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首页> 外文期刊>The journal of clinical psychiatry >Generalized anxiety disorder and medical illness.
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Generalized anxiety disorder and medical illness.

机译：广泛性焦虑症和内科疾病。

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摘要

Patients with generalized anxiety disorder (GAD) often have multiple medical comorbidities. The adrenal system and genetic and environmental factors are intermediaries between anxiety and medical illnesses such as chronic pain conditions and gastrointestinal, cardiovascular, endocrine, and respiratory disorders. Medical disorders associated with anxiety include migraine, rheumatoid arthritis, peptic ulcer disease, irritable bowel syndrome, coronary heart disease, hyperthyroidism, diabetes, asthma, and chronic obstructive pulmonary disorder. Compared to people with pain conditions without GAD, individuals with pain conditions and GAD experience and register pain differently; they also have increased awareness of symptoms. Comorbid medical illnesses may influence treatment choice for GAD. Treatment of anxiety in young patients with GAD needs to be long-term to decrease vulnerability to medical conditions.
机译：患有广泛性焦虑症（GAD）的患者通常患有多种医学合并症。肾上腺系统以及遗传和环境因素是焦虑和医学疾病之间的中介，例如慢性疼痛状况和胃肠道，心血管，内分泌和呼吸系统疾病。与焦虑症相关的医学疾病包括偏头痛，类风湿性关节炎，消化性溃疡疾病，肠易激综合症，冠心病，甲状腺功能亢进，糖尿病，哮喘和慢性阻塞性肺疾病。与没有GAD的疼痛患者相比，患有疼痛和GAD的患者体验和记录的疼痛有所不同;他们也增加了对症状的认识。合并症可能会影响GAD的治疗选择。年轻的GAD患者的焦虑症需要长期治疗，以减少对医疗状况的脆弱性。

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