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1、GeneralizedAnxietyandGeneralizedAnxietyDisorder:DescriptionandReconceptualizationDavidH.Barlow,Ph.D.,EdwardB.Blanchard,Ph.D.,JamesA.Vermilyea,Ph.D.,BonnieB.Vermilyea,B.A.,andPeterA.DiNardo,Ph.D.residualcategory:“Theessentialfeatureisgeneralized,Onehundredeightpatientscomplainin
2、gofanxietypersistentanxietyofatleastonemonth’sdurationwerediagnosedusingtheAnxietyDisorderswithoutthespecificsymptomsthatcharacterizePhobicInterviewScheduleandclassifiedintothevariousDisorders,PanicDisorder,orObsessive-CompulsiveanxietydisordercategoriesaswellasmajorDisorder(ob
3、sessionsorcompulsions).Thediagnosisisdepression.Althoughpatientswithaprimarynotmadeifthedisturbanceisduetoanotherphysicaldiagnosisofgeneralizedanxietydisorderweremoreormentaldisorder”(DSM-III,p.232).Theimplica-chronicthanwerepanicdisorderpatients,mosttionofthisdefinitionisthato
4、nlythechronicallypatientsineachcategorymettheDSM-IIIcriteriaforanxiousindividualwhomeetsthespecifiedinclusiongeneralizedanxietydisorderwiththeexceptionofcriteriaandwhodoesnotmeetthecriteriaforanysimplephobicpatients.Onthebasisofthesedata,itotheranxietydisorderoranyothermentaldi
5、sorderwouldseemthatgeneralizedanxietydisorderisashouldbediagnosedashavinggeneralizedanxietyresidualcategorywithintheanxietydisorders,sincedisorder.Evenifapatientmeetsthecriteriaforthegeneralizedanxietydisordersymptomsarealmostotheranxietystatecategory,panicdisorder,general-alwa
6、yspresent.Butifonedistinguishesanticipatoryizedanxietydisorderisexcluded.anxiety,whichisoftenpartofpanicorphobicOneseemingimplicationofthisresidualstatusisdisorders,fromgeneralizedanxiety,anindependentthatonlyarelativelysmallnumberofpatientsearnthisanxietydisordercategoryemerge
7、s.Thiscategoryisdiagnosis.Infact,only11%of108consecutivepa-characterizedbyapprehensiveexpectationorchronictientscarefullyassessedinouranxietydisordersre-worryfocusedonmultiplelifesituations.searchclinicreceivedgeneralizedanxietydisorderasa(AmJPsychiatry143:40-44,1986)primarydia
8、gnosis(5,13),aratethatisinagreementwithdatafromotherma
