ANXIETY DISORDERS - SIMILARITIES AND DIFFERENCES OF COMORBIDITY IN TREATED AND UNTREATED GROUPS

被引:101
作者
WITTCHEN, HU
ESSAU, CA
KRIEG, JC
机构
关键词
D O I
10.1192/S0007125000296219
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
The similarities and differences of comorbidity in treated and untreated samples with anxiety disorders were examined using data from the Munich Follow-up Study: 133 subjects with anxiety and depressive disorders and 101 former in-patients at the Max Planck Institute for Psychiatry. Diagnoses were based on the DIS, not using the optional DSM-III exclusion rules. In these epidemiological and clinical samples, 69% and 95% respectively had at least two diagnoses. The epidemiological sample was clearly differentiated from the clinical sample by age of onset. The development of both depressive episodes and substance disorders in the two samples was mostly secondary to the development of anxiety problems. The outcome for subjects with both anxiety and depressive disorders tended to be worse than that for those with anxiety alone, regardless of whether a depressive episode was present at the time of the follow-up investigation. The usefulness is underlined of the comorbidity concept based on operationalised diagnosis without the exclusion rules offered by DSM-III and DSM-III-R.
引用
收藏
页码:23 / 33
页数:11
相关论文
共 56 条
[1]  
American Psychiatric Association, 1987, DIAGNOSTIC STAT MANU, V3rd
[2]  
American Psychiatric Association, 1980, DIAGN STAT MAN MENT, V3rd
[4]  
ANGST J, 1990, COMORBIDITY OF MOOD AND ANXIETY DISORDERS, P123
[5]  
*ARB GEM META DOK, 1979, AMDP SYSTL MAN DOK P
[6]  
BARLOW DH, 1986, AM J PSYCHIAT, V143, P40
[7]   LIFETIME PREVALENCE OF PSYCHIATRIC-DISORDERS IN EDMONTON [J].
BLAND, RC ;
ORN, H ;
NEWMAN, SC .
ACTA PSYCHIATRICA SCANDINAVICA, 1988, 77 :24-32
[8]  
BREIER A, 1984, ARCH GEN PSYCHIAT, V41, P1129
[9]  
BREIER A, 1985, AM J PSYCHIAT, V142, P787
[10]   CLINICAL SUBTYPES IN PANIC DISORDER - THEIR DESCRIPTIVE AND PROSPECTIVE VALIDITY [J].
BULLER, R ;
MAIER, W ;
BENKERT, O .
JOURNAL OF AFFECTIVE DISORDERS, 1986, 11 (02) :105-114