Department of Psychiatry, NIMHANS, India.
Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India.
Asian J Psychiatr. 2014 Oct;11:50-2. doi: 10.1016/j.ajp.2014.05.011. Epub 2014 Jun 2.
To study the phenomenon of worry and functional somatic symptoms in Generalized Anxiety Disorder (GAD).
40 subjects with the diagnosis of GAD were assessed by using Penn State Worry Questionnaire (PSWQ) and Bradford Somatic Inventory (BSI). Severity of GAD was rated on Generalized Anxiety Disorder -7 (GAD-7) scale.
The mean total score on PSWQ was 59.62. All patients had somatic symptoms and the minimum number of somatic symptoms noted in a patient was 11 and maximum was 38. Seventy-five percent of the patients had more than 22 somatic symptoms as per BSI. Majority of the patients (90%) scored more than 10 on GAD-7 scale.
Future nosological systems should not limit assessment of somatic symptoms to a list of 6 symptoms only in patients with GAD and should try to operationalise the definition of excessive worry by taking into consideration the common types of worries.
研究广泛性焦虑障碍（GAD）中的担忧和躯体症状现象。
采用宾州忧虑问卷（PSWQ）和布拉德福德躯体症状清单（BSI）对 40 名 GAD 患者进行评估。使用广泛性焦虑障碍 -7 项量表（GAD-7）评定 GAD 严重程度。
PSWQ 总分平均为 59.62。所有患者均有躯体症状，患者躯体症状最少为 11 种，最多为 38 种。根据 BSI，75%的患者有超过 22 种躯体症状。大多数患者（90%）在 GAD-7 量表上的得分超过 10。
未来的分类系统不应仅将躯体症状的评估局限于 GAD 患者的 6 种症状列表中，而应尝试通过考虑常见的担忧类型，使过度担忧的定义更具操作性。
