Małyszczak Krzysztof, Pawłowski Tomasz, Pyszel Angelika, Kiejna Andrzej
Katedra i Klinika Psychiatrii Akademii Medycznej we Wrocławiu.
Psychiatr Pol. 2006 Mar-Apr;40(2):269-77.
The aim of the study was to define the correlation between anxiety/depressive symptoms, distress and functioning.
The research is based on the analysis of 104 persons (65 women, 39 men), who were patients of psychiatrists (42 persons), or general physician attenders (62 persons) complaining of anxiety or depressive symptoms. Distress was estimated with the General Health Questionnaire (GHQ-30), psychopathological symptoms and diagnoses were evaluated with the Present State Examination (PSE) and the level of functioning with Global Assessment of Functioning (GAF). The intensity of ICD-10 symptoms was calculated for: generalized anxiety disorder, agoraphobia, social phobia, panic disorder, depressive disorder and dysthymia.
The lowest score of distress was found in the group with sub-clinical, sole anxiety or depressive symptoms. An intermediate level was present in the group with anxiety and mixed anxiety-depressive disorders, and the highest in the group with depression. The functioning scores were in an inverse order.
The differences in scores of distress and functioning between groups of patients with anxiety disorders, mixed anxiety-depressive disorders and depression are dependent on the intensity of depressive symptoms and are independent of the intensity of anxiety symptoms.
本研究的目的是确定焦虑/抑郁症状、痛苦与功能之间的相关性。
该研究基于对104名患者(65名女性,39名男性)的分析,这些患者为精神科医生的病人(42人)或普通内科门诊患者(62人),均主诉有焦虑或抑郁症状。使用一般健康问卷(GHQ - 30)评估痛苦程度,采用现况检查(PSE)评估精神病理症状和诊断,并使用功能总体评估(GAF)评估功能水平。计算了国际疾病分类第10版(ICD - 10)中以下症状的强度:广泛性焦虑障碍、广场恐惧症、社交恐惧症、惊恐障碍、抑郁症和心境恶劣障碍。
痛苦得分最低的是亚临床、单纯焦虑或抑郁症状组。焦虑和混合性焦虑抑郁障碍组处于中等水平,抑郁症组最高。功能得分顺序相反。
焦虑症、混合性焦虑抑郁障碍和抑郁症患者组之间痛苦和功能得分的差异取决于抑郁症状的强度,且与焦虑症状的强度无关。