Licha Christina, Stevens Andreas
Medizinisches Begutachtungsinstitut Tübingen.
Versicherungsmedizin. 2012 Jun 1;64(2):60-5.
Psychiatric disorders including anxiety disorders, are becoming more and more important in medico-legal assessment. Anxiety disorders are frequent in the general population. However, they may not be reliably diagnosed even by psychiatric experts because the disorders' symptoms may fail to manifest themselves during the examination. Functional impairments related to anxiety disorders are similarly problematic to assess. Finally, given the existence of effective therapies, it is hard to explain why patients with anxiety disorders have to be assessed at all. This report discusses the various and quite heterogeneous concepts associated with the word "anxiety". Anxiety disorder as a disease is differentiated from anxiety as a physiological emotion. Evidence concerning the etiology of anxiety disorders is compiled and strategies for medico-legal assessment, including the efficacy of therapies, are presented.
包括焦虑症在内的精神障碍在法医学评估中变得越来越重要。焦虑症在普通人群中很常见。然而，即使是精神科专家也可能无法可靠地诊断出这些疾病，因为这些疾病的症状在检查期间可能不会表现出来。与焦虑症相关的功能损害在评估方面同样存在问题。最后，鉴于存在有效的治疗方法，很难解释为什么焦虑症患者根本需要接受评估。本报告讨论了与“焦虑”一词相关的各种且相当不同的概念。焦虑症作为一种疾病与作为生理情绪的焦虑有所区别。汇编了有关焦虑症病因的证据，并提出了法医学评估策略，包括治疗效果。
