Wersebe Hanna, Lieb Roselind, Meyer Andrea H, Miche Marcel, Mikoteit Thorsten, Imboden Christian, Hoyer Jürgen, Bader Klaus, Hatzinger Martin, Gloster Andrew T
Department of Psychology, Division of Clinical Psychology and Epidemiology, University of Basel, Switzerland.
Psychiatric Services Solothurn and University of Basel, Switzerland.
Int J Clin Health Psychol. 2018 Sep-Dec;18(3):201-208. doi: 10.1016/j.ijchp.2018.06.004. Epub 2018 Aug 6.
: Lower levels in well-being have been observed in individuals with Major Depression (MDD) and Social Phobia (SP), but well-planned direct comparisons with control individuals, not suffering from a mental disorder, are lacking. Furthermore, MDD is highly comorbid with anxiety disorders, and SP with depressive disorders. This study is among the first to examine differences in well-being in individuals with a clinical diagnosis of MDD or SP compared to individuals with no such diagnosis and to test differences in well-being within the combined diagnostic categories respective with and without anxiety-depressive comorbidity. : Participants were 119 individuals with a diagnosis of MDD, 47 SP and 118 controls. : Results revealed that overall well-being as well as emotional, psychological, and social well-being were lower in the MDD and SP group compared to the control group. Individuals with comorbidity reported lower well-being than individuals without comorbidity. : These findings have clinical implications as presence of comorbidity may require a different therapeutic approach than with no comorbidity.
重度抑郁症(MDD)和社交恐惧症(SP)患者的幸福感水平较低,但缺乏与未患精神障碍的对照个体进行精心设计的直接比较。此外,MDD与焦虑症高度共病,SP与抑郁症高度共病。本研究是首批研究临床诊断为MDD或SP的个体与未患此类疾病的个体在幸福感方面差异的研究之一,并测试合并诊断类别中分别有和无焦虑-抑郁共病情况下的幸福感差异。:参与者包括119名诊断为MDD的个体、47名SP患者和118名对照个体。:结果显示,与对照组相比,MDD和SP组的总体幸福感以及情感、心理和社会幸福感较低。有共病的个体报告的幸福感低于无共病的个体。:这些发现具有临床意义,因为共病的存在可能需要与无共病情况不同的治疗方法。