nstitute of Psychology, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Expert Rev Neurother. 2010 Aug;10(8):1307-20. doi: 10.1586/ern.10.101.
This article proposes a revision of the historical evolution of the concepts of generalized anxiety disorder (GAD). Currently, Darwin's evolutionary theory is the hegemonic paradigm for modern science and influences research on mental disorders. Throughout the 20th Century, the editions of the Diagnostic and Statistical Manual of Mental Disorders (DSM; American Psychiatric Association) have changed the diagnostic criteria for GAD, reflecting the prevailing psychiatric understanding of this disorder. The prevalence and symptoms of major depression and GAD show the fragility of the categorical conception of these conditions. Differences in cultural views towards anxiety disorders also suggest that anxiety cannot have a uniform definition. This article provides contributions for reflecting future guidelines concerning the diagnostic criteria for GAD in DSM-V.
本文提出了对广泛性焦虑障碍（GAD）概念的历史演变的修正。目前，达尔文的进化理论是现代科学的霸权范式，并影响着对精神障碍的研究。整个 20 世纪，《精神疾病诊断与统计手册》（DSM；美国精神病学协会）的各版都改变了 GAD 的诊断标准，反映了当时精神病学界对这种障碍的理解。重度抑郁症和 GAD 的流行率和症状显示出这些疾病的分类概念的脆弱性。对焦虑障碍的文化观点的差异也表明，焦虑不能有一个统一的定义。本文为反映 DSM-V 中 GAD 诊断标准的未来指南提供了贡献。
