Quality of life in social anxiety disorder compared with panic disorder and the general population
Quality of life in social anxiety disorder compared with panic disorder and the general population
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DOI：
10.1176/appi.ps.53.6.714
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发表时间：
2002-06-01
影响因子：
3.8
通讯作者：
Pollack, MH
中科院分区：
文献类型：
--
作者：
Simon, NM;Otto, MW;Pollack, MH
目的：将寻求治疗的社交焦虑症患者队列的生活质量与年龄、合并症、性别以及人群标准相匹配的恐慌症患者的生活质量进行比较。方法：研究参与者为 33 名社交焦虑障碍患者和 33 名惊恐障碍患者，他们参加了临床试验，并完成了医疗结果研究 Short-Form-36 (SF-36) 作为基线评估的一部分。患者没有明显的共病精神疾病。配对 t 检验用于比较两个队列之间 SF-36 子量表的基线得分。使用单样本 t 检验将 SF-36 子量表的分数与基于普通人群 2,474 人的期望分数进行比较。结果：与普通人群相比，根据 SF-36 社会功能和心理健康分量表测量，社交焦虑障碍患者的损伤程度显着更大。子量表分数也表明情绪角色功能较差，但差异并不显着。然而，他们在身体机能、身体角色和心理健康方面的受损程度明显低于惊恐障碍患者。结论：没有明显共病抑郁或焦虑的社交焦虑障碍患者的生活质量受到严重损害，但程度低于惊恐障碍患者，后者的生活质量在精神和身体上均受到损害。
Objective: Quality of life in a treatment-seeking cohort of patients with social anxiety disorder was compared with that of patients with panic disorder who were matched for age, comorbid illnesses, and gender and with population-based norms. Methods: The study participants were 33 patients with social anxiety disorder and 33 patients with panic disorder who had participated in clinical trials and who had completed the Medical Outcomes Study Short-Form-36 (SF-36) as part of a baseline evaluation. The patients did not have significant comorbid psychiatric disorders. Paired t tests were used to compare baseline scores on subscales of the SF-36 between the two cohorts. One-sample t tests were used to compare scores on subscales of the SF-36 with expectation scores based on 2,474 persons from the general population. Results: Compared with the general population, the patients with social anxiety disorder had significantly, greater impairment as measured by the SF-36 social functioning and mental health subscales. Subscale scores also indicated poorer emotional role functioning, but the difference was not significant. However, they were significantly less impaired than the patients with panic disorder in terms of physical functioning, physical role, and mental health. Conclusions: Patients with social anxiety disorder who do not have significant comorbid depression or anxiety, are substantially impaired in quality, of life, but to a lesser extent than patients with panic disorder, who suffer from both mental and physical impairments in quality, of life.