Anxiety Disorders in Patients With Somatic Diseases

被引：20

作者：

Henning, Michaela ^{[1
,2
]}

Subic-Wrana, Claudia ^{[1
]}

Wiltink, Joerg ^{[1
]}

Beutel, Manfred ^{[1
]}

机构：

[1] Univ Med Ctr, Dept Psychosomat Med & Psychotherapy, Mainz, Germany

[2] Univ Cologne, Univ Hosp Cologne, Dept Psychosomat & Psychotherapy, Cologne, Germany

来源：

PSYCHOSOMATIC MEDICINE | 2020年 / 82卷 / 03期

关键词：

anxiety disorders; comorbidity; inpatient treatment; effectiveness; cardiac disease; diabetes mellitus; COPD; arthritis; CBT = cognitive behavioral therapy; CHD = coronary heart disease; COPD = chronic obstructive pulmonary disease; GAD = generalized anxiety disorder; MI = myocardial infarction; PTSD = posttraumatic stress disorder; RCT = randomized controlled trial; CORONARY-ARTERY-DISEASE; QUALITY-OF-LIFE; PSYCHIATRIC-DISORDERS; PANIC DISORDER; HEART-DISEASE; RHEUMATOID-ARTHRITIS; DEPRESSIVE-DISORDERS; HOSPITAL TREATMENT; GLYCEMIC CONTROL; SOCIAL PHOBIA;

D O I：

10.1097/PSY.0000000000000779

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Objective Anxiety disorders are among the most frequent mental disorders and are associated with a range of short- and long-term impairments and disabilities. Relatively little is known about anxiety disorders in patients with somatic diseases, and the present literature review highlights the current research in this field, data about prevalences of anxiety disorders in patients with somatic diseases, and the effectiveness of interventions. This article also introduces a comprehensive model of inpatient treatment and summarizes the evidence pertinent to this approach. Methods A narrative review is presented with regard to prevalence and treatment of anxiety disorders in patients with somatic diseases. The effects of inpatient treatment are illustrated based on a case report. Results This review indicates that anxiety disorders are more common in patients with somatic diseases, with prevalence estimates ranging from 2.5% to 55%, than in the general population. Several outpatient treatment options exist, with substantial support for the effectiveness of cognitive behavioral therapy, psychodynamic therapy, and pharmacotherapy. We also provide evidence in support of psychosomatic inpatient treatment for patients with anxiety disorders that are comorbid with somatic diseases. Conclusions Anxiety disorders are common in patients with somatic diseases, and several effective treatment options exist, including cognitive behavioral therapy and pharmacological interventions. We also provide support for the effectiveness of inpatient treatment with unique opportunities for multidisciplinary psychosomatic treatment of anxiety disorders with comorbid somatic diseases.

引用

页码：287 / 295

页数：9

共 71 条

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