{"id":22692,"date":"2021-05-24T16:16:06","date_gmt":"2021-05-24T08:16:06","guid":{"rendered":"https:\/\/ebp.gesedna.com\/?post_type=assessment&#038;p=22692"},"modified":"2023-12-25T15:05:08","modified_gmt":"2023-12-25T07:05:08","slug":"anxiety","status":"publish","type":"assessment","link":"https:\/\/ebp.gesedna.com\/assessment\/anxiety\/","title":{"rendered":"\u5fc3\u7406\u5065\u5eb7\u7cfb\u5217-\u7126\u8651\u8bc4\u4f30"},"content":{"rendered":"\n<p style=\"font-size:12px\">*\u672c\u4ea7\u54c1\u4e3a\u865a\u62df\u670d\u52a1\uff0c\u4ed8\u8d39\u540e\u4e0d\u63a5\u53d7\u9000\u6b3e\u54e6\u3002<\/p>\n\n\n\n<p style=\"font-size:12px\">\u6ce8\u610f\uff1a\u672c\u6d4b\u8bd5\u5df2\u5305\u542b\u5728\u6682\u505c\u5b9e\u9a8c\u5ba4\u884c\u52a8\u8425\u7684\u524d\u540e\u5fc3\u7406\u8bc4\u4f30\u4e2d\uff0c\u8fd1\u671f\u6b63\u5728\u53c2\u4e0e\u884c\u52a8\u8425\u7684\u7528\u6237\uff0c\u65e0\u9700\u91cd\u590d\u6d4b\u8bd5\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">01<\/h2>\n\n\n\n<h6 class=\"wp-block-heading\">\u9002\u5408\u4eba\u7fa4<\/h6>\n\n\n\n<p>\u5982\u679c\u6709\u4e0b\u5217\u7684\u8868\u73b0\uff0c\u5efa\u8bae\u4f60\u4f7f\u7528\u672c\u6d4b\u8bd5\u8fdb\u4e00\u6b65\u4e86\u89e3\u81ea\u5df1\u7684\u7126\u8651\u7a0b\u5ea6\uff1a<\/p>\n\n\n\n<ul>\n<li>\u5bb9\u6613\u75b2\u5026<\/li>\n\n\n\n<li>\u808c\u8089\u7d27\u7ef7<\/li>\n\n\n\n<li>\u5750\u7acb\u4e0d\u5b89\u6216\u7d27\u5f20<\/li>\n\n\n\n<li>\u6ce8\u610f\u529b\u96be\u4ee5\u96c6\u4e2d\u6216\u8111\u4e2d\u4e00\u7247\u7a7a\u767d<\/li>\n\n\n\n<li>\u7761\u7720\u56f0\u6270<\/li>\n\n\n\n<li>\u6613\u6012<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">02<\/h2>\n\n\n\n<h6 class=\"wp-block-heading\">\u8bc4\u4f30\u5185\u5bb9<\/h6>\n\n\n\n<p>\u7126\u8651\uff0c\u662f\u6211\u4eec\u9762\u5bf9\u6f5c\u5728\u5a01\u80c1\u6216\u6311\u6218\u65f6\uff0c\u7d27\u5f20\u4e0d\u5b89\u7684\u60c5\u7eea\u4f53\u9a8c\u3002<\/p>\n\n\n\n<p>\u9002\u5ea6\u7684\u7126\u8651\u6709\u5229\u4e8e\u63d0\u9ad8\u884c\u52a8\u529b\uff0c\u7763\u4fc3\u4f60\u89e3\u51b3\u538b\u529b\u6311\u6218\u3002\u4f46\u5982\u679c\u538b\u529b\u65e0\u6cd5\u88ab\u7f13\u89e3\uff0c\u8eab\u4f53\u4f1a\u9010\u6e10\u8017\u7aed\uff0c\u5c31\u6709\u53ef\u80fd\u4ece\u7126\u8651\u72b6\u6001\uff0c\u8f6c\u53d8\u4e3a\u5931\u53bb\u884c\u52a8\u529b\u7684\u6291\u90c1\u72b6\u6001\u3002<\/p>\n\n\n\n<p>\u51e0\u4e4e\u6240\u6709\u4eba\u90fd\u6709\u8fc7\u8f7b\u5ea6\u7684\u7126\u8651\u4f53\u9a8c\u3002\u5176\u4e2d\uff0c20%-30% \u7684\u6210\u5e74\u4eba\u7ecf\u5386\u8fc7\u4e25\u91cd\u7684\u7126\u8651\u75c7\u72b6\uff0c\u7ea6 5%-10% \u4f1a\u53d1\u5c55\u6210\u5fc3\u7406\u969c\u788d\u3002<\/p>\n\n\n\n<p>\u5f53\u4e25\u91cd\u7684\u7126\u8651\u6301\u7eed\u300c\u81f3\u5c11 6 \u4e2a\u6708\u300d\uff0c\u5e76\u4e14\u300c\u5bfc\u81f4\u75db\u82e6\u6216\u793e\u4ea4\u3001\u5de5\u4f5c\u3001\u751f\u6d3b\u53d7\u5230\u5f71\u54cd\u300d\uff0c\u5c31\u9700\u8981\u8003\u8651\u7126\u8651\u969c\u788d\u7684\u53ef\u80fd\u3002<\/p>\n\n\n\n<p>\u5e7f\u6cdb\u6027\u7126\u8651\u969c\u788d\u88ab\u8ba4\u4e3a\u662f\u4e00\u79cd\u300c<strong>\u57fa\u7840<\/strong>\u300d\u7684\u7126\u8651\u969c\u788d\u3002\u5b83\u53ef\u80fd\u662f\u5176\u4ed6\u7cbe\u795e\u969c\u788d\uff0c\u4f8b\u5982\u6291\u90c1\uff0c\u7684\u524d\u9a71\u8868\u73b0\u3002\u65e9\u671f\u8bc6\u522b\u548c\u5e72\u9884\u4e0d\u4ec5\u6709\u5229\u4e8e\u7126\u8651\u969c\u788d\u7684\u6cbb\u7597\uff0c\u5bf9\u4e8e\u9884\u9632\u548c\u6cbb\u7597\u5176\u4ed6\u7cbe\u795e\u969c\u788d\u4e5f\u6709\u7740\u91cd\u8981\u7684\u610f\u4e49\u3002<\/p>\n\n\n\n<p>\u672c\u6b21\u8bc4\u4f30\u4f7f\u7528\u300a\u5e7f\u6cdb\u6027\u7126\u8651\u969c\u788d\u91cf\u8868\u300b\uff08Generalized Anxiety Disorder-7, GAD-7\uff09\uff0c\u8bc4\u4f30\u6807\u51c6\u4e0e\u7f8e\u56fd\u7cbe\u795e\u533b\u5b66\u5b66\u4f1a\u7684\u300a\u7cbe\u795e\u969c\u788d\u8bca\u65ad\u4e0e\u7edf\u8ba1\u624b\u518c\u300b\uff08\u7b2c\u4e94\u7248\uff09\uff08 DSM-5\uff09\u4e2d\u7684\u6807\u51c6\u57fa\u672c\u4e00\u81f4\u3002<\/p>\n\n\n\n<p>\u8bf7\u6ce8\u610f\uff0c\u867d\u7136\u672c\u91cf\u8868\u662f\u4e13\u4e1a\u7684\u5fc3\u7406\u8bc4\u4f30\uff0c\u5e38\u7528\u4e8e\u5fc3\u7406\u969c\u788d\u7684\u4e34\u5e8a\u8bca\u65ad\u3002\u4f46\u7126\u8651\u969c\u788d\u7684\u8bca\u65ad\u9700\u8981\u4e13\u4e1a\u4eba\u58eb\u7efc\u5408\u591a\u79cd\u4fe1\u606f\uff0c\u624d\u80fd\u7ed9\u51fa\u660e\u786e\u7ed3\u8bba\u3002<\/p>\n\n\n\n<p>\u5982\u679c\u4f60\u7684\u6d4b\u8bd5\u5f97\u5206\u8f83\u9ad8\uff0c<strong>\u8bf7\u4e0d\u8981<\/strong><strong>\u8f7b\u6613<\/strong><strong>\u505a\u51fa\u81ea\u5df1\u60a3\u6709\u7126\u8651<\/strong><strong>\u969c\u788d<\/strong><strong>\u7684\u5224\u65ad<\/strong>\uff0c\u4f18\u5148\u8003\u8651\u53bb\u5bfb\u6c42\u4e13\u4e1a\u4eba\u58eb\uff08\u5982\u7cbe\u795e\u79d1\u533b\u751f\uff0c\u5fc3\u7406\u54a8\u8be2\u5e08\uff09\u7684\u5e2e\u52a9\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">03<\/h2>\n\n\n\n<h6 class=\"wp-block-heading\">\u6d4b\u8bd5\u53c2\u6570<\/h6>\n\n\n\n<p>\u53cd\u9988\u62a5\u544a\uff1a\u7ea6 2500 \u5b57<br><br>\u5f00  \u53d1  \u8005\uff1aSpitzer RL\u548c\u4ed6\u7684\u7814\u7a76\u56e2\u961f<\/p>\n\n\n\n<p>\u4fe1\u5ea6\u7cfb\u6570\uff1a0.89~0.92\uff08\u4fe1\u5ea6\u5f88\u597d\uff09 <\/p>\n\n\n\n<p>\u8bf4\u660e\uff1a\u5982\u679c\u4f60\u5728 20 \u5929\u4e4b\u5185\u505a\u8fc7\u6682\u505c\u5b9e\u9a8c\u5ba4\u7684\u5176\u4ed6\u6d4b\u8bd5\uff0c\u5728\u8fdb\u5165\u6d4b\u8bd5\u540e\u53ef\u80fd\u4f1a\u53d1\u73b0\u505a\u9898\u8fdb\u5ea6\u4e0d\u662f\u4ece 1 \u5f00\u59cb\uff0c\u8fd9\u662f\u6ca1\u6709\u95ee\u9898\u7684\u3002\u8fd9\u662f\u56e0\u4e3a\u6bcf\u9053\u9898\u7684\u6709\u6548\u671f\u662f 20 \u5929\uff0c\u6709\u6548\u671f\u5185\u78b0\u5230\u540c\u6837\u7684\u9898\u4f60\u90fd\u4e0d\u7528\u518d\u505a\u3002\u800c\u4e14\u8fd9\u4e0d\u4f1a\u5f71\u54cd\u4f60\u7684\u6d4b\u8bd5\u548c\u7ed3\u679c\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">04<\/h2>\n\n\n\n<h6 class=\"wp-block-heading\">\u79d1\u5b66\u4f9d\u636e<\/h6>\n\n\n\n<h5 class=\"wp-block-heading\">\u4e3a\u4ec0\u4e48\u9009\u62e9 GAD-7\uff1f<\/h5>\n\n\n\n<p>\u5e7f\u6cdb\u6027\u7126\u8651\u969c\u788d\u969c\u788d\u7684\u8bca\u65ad\u6bd4\u6291\u90c1\u7a0d\u5fae\u96be\u4e00\u4e9b\u3002\u4e00\u9879\u7814\u7a76\u53d1\u73b0\uff0c\u53ea\u6709\u7126\u8651\u969c\u788d\u7684\u60a3\u8005\u88ab\u6b63\u786e\u8bca\u65ad\u51fa\u6765\u7684\u6982\u7387\u662f 23%\uff0c\u800c\u53ea\u6709\u6291\u90c1\u7684\u60a3\u8005\u88ab\u6b63\u786e\u8bca\u65ad\u51fa\u6765\u7684\u6982\u7387\u662f 65%\u3002<\/p>\n\n\n\n<p>\u5176\u4e2d\u4e00\u4e2a\u539f\u56e0\u662f\u7126\u8651\u75c7\u72b6\u8868\u73b0\u975e\u5e38\u57fa\u7840\uff0c\u7126\u8651\u548c\u6291\u90c1\u7684\u5171\u540c\u75c7\u72b6\u5f88\u591a\uff0c\u5171\u75c5\u7387\u975e\u5e38\u9ad8\uff0c\u6709\u65f6\u7126\u8651\u969c\u788d\u5bb9\u6613\u88ab\u8bca\u65ad\u4e3a\u6291\u90c1\u3002<\/p>\n\n\n\n<p>\u9009\u62e9\u6807\u51c6\u7684\u3001\u5408\u9002\u7684\u8bca\u65ad\u5de5\u5177\uff0c\u53ef\u4ee5\u5927\u5927\u63d0\u9ad8\u7126\u8651\u969c\u788d\u88ab\u6b63\u786e\u8bca\u65ad\u7684\u6982\u7387\u3002<\/p>\n\n\n\n<p>\u9664\u4e86GAD-7,\u76ee\u524d\u7126\u8651\u7684\u8bc4\u4f30\u91cf\u8868\u8fd8\u6709\u7126\u8651\u81ea\u8bc4\u91cf\u8868\uff08Self-Rating Anxiety Scale, SAS\uff09\uff0c\u6c49\u5bc6\u987f\u7126\u8651\u91cf\u8868\uff08Hamilton Anxiety Scale, HAMA\uff09\uff0c\u8d1d\u514b\u7126\u8651\u91cf\u8868\uff08Beck Anxiety Inventory, BAI\uff09\u7b49\u7b49\u3002<\/p>\n\n\n\n<p>\u4f46\u662f\u53ea\u6709 GAD-7 \u5bf9\u5e7f\u6cdb\u6027\u7126\u8651\u969c\u788d\u7684\u8bca\u65ad\u4e0e \u300a\u7cbe\u795e\u969c\u788d\u8bca\u65ad\u4e0e\u7edf\u8ba1\u624b\u518c\u300b\u7b2c\u4e94\u7248\uff08DSM-5\uff09 \u7684\u8bca\u65ad\u6807\u51c6\u57fa\u672c\u4e00\u81f4\uff0c\u662f\u6700\u5e38\u7528\u7684\u7126\u8651\u969c\u788d\u8bca\u65ad\u91cf\u8868\u3002<\/p>\n\n\n\n<p>DSM-5 \u662f\u7cbe\u795e\u536b\u751f\u9886\u57df\u901a\u7528\u7684\u8bca\u65ad\u6807\u51c6\u53c2\u8003\u4e66\uff0c\u5b83\u7531\u7f8e\u56fd\u533b\u5b66\u5b66\u4f1a\u7ec4\u7ec7\uff0c\u4e3a\u4e86\u7ed9\u7cbe\u795e\u969c\u788d\u8bca\u65ad\u63d0\u4f9b\u6700\u5b9e\u7528\u3001\u6700\u79d1\u5b66\u7684\u53c2\u8003\u6307\u5357\uff0c\u82b1\u8d39\u4e86\u8d85\u8fc7 12 \u5e74\u7684\u65f6\u95f4\u7ed3\u5408\u6700\u65b0\u7814\u7a76\u6210\u679c\uff0c\u7ecf\u8fc7\u4e86\u6570\u767e\u4f4d\u79d1\u7814\u5de5\u4f5c\u8005\u7684\u52aa\u529b\uff0c\u5f62\u6210\u7684\u7cbe\u795e\u969c\u788d\u5206\u7c7b\u7cfb\u7edf\u3002<\/p>\n\n\n\n<p>\u5728\u5fc3\u7406\u79d1\u5b66\u53d1\u5c55\u8f83\u597d\u7684\u7f8e\u56fd\u548c\u82f1\u56fd\uff0c\u56fd\u5bb6\u4e34\u5e8a\u6307\u5bfc\uff08National Clinical Guidience\uff09\u7684\u63a8\u8350\u91cf\u8868\u90fd\u662fGAD-7\uff0c\u7f8e\u56fd\u7126\u8651\u6291\u90c1\u5b66\u4f1a\uff08Anxiety &amp; Depression Association of America\uff09\u5b98\u7f51\u4e0a\u63d0\u4f9b\u7684\u7126\u8651\u969c\u788d\u6d4b\u8bd5\u4e5f\u662f GAD-7\u3002<\/p>\n\n\n\n<p>GAD-7 \u7684\u76f8\u5173\u8bba\u6587\u5355\u7bc7\u88ab\u5f15\u91cf\u8d85\u8fc7 11000 \u6b21\uff0c\u53ef\u9760\u6027\u548c\u51c6\u786e\u6027\u5728\u4e34\u5e8a\u8bca\u65ad\u548c\u79d1\u5b66\u7814\u7a76\u9886\u57df\u5f97\u5230\u4e86\u5e7f\u6cdb\u8ba4\u53ef\u3002<\/p>\n\n\n\n<h5 class=\"wp-block-heading\">\u53c2\u8003\u6587\u732e<\/h5>\n\n\n\n<p style=\"font-size:12px\">\u5b59\u4f1f. (2018). \u5931\u7720\u7597\u6108\uff08\u7b2c1\u7248\uff09. \u897f\u5b89\uff1a\u4e16\u754c\u56fe\u4e66\u51fa\u7248\u897f\u5b89\u6709\u9650\u516c\u53f8. 72-81.<\/p>\n\n\n\n<p style=\"font-size:12px\">\u7f8e\u56fd\u7cbe\u795e\u533b\u5b66\u5b66\u4f1a\uff08\u7f16\uff09, \u5f20\u9053\u9f99\u7b49\uff08\u8bd1\uff09. (2016). \u7cbe\u795e\u969c\u788d\u8bca\u65ad\u4e0e\u7edf\u8ba1\u624b\u518c\uff08\u7b2c\u4e94\u7248\uff09. \u5317\u4eac\u5927\u5b66\u51fa\u7248\u793e. 214-218.<\/p>\n\n\n\n<p style=\"font-size:12px\">NIMH \u00bb Major Depression. (n.d.). Retrieved April 16, 2020, from <a href=\"https:\/\/www.nimh.nih.gov\/health\/statistics\/major-depression.shtml\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.nimh.nih.gov\/health\/statistics\/major-depression.shtml<\/a><\/p>\n\n\n\n<p style=\"font-size:12px\">Wielgosz, J., Goldberg, S. B., Kral, T. R., Dunne, J. D., &amp; Davidson, R. J. (2019). Mindfulness meditation and psychopathology. <em>Annual review of clinical psychology<\/em>, <em>15<\/em>, 285-316.<\/p>\n\n\n\n<p style=\"font-size:12px\">Alonso J, et al. Treatment gap for anxiety disorders is global: Results of the World Mental Health Surveys in 21 countries. Depress Anxiety. 2018 Jan 22. doi: 10.1002\/da.22711.<\/p>\n\n\n\n<p style=\"font-size:12px\">Kroenke, K. , Spitzer, R. L. , Williams, J. B. W. , &amp; LoWe, B. . (2010). The patient health questionnaire somatic, anxiety, and depressive symptom scales: a systematic review.&nbsp;<em>General Hospital Psychiatry,<\/em>&nbsp;<em>32<\/em>(4), 345-359.<\/p>\n\n\n\n<p style=\"font-size:12px\">Kroenke K, Spitzer RL, Williams JBW, Monahan PO, L\u00f6we B. Anxiety disorders in primarycare: prevalence, impairment, comorbidity, and detection. Ann Intern Med 2007;146:317-325. [validation data on GAD-7 and GAD-2 in detecting 4 common anxiety disorders)]\n\n\n\n<p style=\"font-size:12px\">Spitzer RL, Kroenke K, Williams JBW, L\u00f6we B. A brief measure for assessing generalizedanxiety disorder: the GAD-7. Arch Intern Med 2006;166:1092-1097.<\/p>\n\n\n\n<p style=\"font-size:12px\">Gorwood, P. (2004). 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