GENERALIZED ANXIETY DISORDER WITH EARLY AND LATE-ONSET OF ANXIETY SYMPTOMS

被引:62
作者
HOEHNSARIC, R
HAZLETT, RL
MCLEOD, DR
机构
[1] Department of Psychiatry and Behavioral Sciences, Johns Hopkins Medical Institutions, Baltimore, MD
关键词
D O I
10.1016/0010-440X(93)90013-T
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Some generalized anxiety disorder (GAD) patients experience subclinical or clinical levels of anxiety before adulthood, whereas others have a later onset. To determine whether patients who experienced subclinical or clinical anxiety in the first two decades of life differed from those with a later onset, we reviewed the history, ratings on various scales, and psychophysiological recordings obtained from 103 GAD patients. Early-onset patients were younger and more likely to develop GAD without a precipitating stressful event. With the exception of depression in the early-onset group, present-state measures did not differentiate the two groups. During childhood, patients in the early-onset group were exposed to more domestic disturbances, experienced more childhood fears, and were more inhibited and socially maladjusted. As adults, they scored higher on trait anxiety and neuroticism, tended to have obsessional traits, were more sensitive in interpersonal relationships, and experienced more marital difficulties. These findings may be explained by (1) constitutional traits that make earlyonset GAD patients more vulnerable to stressors; (2) a more disturbed environment during childhood that adversely affects personality development; or (3) a more severe disorder with an early subclinical onset that also affects personality development. © 1993.
引用
收藏
页码:291 / 298
页数:8
相关论文
共 29 条
[1]  
AKISKAL HS, 1985, ANXIETY ANXIETY DISO
[2]  
AKISKAL HS, 1988, PSYCHIATRY PSYCHOBIO, V3, P1615
[3]  
American Psychiatric Association, 1987, DIAGNOSTIC STAT MANU, V3rd
[4]  
American Psychiatric Association, 1980, DIAGN STAT MAN MENT, V3rd
[5]  
BREIER A, 1985, AM J PSYCHIAT, V142, P787
[6]  
CARNEY G, 1981, ANXIETY NEW RES CHAN
[7]  
CLONINGER CR, 1981, ANXIETY NEW RES CHAN
[8]  
CROWE RR, 1980, ARCH GEN PSYCHIAT, V37, P77
[9]  
DINARDO PA, 1983, ARCH GEN PSYCHIAT, V40, P1070
[10]  
EYSENCK SBG, 1975, PERSONALITY QUESTION