Hicks Daniel W, Raza Haniya
Department of Psychiatry, Georgetown University Hospital, 3800 Reservoir Road, NW Kober-Cogan #615, Washington, DC 20007, USA.
Curr Psychiatry Rep. 2005 Jun;7(3):228-35. doi: 10.1007/s11920-005-0058-8.
Anxiety is a universal human response that usually is adaptive, allowing one to prepare for a perceived threat. This can be a normal coping mechanism when dealing with a medical illness that may require hospitalization, surgery, or painful procedures. It becomes maladaptive when it is persistent and leads to panic attacks, severe physical symptoms, and impairment in functioning. Most of these patients are treated by primary care providers who frequently fail to adequately recognize and treat anxiety disorders in their patients. This leads to increased health care costs and chronic disability. To reach this under-served group of patients, mental health practitioners need to collaborate with their primary care colleagues to provide screening tools and education on diagnosis and effective treatment of these disorders.
焦虑是一种普遍的人类反应，通常具有适应性，使人能够为感知到的威胁做好准备。在应对可能需要住院、手术或痛苦治疗的疾病时，这可能是一种正常的应对机制。当焦虑持续存在并导致惊恐发作、严重身体症状和功能受损时，它就会变得适应不良。这些患者大多由初级保健提供者治疗，而他们往往未能充分识别和治疗患者的焦虑症。这导致医疗保健成本增加和慢性残疾。为了接触到这群未得到充分服务的患者，心理健康从业者需要与他们的初级保健同事合作，提供筛查工具，并就这些疾病的诊断和有效治疗进行教育。
