Anxiety disorders and comorbid medical illness
Anxiety disorders and comorbid medical illness
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DOI：
10.1016/j.genhosppsych.2007.12.006
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发表时间：
2008-05-01
影响因子：
7
通讯作者：
Stein, Murray B.
中科院分区：
文献类型：
--
作者：
Roy-Byrne, Peter P.;Davidson, Karina W.;Stein, Murray B.
目的：为了提供一个概述的作用，焦虑症在医疗illustration.Method：美国焦虑症协会举行了一次多学科会议，会议领导人和发言人审查的介绍和讨论，认为文献的患病率，合并症，病因和治疗，并提出了研究建议。肠易激综合征（IBS），哮喘，心血管疾病（CVD），癌症和慢性疼痛reviewed.Results：大量的文献支持临床上重要的精神疾病和慢性疾病之间的关联。大多数研究都集中在抑郁症上，发现抑郁症会对自我护理产生不利影响，并增加意外医疗疾病，并发症和死亡率的风险。焦虑症的研究较少，但强有力的流行病学和临床证据表明，焦虑症发挥同样重要的作用。焦虑和IBS，CVD和慢性疼痛之间的相互作用的生物学理论。现有的数据表明，焦虑症在内科疾病患者不应被忽视，可以考虑联合抑郁症筛查和干预策略的制定时，特别是在初级care.Conclusions：新兴的数据提供了一个强有力的论据，焦虑症的作用，在医疗疾病，并建议焦虑症的对手抑郁症的风险，合并症和结果。需要开展旨在加深我们对焦虑症对医疗疾病影响的了解的研究项目，以开发基于证据的方法来改善患者护理。(c)2008年爱思唯尔公司All rights reserved.
Objective: To provide an overview of the role of anxiety disorders in medical illness.Method: The Anxiety Disorders Association of America held a multidisciplinary conference from which conference leaders and speakers reviewed presentations and discussions, considered literature on prevalence, comorbidity, etiology and treatment, and made recommendations for research. Irritable bowel syndrome (IBS), asthma, cardiovascular disease (CVD), cancer and chronic pain were reviewed.Results: A substantial literature supports clinically important associations between psychiatric illness and chronic medical conditions. Most research focuses on depression, finding that depression can adversely affect self-care and increase the risk of incident medical illness, complications and mortality. Anxiety disorders are less well studied, but robust epidemiological and clinical evidence shows that anxiety disorders play an equally important role. Biological theories of the interactions between anxiety and IBS, CVD and chronic pain are presented. Available data suggest that anxiety disorders in medically ill patients should not be ignored and could be considered conjointly with depression when developing strategies for screening and intervention, particularly in primary care.Conclusions: Emerging data offer a strong argument for the role of anxiety in medical illness and suggest that anxiety disorders rival depression in terms of risk, comorbidity and outcome. Research programs designed to advance our understanding of the impact of anxiety disorders on medical illness are needed to develop evidence-based approaches to improving patient care. (c) 2008 Elsevier Inc. All rights reserved.