纵向研究初级保健患者中的社交恐惧症病程特征和预测因素。
Characteristics and predictors of social phobia course in a longitudinal study of primary-care patients.
机构信息
Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI 02912, USA.
出版信息
Depress Anxiety. 2010 Sep;27(9):839-45. doi: 10.1002/da.20676.
BACKGROUND
Social Phobia (SP) is a prevalent disorder in primary-care settings. To date, few researchers have examined the natural course of SP in primary care. We examined the natural course and predictors of recovery in a large sample of primary-care patients.
METHODS
Data are obtained from the Primary Care Anxiety Project, a naturalistic, longitudinal study of anxiety disorders in primary-care patients. This report pertains to 182 patients with SP at intake. We examined intake demographic and clinical variables as predictors of recovery within the 5 years of follow-up.
RESULTS
The probability of recovery from SP during the 5-year follow-up period was .40. At intake, a longer duration of SP episode, comorbid Panic Disorder with Agoraphobia, and lower psychosocial functioning predicted lower rates of recovery.
CONCLUSIONS
These findings highlight the chronicity of SP, as well as factors that may affect its naturalistic course. It is imperative that primary-care physicians and mental health specialists assess for and treat SP in their practices. Future research is warranted to further examine the effect of medical and psychiatric comorbidity on SP course.
背景
社交恐惧症（SP）是初级保健环境中普遍存在的疾病。迄今为止，很少有研究人员研究 SP 在初级保健中的自然病程。我们在大量初级保健患者中研究了恢复的自然病程和预测因素。
方法
数据来自初级保健焦虑项目，这是一项针对初级保健患者焦虑障碍的自然主义、纵向研究。本报告涉及 182 名 SP 患者的入学。我们研究了入学时的人口统计学和临床变量，以预测在 5 年随访期间的恢复情况。
结果
在 5 年的随访期间，从 SP 中恢复的概率为 0.40。在入学时，SP 发作持续时间较长、合并惊恐障碍伴广场恐怖症、以及较低的心理社会功能预测恢复率较低。
结论
这些发现突出了 SP 的慢性病程，以及可能影响其自然病程的因素。初级保健医生和心理健康专家在其实践中评估和治疗 SP 是至关重要的。未来的研究需要进一步研究医学和精神科共病对 SP 病程的影响。
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