焦虑和抑郁障碍共病患者的生活事件、社会支持和家庭功能对照研究

目的 从社会学角度，探讨焦虑和抑郁障碍共病与焦虑障碍或／和抑郁 障碍的区别。方法 按DSM－IV诊断标准收集25例焦虑和抑郁障碍共病患者（共病组）、30例主要抑郁症患者（抑郁组）、14例广泛性焦虑障碍和6例惊恐障碍患者（焦虑组）。对所有病例使用LES、SSRS、FES－CV进行调查评定。结果 （1）共病组的负性生活事件评分与抑郁组、焦虑组无显著差异；（2）共病组的社会支持分显著高于抑郁组，而与焦虑组无显著差别；（3）共病组存在家庭功能缺陷，但显著较抑郁组和焦虑组为轻。结论 焦虑和抑郁障碍共病在社会支持和家庭功能方面具有不同于抑郁障碍和焦虑障碍的特征。

Social factors and comorbid anxiety and depression(CAD)

Objective To explore the relationship between social factors and comorbid anxiety and depression(CAD). Methods 25 patients who both met major depression and generalized anxiety disorder(or panic disorder) in DSM IV( CAD group), 30 patients who only met major depression in DSM IV( depression group), 14 patients who only met generalized anxiety disorder and 6 patients who only met panic disorder in DSM IV(anxiety group) were investigated. All patients were assessed by LES?SSRS and FES CV. Results (1) CAD group had no significantly differences in negative life event among three groups. (2) The social support scores of CAD group had higher than those of depression group, but no significantly differences with anxiety group. (3) CAD group had family function deficits, but less severe than depression group and anxiety group. Conclusion CAD has some different characteristics from "pure"major depression or "pure" anxiety disorder in social supporting and family function.