Quality of life in individuals with anxiety disorders

被引:644
作者
Mendlowicz, MV [1 ]
Stein, MB [1 ]
机构
[1] Univ Calif San Diego, Dept Psychiat, La Jolla, CA 92037 USA
关键词
D O I
10.1176/appi.ajp.157.5.669
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: Quality-of-life indices have been used in medical practice to estimate the impact of different diseases on functioning and well-being and to compare outcomes between different treatment modalities. An integrated view of the issue of quality of life in patients with anxiety disorders can provide important information regarding the nature and extent of the burden associated with these disorders and may be useful in the development of strategies to deal with it. Method: A review of epidemiological and clinical studies that have investigated quality of life (broadly conceptualized) in patients with panic disorder, social phobia, posttraumatic stress disorder, generalized anxiety disorder, and obsessive-compulsive disorder was conducted by searching MEDLINE and Psyc-LIT citations from 1984 to 1999. A summary of the key articles published in this area is presented. Results: The studies reviewed portray an almost uniform picture of anxiety disorders as illnesses that markedly compromise quality of life and psychosocial functioning. Significant impairment can also be found in individuals with subthreshold forms of anxiety disorders. Effective pharmacological or psychotherapeutic treatment has been shown to improve the quality of life for patients with panic disorder, social phobia, and posttraumatic stress disorder. Limitations in current knowledge in this area are identified, and suggestions for needed future research are provided. Conclusions: It is expected that a more thorough understanding of the impact on quality of life will lead to increased public awareness of anxiety disorders as serious mental disorders worthy of further investment in research, prevention, and treatment.
引用
收藏
页码:669 / 682
页数:14
相关论文
共 104 条
[1]  
Aaronson N K, 1988, Recent Results Cancer Res, V111, P231
[2]  
AARONSON NK, 1989, CONTROL CLIN TRIALS, V10, pS195
[3]   SOCIAL PHOBIA - A COMPARATIVE CLINICAL-STUDY [J].
AMIES, PL ;
GELDER, MG ;
SHAW, PM .
BRITISH JOURNAL OF PSYCHIATRY, 1983, 142 (FEB) :174-179
[4]  
[Anonymous], DEPRESSION ANXIETY
[5]   Illness intrusiveness in individuals with panic disorder, obsessive-compulsive disorder, or social phobia [J].
Antony, MM ;
Roth, D ;
Swinson, RP ;
Huta, V ;
Devins, GM .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 1998, 186 (05) :311-315
[6]  
Bayliss MS, 1998, QUAL LIFE RES, V7, P39
[7]  
Blazer D., 1991, PSYCHIAT DISORDERS A, P180
[8]  
BRESLAU N, 1991, ARCH GEN PSYCHIAT, V48, P216
[9]   Trauma and posttraumatic stress disorder in the community -: The 1996 Detroit Area Survey of Trauma [J].
Breslau, N ;
Kessler, RC ;
Chilcoat, HD ;
Schultz, LR ;
Davis, GC ;
Andreski, P .
ARCHIVES OF GENERAL PSYCHIATRY, 1998, 55 (07) :626-632
[10]   Translating health status questionnaires and evaluating their quality:: The IQOLA project approach [J].
Bullinger, M ;
Alonso, J ;
Apolone, G ;
Leplège, A ;
Sullivan, M ;
Wood-Dauphinee, S ;
Gandek, B ;
Wagner, A ;
Aaronson, N ;
Bech, P ;
Fukuhara, S ;
Kaasa, S ;
Ware, JE .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 1998, 51 (11) :913-923