Rosenbaum J F
Massachusetts General Hospital, Boston 02114.
Bull Menninger Clin. 1992 Spring;56(2 Suppl A):A50-60.
Effective evaluation and management of patients with anxiety disorders require an integrated theoretical model that predicts risk for the disorder as a consequence of constitutional vulnerability shaped by developmental experience and activated or influenced by environmental factors. From this perspective, the author describes a rational therapeutic strategy with treatment-resistant patients. He particularly urges a careful evaluation of risk factors and associated conditions that may contribute to persisting distress.
对焦虑症患者进行有效的评估和管理需要一个综合的理论模型，该模型能够预测由于发育经历塑造并受环境因素激活或影响的体质易感性而导致患该疾病的风险。从这个角度来看，作者描述了一种针对难治性患者的合理治疗策略。他特别敦促仔细评估可能导致持续痛苦的风险因素和相关状况。
