Quality of life and dissociation in anxiety disorder patients with histories of trauma or PTSD.
Quality of life and dissociation in anxiety disorder patients with histories of trauma or PTSD.
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DOI：
10.1176/ajp.150.10.1512
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发表时间：
1993-10
期刊：
影响因子：
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通讯作者：
M. Warshaw;E. Fierman;Lisa A. Pratt;Molly F. Hunt;K. Yonkers;A. O. Massion;Martin B Keller
中科院分区：
文献类型：
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作者：
M. Warshaw;E. Fierman;Lisa A. Pratt;Molly F. Hunt;K. Yonkers;A. O. Massion;Martin B Keller
目的本分析的目的是检查生活质量和分离的焦虑症受试者的历史创伤，其中一些人符合创伤后应激障碍（PTSD）的标准。方法受试者来自焦虑症的前瞻性纵向研究。信息收集的作用，社会生活，自杀企图，精神病住院治疗，酒精和药物滥用，抑郁症和解离。结果PTSD患者在除社会生活外的所有测试中表现最差。有创伤史但无创伤后应激障碍的受试者与无创伤史的受试者不同，主要表现为酗酒和轻度抑郁的高发生率。结论：创伤后应激障碍对几乎所有生活领域的生活质量都有严重影响。抑郁症、自杀企图或自杀姿势以及酗酒的严重程度特别令人关切，这表明创伤可能产生长期影响。
OBJECTIVE The purpose of this analysis was to examine quality of life and dissociation in anxiety disorder subjects with histories of trauma, some of whom met criteria for posttraumatic stress disorder (PTSD). METHOD Subjects came from a prospective, longitudinal study of anxiety disorders. Information was gathered on role, social life, suicide attempts, psychiatric hospitalization, alcohol and substance abuse, depression, and dissociation. RESULTS Subjects with PTSD had the worst functioning on all of the measures examined except social life. Those with histories of trauma but no PTSD differed from subjects who reported no history of trauma, primarily in high rates of alcoholism and minor depression. CONCLUSIONS PTSD has severe effects on quality of life in virtually all spheres of life. The high levels of depression, suicide attempts or gestures, and alcohol abuse are of particular concern and show that trauma can have long-lasting effects.