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[非精神病性精神障碍成年门诊患者中焦虑性分离障碍的患病率]

[Prevalence of anxiety separation disorder in adult outpatients with non-psychotic mental disorders].

作者信息

Avedisova A S, A Arkushae I, Akzhigitov R G, Anosov Y A, Zakharova K V

机构信息

Serbsky National Medical Research Centre for Psychiatry and Narcology, the Ministry of Health of the Russian Federation, Moscow, Russia.

Moscow Research and Clinical Center for Neuropsychiatry, Moscow, Russia.

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 2020;120(6):92-98. doi: 10.17116/jnevro202012006192.

DOI:10.17116/jnevro202012006192
PMID:32678554
Abstract

OBJECTIVE

To investigate the prevalence and symptoms of separation anxiety (SA) and separation anxiety disorder (SAD) in adult outpatients with non-psychotic mental disorders.

MATERIAL AND METHODS

Five hundred and fifty-seven outpatients over 18 years of age with nonpsychotic mental disorders were examined. Clinical, psychopathological, psychometric (the Adult Separation Anxiety Questionnaire (ASA-27), the Structured Clinical Interview for Anxiety Symptoms (SCI-SAS), the Mini-International Neuropsychiatric Interview (MINI), the Quality of Life Enjoyment and Satisfaction Questionnaire (QLES-Q) methods were used.

RESULTS AND CONCLUSION

SAD and SA accompany a wide range of nonpsychotic mental disorders, predominantly anxious and affective, and are highly prevalent among outpatients (24.8% and 5.4%, respectively). Patients with SAD are characterized by a high level of SA; the symptoms specific to SAD predominate in the structure of the disorder. It has been shown that during the manifestation of the disorder in childhood, the range of attachment objects widens with age, and the quality of life in such patients is lower.

摘要

目的

调查非精神病性精神障碍成年门诊患者中分离焦虑(SA)和分离焦虑障碍(SAD)的患病率及症状。

材料与方法

对557名18岁以上的非精神病性精神障碍门诊患者进行检查。采用临床、心理病理学、心理测量学方法(成人分离焦虑问卷(ASA - 27)、焦虑症状结构化临床访谈(SCI - SAS)、迷你国际神经精神访谈(MINI)、生活质量享受与满意度问卷(QLES - Q))。

结果与结论

SAD和SA伴随多种非精神病性精神障碍,主要是焦虑和情感性障碍,在门诊患者中高度流行(分别为24.8%和5.4%)。SAD患者的特点是SA水平较高;SAD特有的症状在该障碍结构中占主导。研究表明,在儿童期该障碍表现时,依恋对象的范围随年龄扩大,此类患者的生活质量较低。

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