ผู้วิจัย/Authors: Pichet Udomratn, M.D.

ชื่อเรื่อง/Title: Mixed Anxiety and Depressive Disorder : An Illness that Psychiatrists should not Overlooked

แหล่งที่มา/Source: Journal of The Psychiatric Association of Thailand, Vol. 45 No.1 January-March 2000, P 99-109.

รายละเอียด / Details:

Recognition of anxiety and depressive disorders in primary-care settings is now considered to be extremely important in health-care delivery. It has been suggested that there may be a group of patients who fail to fulfill conventional diagnostic criteria for either an anxiety or depressive disorder but who, when the total constellation of anxiety and depressive symptoms is considered in aggregate, seem to warrant a psychiatric diagnosis. This diagnostic category has now been referred to as mixed anxiety and depressive disorder (MADD). Although the coexistence of anxiety and depression is a common clinical finding, we have to exclude the comorbid condition of major depression with any anxiety disorders or, vice-versa, the condition of any anxiety disorders (panic disorder, social phobia, obsessive-compulsive disorder, and generalized anxiety disorder) comorbid with depression. Hence, MADD should be diagnosed by ruling out pure anxiety disorders, pure depressive disorders, and comorbidity of depressive disorders with anxiety disorders and vice versa. From primary care population prevalence studies in Canada and Thailand, it was found that 12.8% of patients in Canada and 10.9% in Thailand had a combination of subsyndromal anxiety and depressive features that fulfilled ICD-10 criteria for MADD. These findings support not only the existence but also the potential importance of MADD among primary-care patients. However, before MADD will be granted status as a diagnostic entity, many questions must be answered in several areas such as ; the temporal stability of MADD, the longitudinal course of MADD, the determination of how (and if) to treat it and examination of whether or not treatment diminishes the disability of patients.

Keywords: mixed, anxiety disorder, depressive disorder, comorbidity, primary care

ปีที่เผยแพร่/Year: 2000

Address: Department of Psychiatry, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110

Code: 00088

ISSN/ISBN: 0125-6985

Country of publication: Thailand.

Language: English.

Category: Reviewed Articles: Journal.

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