The Concept of Generalized Anxiety Disorder: Between the Too Narrow and Too Wide Diagnostic Criteria
The Concept of Generalized Anxiety Disorder: Between the Too Narrow and Too Wide Diagnostic Criteria
复制标题
广泛性焦虑症的概念：在太窄和太宽的诊断标准之间
作者：
V. Starcevic;G. Bogojevic
采用修订后的DSM-IV和ICD-10诊断标准(ICD-10-DCR)对73例广场恐怖症/惊恐障碍患者进行结构化临床访谈，以确定DSM-IV和ICD-10-DCR对共病广泛性焦虑症(GAD)的诊断一致性，并重新检查GAD的症状结构和每个症状的意义作为GAD的诊断标准。GAD(Kappa)诊断符合率为0.86。对45例患者GAD症状的分析表明，为了更好地将GAD与抑郁症和其他焦虑症区分开来，GAD的诊断概念化可能会有所改进，要求至少存在7种一级症状中的4种(与紧张、警觉和扫视有关)和5种二级症状中的1种(与生理过度觉醒有关)。
The Structured Clinical Interview for DSM-III-R, modified for DSM-IV and ICD-10 Diagnostic Criteria for Research (ICD-10-DCR), was administered to 73 consecutive patients with agoraphobia/panic disorder in order to determine diagnostic agreement for comorbid generalized anxiety disorder (GAD) between DSM-IV and ICD-10-DCR and reexamine the GAD symptom structure and significance of each symptom as diagnostic criterion for GAD. The diagnostic agreement for GAD (kappa) was 0.86. The analysis of the frequency of GAD symptoms in 45 patients suggests that in order to better differentiate GAD from depression and other anxiety disorders, a diagnostic conceptualization of GAD may be improved with the requirement of the presence of at least 4 of the 7 first-rank symptoms (pertaining to tension, vigilance and scanning) and 1 of the 5 second-rank symptoms (pertaining to physiological hyperarousal).
心理健康中文化敏感研究的意义。
DOI：
10.1176/ajp.146.3.296
发表时间：
1989
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Rogler,LH
通讯作者：
Rogler,LH
影响因子：
--
作者：
Mannuzza,S;Fyer,AJ;Martin,LY;Gallops,MS;Endicott,J;Gorman,J;Liebowitz,MR;Klein,DF
通讯作者：
Klein,DF
恐慌症和广泛性焦虑症的生活质量和精神发病率。
DOI：
10.1176/ajp.150.4.600
发表时间：
1993
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Massion,AO;Warshaw,MG;Keller,MB
通讯作者：
Keller,MB