A Cross-Ethnic Comparison of Lifetime Prevalence Rates of Anxiety Disorders

A Cross-Ethnic Comparison of Lifetime Prevalence Rates of Anxiety Disorders
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DOI:
10.1097/nmd.0b013e3181ea169f
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发表时间:
2010-08-01
影响因子:
1.9
通讯作者:
Hofmann, Stefan G.
Hofmann, Stefan G.
中科院分区:
医学4区
文献类型:
--
作者:
Asnaani, Anu;Richey, J. Anthony;Hofmann, Stefan G.

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为了检查常见焦虑症终生患病率的种族差异,我们检查了合作精神病学研究的数据。这些样本包括6870名白人、4598名非裔美国人、3615名西班牙裔美国人和1628名亚裔美国人。美国白人比非洲裔美国人、西班牙裔美国人和亚裔美国人更容易被诊断为社交焦虑障碍、广泛性焦虑障碍和恐慌障碍。非裔美国人比白人、西班牙裔美国人和亚裔美国人更容易达到创伤后应激障碍(PTSD)的标准。亚裔美国人比西班牙裔美国人更不容易被诊断为广泛性焦虑障碍和创伤后应激障碍,也比白人更不容易被诊断为社交焦虑障碍、广泛性焦虑障碍、恐慌障碍和创伤后应激障碍。研究结果表明,在进行焦虑症诊断时需要考虑种族和民族因素。对观察到的种族间患病率差异的可能原因进行了讨论。
To examine race-ethnic differences in the lifetime prevalence rates of common anxiety disorders, we examined data from the Collaborative Psychiatric Epidemiology Studies. The samples included 6870 White Americans, 4598 African Americans, 3615 Hispanic Americans, and 1628 Asian Americans. White Americans were more likely to be diagnosed with social anxiety disorder, generalized anxiety disorder, and panic disorder than African Americans, Hispanic Americans, and Asian Americans. African Americans more frequently met criteria for post-traumatic stress disorder (PTSD) than White Americans, Hispanic Americans, and Asian Americans. Asian Americans were also less likely to meet the diagnoses for generalized anxiety disorder and PTSD than Hispanic Americans, and were less likely to receive social anxiety disorder, generalized anxiety disorder, panic disorder, and PTSD diagnoses than White Americans. The results suggest that race and ethnicity need to be considered when assigning an anxiety disorder diagnosis. Possible reasons for the observed differences in prevalence rates between racial groups are discussed.