小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 预期焦虑及担忧
- 心动过速
- 过度换气
- 出汗
- 潮红
- 肌肉紧张
其他诊断因素
- 事后回放
- 注意偏差
- 社交技能缺陷
- 哭泣、发怒或“凝固
- 选择性缄默症
危险因素
- 精神性合并症(如焦虑障碍、心境障碍以及物质使用障碍)
- 遗传学
- 气质因素
- 教养方式
- 心理障碍
- 生活应激
- 环境因素
诊断性检查
首要检查
- 临床诊断
需考虑的检查
- 血糖
- 血清促甲状腺激素
- 毒理学筛查(尿液和血液)
治疗流程
成人:无合并症
成人:合并症
儿童和青少年
撰稿人
作者
Craig N. Sawchuk, PhD
Professor
Department of Psychiatry and Psychology
Mayo Clinic
Rochester
MN
利益声明
CNS declares that he has no competing interests.
Jason P. Veitengruber, MD
Associate Professor
Department of Psychiatry and Behavioral Sciences
University of Washington School of Medicine
Seattle
WA
利益声明
JPV is an author of a reference cited in this topic.
Bunmi O. Olatunji, PhD
Professor
Department of Psychological Sciences
Vanderbilt University
Nashville
TN
利益声明
BOO declares that he has no competing interests.
Stacy Shaw Welch, PhD
Director
Anxiety and Stress Reduction Center of Seattle
University of Washington
Seattle
WA
利益声明
SSW declares that she has no competing interests.
同行评议者
Richard P. Swinson, MD, FRCPC, FRCPsych
Emeritus Professor
Medical Director
Anxiety Treatment and Research Centre
McMaster University and St Joseph’s Hospital
Hamilton
Canada
利益声明
RPS declares that he has no competing interests.
Jeffrey M. Lohr, PhD
Professor
Department of Psychology
University of Arkansas
Fayetteville
AR
利益声明
JML declares that he has no competing interests.
David F. Tolin, PhD
Professor
Institute of Living
Yale University
New Haven
CT
利益声明
DFT declares that he has no competing interests.
David Baldwin, MD
Professor of Psychiatry
University of Southampton
Southampton
UK
利益声明
DB has acted as a consultant for and held research grants from Cephalon, Eli Lilly, GSK, Lundbeck, Organon, Pfizer, Pharmacia, Roche, and Wyeth and has also acted as a consultant to Asahi, AstraZeneca, Grunenthal, Pierre Fabre, Servier, Sumitomo, and Wyeth. He has accepted paid speaking engagements in industry-supported satellite symposia and is co-author of the BAP evidence-based guidelines on the treatment of anxiety disorders. He is also a Medical Patron of Anxiety UK.
鉴别诊断
- 恐怖症
- 惊恐障碍
- 广场恐怖症
更多 鉴别诊断指南
- 精神障碍诊断与统计手册(第 5 版文本修订)[DSM-5-TR]
- 儿童和青少年焦虑障碍评估及治疗临床实践指南
更多 指南患者教育信息
何为焦虑?
焦虑:如何有效治疗?
更多 患者教育信息- 登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容
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