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1、AnxietyDisordersPage14of18AnxietyDisordersPhenomenologyMentalstatusexamAnxietyDisordersGeneralVariousphysicalmanifestations:restless-appearing,psychomotoragitation,shortnessofbreath,hyperventilation,stomachupset,chestpain,diaphoresis.Maybeillkempt,ormeticulouslygroomed(OCD).M
2、aydisplayodd,ritualisticbehaviors.EmotionalMoodAnxious,fearfulAffectFrightened-appearing,canbeveryintenseThoughtProcessCaninvolveobsessive,perseverativethoughtsContentDelusions,hallucinationsFearcanbeanormal,appropriatereactiontoaknownsourceofdanger.“Anxiety”canbedefinedasa“w
3、arningsignal,”functioningtomakeusawareofpresentorpotentialdanger.Withananxietydisorder,anindividualisfrightened,butthesourceofthedangerisnotknown,notrecognized,orinadequatetoaccountforthesymptoms.Thatistosay,theanxietyresponseisinappropriatetothesituation.Thephysiologicmanife
4、stationsofanxietyaresimilartothemanifestationsfear.Theyincludesymptomssuchasshakinessandsweating,palpitations,tinglingintheextremities,numbnessaroundthemouth,dizzinessandsyncope,mydriasis,andGIorurinarydisturbances.Bydefinition,theanxietydisorders(seeDiagnosissectionofthischa
5、pterforcompletelist)areprimarilydisordersofemotion.However,likeothermentaldisorders,anxietycanaffectallareasofthementalstatusexam.(seeTabletoright).EpidemiologyAnxietydisordersarethemostprevalentofpsychiatricdisorders.Communitysampleshaveshownsurprisinglyhighlifetimeprevalenc
6、es.TheECAstudydemonstratedthefollowinglifetimeprevalences:·AnxietyDisordersOverall:15%·Generalizedanxietydisorder:8.5%·Phobias:12.5%·Panicdisorder:1.6%·OCD:2.5%AnxietyDisordersPage14of18SimilarrateswerefoundbytheNationalComorbiditySurvey,whichdemonstratedthefollowinglifetimep
7、revalences:·Anyanxietydisorder:25%·Generalizedanxietydisorder:5%·Agoraphobiawithoutpanic:5%·Socialphobia:13%·Panicdisorder:3.5%Additionally,one-monthprevalenceratesweredeterminedbytheECAstudyasfollows:·Allanxietydisorders:7.3%,distributedfairlyequallyacrossagegroupsthoughsome
8、whatlowerin65+·Phobias:6%,distributedfairlyequallyacrossagegroups,bu
