Barlow D H
Department of Psychology, University at Albany, State University of New York 12222.
Bull Menninger Clin. 1994 Spring;58(2 Suppl A):A43-57.
As our system of nosology evolves and continues to split into more tightly defined discrete disorders, the issue of comorbidity looms larger. The fact of extensive comorbidity has implications for conceptualizing the nature of psychopathology as well as its treatment. The author presents recent conceptualizations of the nature of anxiety and the relationship of social phobic features to more generalized anxiety. After discussing new data on the treatment of social phobia from a cognitive-behavioral perspective, he reviews new findings demonstrating patterns of extensive comorbidity that have emerged from research at the Center for Stress and Anxiety Disorders at the University at Albany, State University of New York. The implications of comorbidity for integrated treatment of social phobia are then discussed.
随着我们的疾病分类系统不断发展并持续细分为更精确界定的离散性疾病，共病问题显得愈发突出。广泛存在共病这一事实对心理病理学本质的概念化及其治疗都具有重要意义。作者介绍了近期关于焦虑本质的概念化以及社交恐惧特征与更广泛焦虑之间的关系。在从认知行为角度讨论社交恐惧症治疗的新数据后，他回顾了纽约州立大学奥尔巴尼分校压力与焦虑障碍中心的研究所呈现出的广泛共病模式的新发现。随后讨论了共病对社交恐惧症综合治疗的影响。
