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Current diagnosis and treatment of anxiety disorders

机译:当前焦虑症的诊断和治疗

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Anxiety disorders are the most prevalent mental health conditions. Although they are less visible than schizophrenia, depression, and bipolar disorder, they can be just as disabling. The diagnoses of anxiety disorders are being continuously revised. Both dimensional and structural diagnoses have been used in clinical treatment and research, and both methods have been proposed for the new classification in the Diagnostic and Statistical Manual of Mental Disorders IV (DSM-5). However, each of these approaches has limitations. More recently, the emphasis in diagnosis has focused on neuroimaging and genetic research. This approach is based partly on the need for a more comprehensive understanding of how biology, stress, and genetics interact to shape the symptoms of anxiety. Anxiety disorders can be effectively treated with psychopharmacological and cognitive-behavioral interventions. These interventions have different symptom targets; thus, logical combinations of these strategies need to be further studied in order to improve future outcomes. New developments are forthcoming in the field of alternative strategies for managing anxiety and for treatment-resistant cases. Additional treatment enhancements should include the development of algorithms that can be easily used in primary care and with greater focus on managing functional impairment in patients with anxiety.
机译:焦虑症是最普遍的心理健康状况。尽管它们比精神分裂症,抑郁症和躁郁症少见,但它们也可能同样致残。焦虑症的诊断正在不断修订。尺寸和结构诊断均已用于临床治疗和研究,《精神疾病诊断和统计手册IV》(DSM-5)提出了两种方法进行新分类。但是,每种方法都有局限性。最近,诊断的重点集中在神经成像和遗传研究上。该方法部分基于对生物学,压力和遗传学如何相互作用以形成焦虑症状的更全面理解的需求。焦虑症可以通过心理药物和认知行为干预得到有效治疗。这些干预措施具有不同的症状目标。因此,需要进一步研究这些策略的逻辑组合,以改善未来的结果。在管理焦虑症和抗药性病例的替代策略领域,即将出现新的发展。进一步的治疗增强应包括开发易于在基层医疗中使用的算法,并更加着重于管理焦虑症患者的功能障碍。

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