Quality of life in depression and anxiety

Quality of life in depression and anxiety
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DOI:
10.1080/09540260220144966
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发表时间:
2002-08-01
影响因子:
2.8
通讯作者:
Hansson, L
Hansson, L
中科院分区:
医学4区
文献类型:
--
作者:
Hansson, L

文献摘要

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抑郁症和焦虑症被认为是主要的公共卫生问题,对患者及其家庭造成巨大的个人、经济和社会负担。尽管如此,生活质量研究的发展在该领域一直相当缓慢,但从流行病学和临床研究中可以明显看出,重度抑郁症患者的主观生活质量比健康受试者低得多,生活质量在许多生活领域受到严重影响,并且与各种外部生活条件下的功能较差有关。主观生活质量也大多被发现比其他精神疾病更差,等于或低于几种主要慢性医学疾病的生活质量。虽然对焦虑症患者生活质量的调查越来越多,但其频率低于抑郁症,而且仍处于起步阶段。这在创伤后应激障碍(PTSD)、强迫症(OCD)和广泛性焦虑症(GAD)方面最为明显,并且强烈需要对所有焦虑症进行进一步的研究。从所进行的研究中得出的总体情况是,焦虑症是一种在许多生活领域损害生活质量和社会功能的疾病。有证据表明,生活质量在惊恐障碍(PD)和PTSD中受到最大的损害。
Depression and anxiety disorders are recognized as major public health problems with substantial personal, economic and social burden on those afflicted and their families. Despite this the development of quality of life research has been rather slow in the field but it is evident both from epidemiological and clinical studies that persons with major depression have a substantially lower subjective quality of life than healthy subjects, and that quality of life is severely affected in a number of life domains as well as associated with a worse functioning in various external life conditions. Subjective quality of life has also mostly been found to be worse than in other psychiatric conditions and equal to or worse than quality of life in several major medical chronic illnesses. Although investigations of quality of life in anxiety disorder are growing they are less frequent than in depression and still in its infancy. This is most evident concerning post-traumatic stress disorder (PTSD), obsessive compulsive disorder (OCD) and generalized anxiety disorder (GAD), and further studies in all anxiety disorders are strongly needed. The general picture emerging from studies performed is that anxiety disorders are illnesses that impair quality of life and social functioning in a number of life domains. There is some evidence that quality of life is most compromised in panic disorder (PD) and PTSD.