Predictors of the Course of Anxiety Disorders in Adolescents and Young Adults
Predictors of the Course of Anxiety Disorders in Adolescents and Young Adults
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DOI：
10.1007/s11920-014-0543-z
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发表时间：
2015-02-01
影响因子：
6.7
通讯作者：
Beesdo-Baum, Katja
中科院分区：
文献类型：
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作者：
Asselmann, Eva;Beesdo-Baum, Katja
焦虑症属于最常见的精神障碍，通常以早期发作和进行性、持续/慢性或复发性病程为特征。已经确定了焦虑症不良病程特征（包括较高的持续性，较低的缓解概率和复发风险增加）的几个个体，家族和环境风险因素，并且先前的研究表明焦虑症的临床特征（例如，更高的严重性、持续时间和回避）以及共病的其他精神障碍对于预测焦虑症的不利过程特别有用。然而，还需要更多的研究来确定焦虑症个体病程轨迹的风险因素，以及具体的诊断。这样做是必不可少的，以便更准确地识别焦虑症患者，他们的不良长期结果风险增加，因此可能特别受益于有针对性的早期干预。
Anxiety disorders belong to the most frequent mental disorders and are often characterized by an early onset and a progressive, persistent/chronic, or recurrent course. Several individual, familial, and environmental risk factors for adverse course characteristics of anxiety disorders (including higher persistence, lower probability of remission, and increased risk of recurrence) have been identified, and previous research suggests that clinical features of anxiety (e.g., higher severity, duration, and avoidance) as well as comorbid other mental disorders are particularly useful for predicting an unfavorable course of anxiety disorders. However, additional studies are needed to identify risk factors for individual course trajectories of anxiety disorders in general as well as specific diagnoses. Doing so is essential in order to more precisely identify individuals with anxiety disorders who are at increased risk for adverse long-term outcomes and might thus particularly profit from targeted early interventions.