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邵杰:广泛性焦虑障碍
  • 音频ID:Y079461
  • 采集会议:
  • 采集时间:2018-2-9

  Persistent anxiety a n d uncontrollable wo rry fo r at least 6 months characterize generalized anxiety diso rder. This wo rry, which is multifocal (e.g., about finances, family, health, a n d the future), excessive, a n d difficult to control, is typically accompanied by other nonspecific psychological a n d physical symptoms.


【译文】


  广泛性焦虑障碍的特征是至少六个月的持续焦虑和无法控制的担忧。这种多源的(例如,关于财务状况、家庭、健康和未来)、过多且难以控制的担忧,是以伴随其他非特异性的心理和机体症状为特征的。选自新英格兰杂志


【医学单词记忆之道】


1.multi构词成分多的


  multiple adj.许多的,复杂的


  multipara n.经产妇


  multifocal adj.多(病)灶的


  multipotent adj.多能的


  muiltidrug adj.多药的


  multio rgan adj.多器官的


  multifacto rial adj.多因素的


2.常用医学词组


  generalized anxiety diso rder 广泛性焦虑障碍


【医学英语延伸阅读】


  The generalized anxiety diso rder is approximately twice as common in women as it is in men. It is probably the most common anxiety diso rder among the elderly population. Patients with generalized anxiety diso rder often present with physical symptoms such as headaches, muscle tension, gastrointestinal symptoms, back pain, a n d insomnia. Brief validated screening tools such as the Generalized Anxiety Diso rder 7 scale should be used to assess the severity of symptoms a n d response to treatment. First-line treatments fo r generalized anxiety diso rder are cognitive behavio ral therapy, pharmacotherapy with a selective serotonin reuptake inhibito r o r a serotonin nonepinephrine reuptake inhibito r, o r cognitive behavio ral therapy in conjunction with either an SSRI o r an SNRI. 选自UpToDate与新英格兰杂志


  A 46-year-old married woman presents with insomnia, headaches, muscle tension, a n d back pain. She describes a long-term pattern of wo rrying about several life situations, including health, finances, a n d her job, a n d she notes increased anxiety associated with her teenager’s leaving home to attend college. She drinks alcohol daily to reduce the tension a n d help her sleep. In reviewing her histo ry, you note that she has visited your office many times over the past year because of physical symptoms.

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