Uhmann Stefan, Beesdo-Baum Katja, Becker Eni S, Hoyer Jürgen
Clinical Psychology and Psychotherapy, Technische Universität Dresden, Germany.
J Nerv Ment Dis. 2010 Nov;198(11):846-51. doi: 10.1097/NMD.0b013e3181f98063.
We examined the diagnostic specificity of interpersonal problems (IP) in generalized anxiety disorder (GAD). We expected generally higher interpersonal distress, and specifically higher levels of nonassertive, exploitable, overly nurturant, and intrusive behavior in n = 58 patients with Diagnostic and Statistical Manual of Mental Disorders, 4th Edition GAD compared with patients with post-traumatic stress disorder (n = 46), other anxiety disorders (n = 47), and unipolar depressive disorders (n = 47). IP were assessed with the Inventory of Interpersonal Problems. Specificity in the sense of heightened interpersonal distress for GAD was not supported in any of the aforementioned scales, neither for pure nor for comorbid GAD. This finding persisted after accounting for the degree of depressiveness (Beck Depression Inventory). GAD patients are rather not characterized by more self-ascribed IPs although they may worry more about interpersonal issues in general.
我们研究了广泛性焦虑障碍（GAD）中人际问题（IP）的诊断特异性。我们预计，与创伤后应激障碍患者（n = 46）、其他焦虑障碍患者（n = 47）和单相抑郁症患者（n = 47）相比，n = 58例符合《精神障碍诊断与统计手册》第4版广泛性焦虑障碍诊断标准的患者通常会有更高的人际困扰，尤其是在非 assertive、可利用、过度养育和侵入性行为方面。使用人际问题量表评估人际问题。在上述任何一个量表中，无论是单纯的广泛性焦虑障碍还是共病的广泛性焦虑障碍，均未支持广泛性焦虑障碍人际困扰加剧意义上的特异性。在考虑抑郁程度（贝克抑郁量表）后，这一发现仍然存在。广泛性焦虑障碍患者并非以更多自我归因的人际问题为特征，尽管他们总体上可能更担心人际问题。
