成人焦虑障碍基于证据评估的临床考虑因素。
Clinical Considerations for an Evidence-Based Assessment of Anxiety Disorders in Adults.
机构信息
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, 1800 Orleans Street, Baltimore, MD 21287, USA; Department of Psychiatry, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA.
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, 1800 Orleans Street, Baltimore, MD 21287, USA.
出版信息
Psychiatr Clin North Am. 2024 Dec;47(4):623-639. doi: 10.1016/j.psc.2024.04.009. Epub 2024 May 23.
Evidence-based assessment (EBA) is critical for successful diagnosis and treatment of adult anxiety disorders. First, diagnostic interviews are reviewed with emphasis on how these tools can be used inform clinical diagnoses. Second, clinician-rated measures and self-report scales used to characterize anxiety symptom severity in adults are discussed. Third, to further inform clinical care, rating scales that illustrate clinical profiles contributing to symptom maintenance and severity-namely accommodation and avoidance behaviors-are discussed. Lastly, a summary of recommendations for using EBA for the diagnosis and treatment of anxiety disorders in adults is shared.
循证评估（EBA）对于成功诊断和治疗成人焦虑障碍至关重要。首先，我们回顾了诊断访谈，重点介绍了如何使用这些工具为临床诊断提供信息。其次，讨论了用于成人焦虑症状严重程度特征描述的临床医生评定量表和自我报告量表。第三，为了进一步为临床护理提供信息，讨论了说明导致症状维持和严重程度的临床特征的评定量表，即适应和回避行为。最后，分享了关于在成人焦虑障碍的诊断和治疗中使用 EBA 的建议总结。
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