Impairment and quality of life in individuals with generalized anxiety disorder
Impairment and quality of life in individuals with generalized anxiety disorder
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DOI：
10.1002/da.20249
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发表时间：
2007-01-01
影响因子：
7.4
通讯作者：
Heimberg, Richard G.
中科院分区：
文献类型：
--
作者：
Henning, Eric R.;Turk, Cynthia L.;Heimberg, Richard G.
广泛性焦虑症 (GAD) 一度被认为是一种与轻微损伤相关的疾病，但现在已经明确了广泛性焦虑症 (GAD) 与广泛领域的损伤之间的联系。然而，关于合并症如何影响这些关系，或者广泛性焦虑症如何影响一个人的生活满意度或生活质量，人们知之甚少。为了研究这些问题，我们将 52 名寻求治疗的 GAD 患者（其中 33 名患有 Axis I 诊断）的数据与 55 名不焦虑的对照者的数据进行了比较。患有广泛性焦虑症的人报告称，他们在工作和社会功能方面的障碍比在家庭和家庭责任方面受到的障碍更多。他们还报告说，与不焦虑的对照组相比，他们的生活质量较低，特别是在自尊、目标和价值观、金钱、工作、娱乐、学习、创造力、朋友和亲戚方面。在临床样本中，特质担忧与损伤呈正相关，与生活满意度呈负相关。患有广泛性焦虑症的个体，无论是否患有轴 I 共病，在损伤测量方面几乎没有差异（仅在社会功能损伤方面存在差异）。然而，患有广泛性焦虑症和共存疾病的人认为自己的生活不如没有共病诊断的广泛性焦虑症患者满意。抑郁与焦虑 24:342-349, 2007。(C) 2006 Wiley-Liss, Inc.
Once considered to be a disorder associated with minimal impairment, the link between generalized anxiety disorder (GAD) and impairment across a broad constellation of domains is now well established. However, less is known about how comorbidity affects these relationships or how GAD impacts one's perceived life satisfaction or quality of life. To investigate these questions, data from 52 treatment-seeking individuals with GAD (33 with comorbid Axis I diagnoses) were compared to data from 55 nonanxious controls. Individuals with GAD reported more impairment at work and in their social functioning than they did with home and family responsibilities. They also reported lower quality of life than nonanxious controls, particularly in regard to self-esteem, goals and values, money, work, play, learning, creativity, friends, and relatives. Trait worry was positively correlated with impairment and inversely related to life satisfaction within the clinical sample. Individuals with GAD, with and without comorbid Axis I diagnoses, showed few differences on measures of impairment (differing only on impairment in social functioning). However, individuals with GAD and comorbid disorders perceived their lives as less satisfying than did individuals with GAD without comorbid diagnoses. Depression and Anxiety 24:342-349, 2007. (C) 2006 Wiley-Liss, Inc.