Health Service & Population Research, Institute of Psychiatry, King's College, London, UK.
Depress Anxiety. 2014 Apr;31(4):344-51. doi: 10.1002/da.22206. Epub 2013 Nov 27.
Previous research has described distinctive features for anxious and nonanxious forms of major depression. The concept of "mixed anxiety depression disorder" (MADD) refers to a milder degree of the anxious form of depression, since the depressive symptoms fall short of the number required for a diagnosis of major depression. It is argued that this can be thought of as a subclinical form of anxious depression, rather than a separate disorder in its own right. In view of its substantial prevalence in general medical settings, its associated disability and its public health importance, it deserves to be recognized, and seen as being continuous with the more severe forms of anxious depression. It will therefore be included in the Field Trials of the version of the ICD-11 (where ICD is the International Classification of Disease) intended for primary care. It is argued that current anxiety, depression (without anxiety), and anxious depression would cover most of the psychologically distressed patients seen in general medical settings, using a pseudodimensional system.
先前的研究已经描述了焦虑和非焦虑型重度抑郁症的不同特征。“混合焦虑抑郁障碍”（MADD）的概念指的是抑郁的焦虑程度较轻，因为抑郁症状的数量未达到重度抑郁症的诊断标准。有人认为，这可以被视为亚临床形式的焦虑性抑郁症，而不是一种独立的疾病。鉴于它在一般医疗环境中普遍存在、相关残疾以及对公共卫生的重要性，它应该得到承认，并被视为与更严重形式的焦虑性抑郁症连续的。因此，它将被纳入 ICD-11 版本（ICD 是国际疾病分类）的现场试验，旨在用于初级保健。有人认为，使用伪维度系统，当前的焦虑、抑郁（无焦虑）和焦虑性抑郁将涵盖大多数在一般医疗环境中看到的心理困扰患者。
