文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

焦虑障碍的复发及其预测因素。

Recurrence of anxiety disorders and its predictors.

机构信息

Department of Psychiatry, VU University Medical Center, Amsterdam, The Netherlands.

出版信息

J Affect Disord. 2013 May;147(1-3):180-5. doi: 10.1016/j.jad.2012.10.031. Epub 2012 Dec 4.


DOI:10.1016/j.jad.2012.10.031
PMID:23218248
Abstract

BACKGROUND: The chronic course of anxiety disorders and its high burden of disease are partly due to the recurrence of anxiety disorders after remission. However, knowledge about recurrence rates and predictors of recurrence is scarce. This article reports on recurrence rates of anxiety disorders and investigates predictors of recurrence from a broad range of socio-demographic characteristics, illness-related and psychosocial putative predictors. METHODS: Baseline and 2-year follow-up data were derived from the Netherlands Study of Depression and Anxiety (NESDA). Participants who had at least one lifetime anxiety disorder (panic disorder with or without agoraphobia, agoraphobia alone, social phobia or generalized anxiety disorder), but were remitted at baseline (N=429) were included. Recurrence of anxiety disorders during the 2-year follow-up period was assessed using the Composite International Diagnostic Interview, version 2.1. RESULTS: Recurrence rates among pure and multiple anxiety disorders did not differ significantly and the overall recurrence rate of anxiety disorders was 23.5%. In those recurring, the incidence of a new anxiety disorder was common (32.7%). Disability and anxiety sensitivity remained predictive of recurrence of anxiety disorders in multivariable regression analysis. LIMITATIONS: The included participants had more severe symptoms at baseline than the non-response group and lifetime anxiety diagnoses were assessed, retrospectively. CONCLUSIONS: Recurrence of anxiety disorders is common and clinicians should be aware of the diagnostic instability within anxiety disorders. Disability and anxiety sensitivity are independent predictors of recurrence of anxiety disorders. Altering these predictors in regular cognitive behavioural therapy could contribute to the reduction of recurrence.

摘要

背景:焦虑障碍的慢性病程及其高疾病负担部分归因于缓解后焦虑障碍的复发。然而,关于复发率和复发预测因素的知识却很少。本文报告了焦虑障碍的复发率,并从广泛的社会人口学特征、与疾病相关和心理社会潜在预测因素调查了复发的预测因素。

方法:本研究的数据来自荷兰抑郁和焦虑研究(NESDA)。在基线时有至少一种终身焦虑障碍(伴有或不伴有广场恐怖症的惊恐障碍、单纯广场恐怖症、社交恐惧症或广泛性焦虑障碍)但已缓解的参与者(N=429)被纳入研究。使用复合国际诊断访谈,版本 2.1 评估了在 2 年随访期间焦虑障碍的复发情况。

结果:单纯和多种焦虑障碍的复发率没有显著差异,焦虑障碍的总体复发率为 23.5%。在复发的患者中,新发焦虑障碍的发病率很常见(32.7%)。在多变量回归分析中,残疾和焦虑敏感仍然是焦虑障碍复发的预测因素。

局限性:纳入的参与者在基线时的症状比无应答组更严重,并且使用回顾性方法评估了终身焦虑诊断。

结论:焦虑障碍的复发很常见,临床医生应注意焦虑障碍中的诊断不稳定。残疾和焦虑敏感是焦虑障碍复发的独立预测因素。在常规认知行为治疗中改变这些预测因素可能有助于减少复发。

相似文献

[1]
Recurrence of anxiety disorders and its predictors.

J Affect Disord. 2012-12-4

[2]
Two-year course trajectories of anxiety disorders: do DSM classifications matter?

J Clin Psychiatry. 2014-9

[3]
Comorbidity of anxiety disorders in a multicenter anxiety study.

Compr Psychiatry. 1995

[4]
Chronicity, relapse, and illness--course of panic disorder, social phobia, and generalized anxiety disorder: findings in men and women from 8 years of follow-up.

Depress Anxiety. 2003

[5]
Long-term disability in anxiety disorders.

BMC Psychiatry. 2016-7-19

[6]
Psychopathology in adolescent offspring of parents with panic disorder, major depression, or both: a 10-year follow-up.

Am J Psychiatry. 2012-11

[7]
The spectrum of anxiety disorders in the medically ill.

J Clin Psychiatry. 2010-6-1

[8]
Health anxiety and fear of fear in panic disorder and agoraphobia vs. social phobia: a prospective longitudinal study.

Depress Anxiety. 2010-4

[9]
[Rethink the panic disorder].

Encephale. 2010-4

[10]
Age of onset, clinical characteristics, and 15-year course of anxiety disorders in a prospective, longitudinal, observational study.

J Affect Disord. 2011-2-5

引用本文的文献

[1]
The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders compared with diagnosis-specific protocols for anxiety disorders: A three-year follow-up.

J Mood Anxiety Disord. 2023-9-16

[2]
Does pregabalin offer potential as a first-line therapy for generalized anxiety disorder? A meta-analysis of efficacy, safety, and cost-effectiveness.

Front Pharmacol. 2025-2-7

[3]
Development of a machine learning-based multivariable prediction model for the naturalistic course of generalized anxiety disorder.

J Anxiety Disord. 2025-3

[4]
Adolescent social anxiety is associated with diminished discrimination of anticipated threat and safety in the bed nucleus of the stria terminalis.

J Psychopathol Clin Sci. 2025-1

[5]
Enhanced diagnostics for generalized anxiety disorder: leveraging differential channel and functional connectivity features based on frontal EEG signals.

Sci Rep. 2024-10-1

[6]
Safety signals reinforce instrumental avoidance in humans.

Learn Mem. 2024-8

[7]
Risk Groups and Psychosocial Factors for the Pandemic (COVID-19).

Healthcare (Basel). 2024-6-21

[8]
Status after Hospital Discharge: An Observational Study of the Progression of Patients' Mental Health Symptoms Six Weeks after Hospital Discharge.

J Clin Med. 2023-12-7

[9]
Associations between Pharmacological Treatment Patterns during the Initial Treatment Period and the Relapse or Recurrence of Anxiety Disorders: A Nationwide Retrospective Cohort Study.

Life (Basel). 2023-5-17

[10]
Feasibility of the virtual reality-based assessments in patients with panic disorder.

Front Psychiatry. 2023-1-24

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索