Всемирная психиатрия. №2 2021

Интернализирующая психопатология и общая смертность: сравнение трансдиагностической модели прогнозирования риска и стратегии, основанной на диагнозе

Hyunsik Kim1 , Nicholas A. Turiano2 , Miriam K. Forbes3 , Roman Kotov4 , Robert F. Krueger5 , Nicholas R. Eaton6 ; HiTOP Utility Workgroup*

1Department of Psychology, Sogang University, Seoul, South Korea; 2Department of Psychology, West Virginia University, Morgantown, WV, USA; 3Department of Psychology, Macquarie University, Sydney, NSW, Australia; 4Department of Psychiatry, Stony Brook University, Stony Brook, New York, NY, USA; 5Department of Psychology, University of Minnesota, Minneapolis, MI, USA; 6Department of Psychology, Stony Brook University, Stony Brook, NY, USA; *Members of the HiTOP Utility Workgroup are listed in the Appendix

Стр. 276-282

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Опубликовано: 1 июня 2021

Аннотация / Abstract

Согласно многочисленным исследованиям, люди с депрессивными или тревожными симптомами подвержены более высокому риску различных ухудшений физического здоровья, чем лица без подобных симптомов. Например, депрессивные симптомы ассоциированы с большим снижением физической работоспособности на поздних стадиях жизни 1 , повышенной вероятностью появления разных сердечно-сосудистых заболеваний 2,3 и избыточным риском развития некоторых форм злокачественных новообразований 4 . Более того, в детстве симптомы сепарационной тревоги позволяют предсказать более слабое физическое состояние в дальнейшие стадии развития 5 ; симптомы генерализованного тревожного расстройства (ГТР) ассоциированы с риском возникновения ишемической болезни сердца 6 ; а симптомы ГТР и ПТСР указывают на возможность укорочения длины теломер лейкоцитов (биомаркера возрастных изменений) в долгосрочной перспективе 7 . Не удивительно, что многие исследования свидетельствуют о связи депрессивного и тревожного расстройств с повышенным риском смертности 8-10 . Например, в одном исследовании ученые при помощи анализа выживаемости оценивали показатели смертности в крупной датской популяционной когорте (N=5 103 699) 11 . В результате они выяснили, что у людей с униполярной депрессией повышена вероятность ранней смерти 11 . Также в нескольких исследованиях было установлено, что люди с тревожными симптомами подвержены более высокому риску преждевременной смерти 12,13 . Вдобавок, в ходе некоторых испытаний удалось выяснить, что лица с высоким уровнем невротизма, личностной черты, тесно связанной с тревожными и аффективными расстройствами 14 , также имеют повышенный риск смертности 15,16 . Несмотря на информативность предыдущих исследований, в каждом из них можно выделить существенное ограничение. Все они в основном были сосредоточены на связи конкретного диагностического конструкта с риск...

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Вход / Регистрация

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Интернализирующая психопатология и общая смертность: сравнение трансдиагностической модели прогнозирования риска и стратегии, основанной на диагнозе

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ЖУРНАЛЫ

ИНТЕРАКТИВ

СПЕЦИАЛИЗАЦИИ

ИЗДАНИЯ-ПАРТНЕРЫ

Интернализирующая психопатология и общая смертность: сравнение трансдиагностической модели прогнозирования риска и стратегии, основанной на диагнозе

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