Asselmann Eva, Beesdo-Baum Katja
Institute of Clinical Psychology and Psychotherapy, Behavioral Epidemiology, Technische Universität Dresden, Chemnitzer Str. 46, 01187, Dresden, Germany,
Curr Psychiatry Rep. 2015 Feb;17(2):7. doi: 10.1007/s11920-014-0543-z.
Anxiety disorders belong to the most frequent mental disorders and are often characterized by an early onset and a progressive, persistent/chronic, or recurrent course. Several individual, familial, and environmental risk factors for adverse course characteristics of anxiety disorders (including higher persistence, lower probability of remission, and increased risk of recurrence) have been identified, and previous research suggests that clinical features of anxiety (e.g., higher severity, duration, and avoidance) as well as comorbid other mental disorders are particularly useful for predicting an unfavorable course of anxiety disorders. However, additional studies are needed to identify risk factors for individual course trajectories of anxiety disorders in general as well as specific diagnoses. Doing so is essential in order to more precisely identify individuals with anxiety disorders who are at increased risk for adverse long-term outcomes and might thus particularly profit from targeted early interventions.
焦虑症属于最常见的精神障碍,其特征通常是起病早,病程呈进行性、持续性/慢性或复发性。已确定了焦虑症不良病程特征的若干个体、家族和环境风险因素(包括更高的持续性、更低的缓解概率和更高的复发风险),并且先前的研究表明,焦虑的临床特征(如更高的严重程度、持续时间和回避行为)以及共病的其他精神障碍对于预测焦虑症的不良病程特别有用。然而,需要更多研究来确定焦虑症总体个体病程轨迹以及特定诊断的风险因素。这样做对于更准确地识别焦虑症患者中具有长期不良后果风险增加的个体至关重要,这些个体可能特别受益于有针对性的早期干预。