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焦虑障碍患者的生活质量:与工作和社会功能及认知障碍的关系:来自印度的探索性研究。

Quality of life in anxiety disorders: its relation to work and social functioning and dysfunctional cognitions: an exploratory study from India.

机构信息

Department of Clinical Psychology, National Institute of Mental Health and Neurosciences (NIMHANS), Hosur Road, Bangalore 560029, India.

出版信息

Asian J Psychiatr. 2012 Dec;5(4):309-14. doi: 10.1016/j.ajp.2012.05.006. Epub 2012 Jul 15.

Abstract

The aim of the study was to examine quality of life, functioning, disability, work and social adjustment, depression, anxiety and dysfunctional cognitions in patients with anxiety disorders. One hundred patients with anxiety disorders and 98 non-clinical participants were recruited for the study. A cross sectional design was adopted. The participants were assessed on the WHOQoL-BREF, Global Assessment of Functioning (GAF), Sheehan Disability Scale (SDS), the Work and Social Adjustment Scale (WSAS) and Dysfunctional Attitudes Scale (DAS). Data was analyzed using descriptive statistics, Mann-Whitney test, Spearman's Rho and regression analysis. Patients with anxiety disorders reported significantly lower quality of life than the community sample (df=98, p<.001). A shorter duration of illness was associated with lower quality of life. QoL was significantly correlated with severity of anxiety, depression and stress as well as with measures of disability and adjustment. Partial correlations indicated that depression did not significantly impact the relationship between work and social adjustment and QoL. Work and social adjustment, depression and dysfunctional cognitions emerged as significant predictors of QoL. The findings of the study are discussed in the light of existing research and the implications for future interventions are highlighted.

摘要

本研究旨在探讨焦虑障碍患者的生活质量、功能、残疾、工作和社会适应、抑郁、焦虑和认知障碍。研究招募了 100 名焦虑障碍患者和 98 名非临床参与者。采用横断面设计。参与者接受了世界卫生组织生活质量量表简表(WHOQoL-BREF)、总体功能评估(GAF)、希恩残疾量表(SDS)、工作和社会适应量表(WSAS)和功能失调态度量表(DAS)的评估。使用描述性统计、曼-惠特尼检验、斯皮尔曼 rho 和回归分析进行数据分析。与社区样本相比,焦虑障碍患者报告的生活质量显著较低(df=98,p<.001)。疾病持续时间越短,生活质量越低。生活质量与焦虑、抑郁和压力的严重程度以及残疾和适应的衡量标准显著相关。偏相关分析表明,抑郁对工作和社会适应与生活质量之间的关系没有显著影响。工作和社会适应、抑郁和认知障碍是生活质量的重要预测因素。研究结果结合现有研究进行了讨论,并强调了对未来干预措施的意义。

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