The utility of somatic symptoms as indicators of depression and anxiety in military veterans with chronic obstructive pulmonary disease

被引:15
作者
Ferguson, CJ [1 ]
Stanley, M
Souchek, J
Kunik, ME
机构
[1] Texas A&M Univ, Dept Behav Appl Sci & Criminal Justice, Laredo, TX 78041 USA
[2] Baylor Coll Med, Menninger Dept Psychiat & Behav Sci, Houston Ctr Qual Care & Utilizat Studies, Michael E DeBakey VAMC, Houston, TX 77030 USA
[3] Baylor Coll Med, Houston Ctr Qual Care & Utilizat Studies, Dept Med, Michael E DeBakey VAMC, Houston, TX 77030 USA
关键词
depression; anxiety; medical patients;
D O I
10.1002/da.20136
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The interrelationship between medical illnesses and psychological distress has received increasing attention in the last several years. Partly at issue is the best way to diagnose mental health problems such as depression and anxiety in medical populations. Specifically, are somatic symptoms a valid indicator of depression and anxiety in a medical population? Furthermore, do anxiety and depression remain as distinct constructs for this population, or do they combine to represent general distress? We examine these issues using confirmatory factor analysis in a sample of 202 military veterans with chronic obstructive pulmonary disease. Results indicate best fit for a model of depression and anxiety for which the constructs remained separate rather than as combined indicators of general distress. Furthermore, in this model, somatic symptoms are retained as valid indicators of psychological distress for this sample.
引用
收藏
页码:42 / 49
页数:8
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