Kiran Chandra, Chaudhury Suprakash
Department of Psychiatry, Ranchi Institute of Neuropsychiatry and Allied Sciences, Ranchi, Jharkhand, India.
Department of Psychiatry, Pravara Institute of Medical Sciences, Rural Medical College and Hospital, Loni, Ahmednagar, Maharashtra, India.
Ind Psychiatry J. 2016 Jan-Jun;25(1):35-40. doi: 10.4103/0972-6748.196045.
Diagnostic and treatment hierarchical reductionisms have resulted in an oversight of anxiety syndromes in schizophrenia.
The aim of this study was to find the prevalence of different anxiety disorders in schizophrenia patients.
The study was conducted on inpatients of a tertiary care psychiatric hospital using a prospective, purposive sampling technique. The study consisted of 93 schizophrenia patients and a similar number of normal controls. The schizophrenia patients and controls were evaluated for psychopathology and the presence of anxiety disorder.
The prevalence of anxiety disorder was significantly higher in schizophrenia patients (45.16%) compared to controls (16.12%). Further, the prevalence of panic disorder, social anxiety disorder, and obsessive-compulsive disorder (OCD) was significantly higher in schizophrenia patients. No significant correlation was observed between anxiety disorder scores and psychopathology scores.
The prevalence of comorbid anxiety disorders (panic disorder, social anxiety disorder, and OCD) in schizophrenia is significantly higher in the general population. The onset of anxiety disorder commonly precedes the onset of schizophrenia.
诊断和治疗的层级还原论导致了对精神分裂症中焦虑综合征的忽视。
本研究的目的是找出精神分裂症患者中不同焦虑障碍的患病率。
本研究采用前瞻性、目的性抽样技术,对一家三级护理精神病医院的住院患者进行。该研究包括93名精神分裂症患者和数量相近的正常对照组。对精神分裂症患者和对照组进行心理病理学评估及焦虑障碍的检查。
与对照组(16.12%)相比,精神分裂症患者中焦虑障碍的患病率显著更高(45.16%)。此外,惊恐障碍、社交焦虑障碍和强迫症(OCD)在精神分裂症患者中的患病率显著更高。焦虑障碍评分与心理病理学评分之间未观察到显著相关性。
精神分裂症中共病焦虑障碍(惊恐障碍、社交焦虑障碍和强迫症)的患病率在普通人群中显著更高。焦虑障碍的发病通常先于精神分裂症。