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惊恐障碍早期阶段的生活质量:预测因素。

Quality of life in early phases of panic disorder: predictive factors.

作者信息

Carrera María, Herrán Andrés, Ayuso-Mateos José Luís, Sierra-Biddle Deirdre, Ramírez Maria Luz, Ayestarán Ana, Hoyuela Fernando, Rodríguez-Cabo Beatriz, Vázquez-Barquero José Luís

机构信息

Panic Disorder Unit, Department of Psychiatry, University Hospital Marqués de Valdecilla, University of Cantabria, Santander, Spain.

出版信息

J Affect Disord. 2006 Aug;94(1-3):127-34. doi: 10.1016/j.jad.2006.03.006. Epub 2006 Jun 9.

Abstract

OBJECTIVE

To analyse the quality of life (QoL) of patients with panic disorder of recent onset and to find related clinical variables.

METHOD

Panic disorder patients with and without agoraphobia (N=125) in the first stages of the disorder (median of 8 months since the first panic attack) were compared with a community control group. Quality of life was evaluated by 36-item Short-Form Health Survey (SF-36) and by a single-item scale evaluating subjective well-being.

RESULTS

Panic disorder patients had worse scores than the general population in all of the dimensions of the SF-36. Anxiety and depressive symptoms, age, frequency of panic attacks and agoraphobic avoidance accounted for 18-42% of the variance in QoL scores. Frequency of panic attacks and agoraphobic avoidance were variables accounting for poor QoL in physical functioning and mental health respectively. However, unspecific factors in addition to panic symptomatology, particularly depressive and anxiety symptoms, significantly contribute to the worse QoL of these patients.

CONCLUSION

Panic disorder of recent onset is a deteriorating condition. Clinical variables do not equally affect mental health and physical functioning, and unspecific factors in addition to panic contribute to the poor QoL.

摘要

目的

分析近期起病的惊恐障碍患者的生活质量(QoL),并找出相关临床变量。

方法

将处于疾病第一阶段(自首次惊恐发作起中位数为8个月)的有广场恐怖症和无广场恐怖症的惊恐障碍患者(N = 125)与社区对照组进行比较。通过36项简短健康调查问卷(SF - 36)和一个评估主观幸福感的单项量表对生活质量进行评估。

结果

惊恐障碍患者在SF - 36的所有维度上得分均低于一般人群。焦虑和抑郁症状、年龄、惊恐发作频率以及广场恐怖症回避行为占生活质量得分方差的18 - 42%。惊恐发作频率和广场恐怖症回避行为分别是身体功能和心理健康方面生活质量差的影响变量。然而,除惊恐症状外的非特异性因素,尤其是抑郁和焦虑症状,显著导致了这些患者较差的生活质量。

结论

近期起病的惊恐障碍是一种不断恶化的疾病。临床变量对心理健康和身体功能的影响并不相同,且除惊恐症状外的非特异性因素导致了较差的生活质量。

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