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消除过度担忧作为一般性焦虑障碍的要求的理由:跨国调查
Ayelet Meron Ruscio1, Madeleine Rassaby2, Murray B Stein3,4
1Department of Psychology, University of Pennsylvania, Philadelphia, PA, USA.
Psychological medicine
|October 4, 2024
概括
删除通用焦虑障碍 (GAD) 的"过度"标准显著增加了诊断率,特别是在低收入国家. 这些人表现出类似的临床特征和损伤与那些被诊断为GAD的人.
科学领域:
- 精神病学是一个精神病学.
- 全球心理健康全球心理健康
- 流行病学 流行病学
背景情况:
- 总化的焦虑障碍 (GAD) 诊断排除了个人,他们的担忧在上下文上是适当的,尽管存在严重的痛苦.
- 本研究调查了删除GAD.的"过度"资格符的影响.
研究的目的:
- 评估消除对GAD诊断的过度性要求的影响.
- 为了比较符合其他GAD标准的非过度担忧者的临床相关性,与被诊断的GAD病例和对照组进行比较.
主要方法:
- 利用了来自世界卫生组织世界心理健康调查倡议的数据,包括28个国家的133,614名成年人.
- 采用综合国际诊断面试来评估GAD标准,比较非过度担忧者与过度GAD病例和非GAD受访者.
主要成果:
- 取消过度性要求使全球终身GAD患病率从2.6%增加到4.0%,在低收入和中等收入国家增加更大.
- 非过度的GAD病例与过度的GAD病例具有重要的社会人口统计,家族和并发症概况,报告了相似的损伤和寻求治疗.
- 与过度担心的人相比,不过度担心的人更多地关注亲人的健康和福利.
结论:
- 不过过分担心的个人符合其他GAD标准,代表了临床上显著的病例.
- 消除过度性要求可能会导致更具包容性和强大的GAD诊断.
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