Minor stressors and generalized anxiety disorder among low-income patients attending primary care clinics
Minor stressors and generalized anxiety disorder among low-income patients attending primary care clinics
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DOI：
10.1097/00005053-199907000-00007
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发表时间：
1999-07-01
影响因子：
1.9
通讯作者：
Jones, GN
中科院分区：
文献类型：
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作者：
Brantley, PJ;Mehan, DJ;Jones, GN
研究人员对患有广泛性焦虑障碍（GAD）的个体和非焦虑对照组的个体进行了评估，并对与这些事件相关的次要生活事件的总数和主观痛苦评分进行了评估。参与者包括256名随机选择的来自初级保健医疗诊所的低收入患者。使用DSM-IV （DIS-IV）的诊断访谈表进行诊断。方差分析显示，广泛性焦虑症个体报告的次要生活事件明显多于非焦虑对照组（F = 50.97, p < 0.001）。协方差分析表明，即使在事件总数得到控制后，GAD患者认为他们的次要压力源比非焦虑对照组明显更有压力（F = 42.07, p < 0.001）。这些发现与广泛性焦虑症的认知理论以及当前修订的《精神疾病诊断与统计手册》（DSM）对该疾病的定义是一致的。讨论了广泛性焦虑症的理论和研究意义。
The total number of minor life events and subjective ratings of distress associated with these events were assessed for individuals with generalized anxiety disorder (GAD) and for nonanxious controls. Participants consisted of 256 randomly selected, low-income patients from primary care medical clinics. Diagnoses were obtained using the Diagnostic Interview Schedule for the DSM-IV (DIS-IV). An analysis of variance revealed that GAD individuals reported significantly more minor life events than did nonanxious controls (F = 50.97, p < .001). An analysis of covariance indicated that persons with GAD perceived their minor stressors as significantly more stressful than did nonanxious controls, even after the total number of events was controlled (F = 42.07, p < .001). These findings are consistent with cognitive theories of GAD and current revisions to the definition of the disorder in the Diagnostic and Statistical Manual of Mental Disorders (DSM). Implications for theory and research on GAD are discussed.