焦虑和情绪障碍的增加:探索临床特征和风险因素
Artemis Gkitakou1,2, Margreet Ten Have2, Neeltje M Batelaan1
1Department of Psychiatry, https://ror.org/00q6h8f30Amsterdam UMC, Vrije University, Public Health Research Institute, Amsterdam, Netherlands.
The British journal of psychiatry : the journal of mental science
|November 7, 2025
概括
公共心理健康状况正在下降,焦虑和情绪障碍在过去12年中显著增加. 这一趋势与风险因素无关,但表明越来越多的公共卫生问题需要进行干预.
科学领域:
- 流行病学 流行病学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 观察到的精神障碍的增加需要了解趋势驱动因素.
- 这项研究调查了十年来焦虑和情绪障碍患病率的变化.
- 该研究研究了临床特征和风险因素在这些趋势中的作用.
研究的目的:
- 评估焦虑和情绪障碍的12个月流行趋势.
- 探索是否临床特征或风险因素影响了观察到的趋势.
- 分析特定焦虑障碍 (恐慌, agoraphobia,社会焦虑,GAD) 和情绪障碍 (MDD,抑郁症,双极性) 的变化.
主要方法:
- 来自荷兰心理健康调查和发病率研究 (NEMESIS-2和NEMESIS-3) 的数据分析.
- 包括2007-2009年和2019-2022年期间调查的11615名受访者.
- 使用复合国际诊断面试 3.0.0. 诊断精神障碍的诊断
主要成果:
- 在2007-2009年和2019-2022年期间,观察到12个月内焦虑和情绪障碍的患病率显著增加.
- 任何焦虑或情绪障碍的总体患病率从10.2%上升到16.7%.
- 增加了心理健康护理使用率,并发病率和早期发病率,但风险因素并不能解释这一增长.
结论:
- 12年来焦虑和情绪障碍患病率的持续上升表明公众心理健康状况下降.
- 这一增长并不是由于风险因素的变化或报告的不太严重的疾病造成的.
- 迫切需要有效的预防,及时干预和资源配置,以满足不断增长的心理健康需求.
相关概念视频
01:18Anxiety: Overview
879
Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
879
01:30Stress and Mental Health
592
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
592
01:27Panic Disorder
596
Panic disorder is an anxiety disorder characterized by recurrent and sudden minutes-long episodes of intense fear, known as panic attacks. These attacks may feel like heart attacks and often happen without warning or a specific cause. They can include symptoms such as rapid heart rate, shortness of breath, chest pain, trembling, sweating, dizziness, and a sense of helplessness. During a panic attack, individuals may feel as though they are experiencing a heart attack or are in a...
596
01:30Bipolar Disorder
609
Bipolar disorder is a chronic mental health condition marked by significant mood fluctuations, including episodes of mania and depression. Elevated energy levels, heightened mood or irritability, impulsive behavior, reduced sleep needs, rapid speech, racing thoughts, inflated self-esteem, and distractibility characterize mania. Individuals with bipolar disorder often alternate between depressive and manic states, with periods of emotional stability lasting an average of six months to a year.
609
01:30Generalized Anxiety Disorder
615
Generalized Anxiety Disorder (GAD) is a chronic condition characterized by excessive and uncontrollable worry that persists for at least six months, significantly interfering with daily functioning. Unlike situational anxiety, which arises in response to specific stressors, GAD often occurs without a clear cause. Individuals may experience disproportionate worry about work, health, or relationships. For instance, a person might continuously fear poor health despite normal medical evaluations or...
615
01:27Depressive Disorders: Etiology
423
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
423