Shear M K, Schulberg H C
Department of Psychiatry, University of Pittsburgh School of Medicine, PA 15213, USA.
Bull Menninger Clin. 1995 Spring;59(2 Suppl A):A73-85.
Studies indicate that persons with anxiety disorders seek treatment from general medical facilities as often as they do from mental health care settings. Yet primary care providers often do not recognize and treat these individuals effectively, perhaps because anxiety disorders present differently in the general health setting. In light of this situation, the authors note the need to disseminate efficacious treatment approaches to primary care settings. With this goal in mind, they review the prevalence of anxiety in the community and in primary care patients, the presentation of anxiety disorders in primary care, how to improve recognition of anxiety and depression in primary care, and treatment strategies for primary care providers.
研究表明,焦虑症患者向普通医疗设施寻求治疗的频率与向心理健康护理机构寻求治疗的频率一样高。然而,初级保健提供者往往无法有效识别和治疗这些患者,这可能是因为焦虑症在普通健康环境中的表现有所不同。鉴于这种情况,作者指出有必要向初级保健机构传播有效的治疗方法。出于这一目标,他们回顾了社区和初级保健患者中焦虑症的患病率、初级保健中焦虑症的表现、如何提高初级保健中对焦虑症和抑郁症的识别,以及初级保健提供者的治疗策略。