 of them (33.7%) had anxiety disorders, 13 persons (12.5%) have depression. Analyses show that in patients with generalized anxiety disorder, depression occurred at least twice as often as in the remaining patients (odds ratio = 7.1), while in patients with agoraphobia the occurrence of panic disorder increased at least by 2.88 times (odds ratio = 11.9). In other disorders the odds ratios was greater than 1, but the differences were not statistically significant.

CONCLUSION

Depression/generalized anxiety disorder and agoraphobia/panic disorder were shown to be statistically closer than other disorders.

摘要

目的

研究某些焦虑症与抑郁症的共病情况,以比较它们在统计学上的紧密程度。

方法

招募在精神疾病门诊护理中心和/或家庭医学科接受治疗的患者。排除因躯体疾病或其他精神疾病而出现焦虑和抑郁症状的患者。根据国际疾病分类第10版(ICD - 10)标准,使用基于神经精神病学评估量表(SCAN)2.0版的诊断问卷对疾病进行诊断。分析包括以下选定疾病:广泛性焦虑症、惊恐障碍、广场恐惧症、特定恐惧症、社交恐惧症和抑郁症。

结果

共纳入104例患者。其中35例(33.7%)患有焦虑症,13例(12.5%)患有抑郁症。分析表明,在广泛性焦虑症患者中,抑郁症的发生率至少是其余患者的两倍(优势比 = 7.1),而在广场恐惧症患者中,惊恐障碍的发生率至少增加了2.88倍(优势比 = 11.9)。在其他疾病中,优势比大于1,但差异无统计学意义。

结论

抑郁症/广泛性焦虑症以及广场恐惧症/惊恐障碍在统计学上比其他疾病更为紧密。

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