Pathological worry in depressed and anxious patients

Pathological worry in depressed and anxious patients
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DOI:
10.1016/s0887-6185(02)00246-3
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发表时间:
2003-01-01
影响因子:
10.3
通讯作者:
Zimmerman, M
Zimmerman, M
中科院分区:
医学2区
文献类型:
--
作者:
Chelminski, I;Zimmerman, M

文献摘要

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焦虑性恐惧存在于所有焦虑症中,并且已经提出了担忧并不局限于广泛性焦虑症(GAD)。本项目有三个目标。首先,我们重新检查了GAD患者的病理性担忧水平是否高于其他焦虑症患者。其次,我们比较了“纯”GAD患者、“纯”MDD患者和MDD合并GAD患者的担忧评分。第三,为了检验焦虑是否是一般精神病理学特有的,而不是焦虑或抑郁,我们纳入了一个对照组(没有情感障碍或焦虑障碍的精神病门诊患者)。1200名门诊患者接受了采访,并完成了宾夕法尼亚州立大学的担忧问卷(PSWQ)的治疗介绍。“纯”GAD患者得分最高。抑郁组与焦虑症组相似,对照组与一般人群和非焦虑组相似。(C)2002年爱思唯尔公司All rights reserved.
Anxious apprehension is present in all anxiety disorders and concerns have been raised that worry is not confined to Generalized Anxiety Disorder (GAD). The aims of the present project were three-fold. First, we reexamined whether the level of pathological worry is higher in patients with GAD than other anxiety disorders. Second, we compared worry scores of patients with "pure" GAD, "pure" MDD, and MDD with comorbid GAD. And third, to examine whether worry is specific to psychopathology in general rather than anxiety or depression, we included a control group (psychiatric outpatients without an affective or anxiety disorder). Twelve hundred outpatients were interviewed and completed the Penn State Worry Questionnaire (PSWQ) upon presentation for treatment. Patients with 'pure" GAD had the highest scores. Depressed patients were similar to those with anxiety disorders other than GAD, and the control group showed worrying similar to that in general population and nonanxious samples. (C) 2002 Elsevier Inc. All rights reserved.