成人焦虑分离症：如何在临床实践中处理它

English | 2023 | ISBN-10: 3031374452 | 125 pages| Epub PDF (True) | 7 MB

This book presents data that challenges the long-established view that separation anxiety disorder should be reserved for diagnosis among children and adolescents by demonstrating that adult-onset is prevalent in many countries and that adult-onset separation anxiety disorder is just as persistent and impairing as the pediatric-onset form. Separation anxiety disorder in adulthood is associated with high levels of disability. Research and clinical data indicate that overlooking the diagnosis of adult separation anxiety disorder may result in substantial costs in the form of disability and suffering. Over the last decades, the Psychiatry School of Pisa, in the person of Director Giovanni B. Cassano, M.D. and Stefano Pini, M.D. has conducted seminal studies in this area and brought research data into clinical practice. At the same time, the Pisa School has made a paramount contribution to the DSM-5 reformulation of adult separation anxiety disorder, which has since been transferred to the Anxiety Disorders chapter. Barbara Milrod, M.D. is an unusual clinical investigator. She has conducted clinical research in separation anxiety disorder, panic disorder and post-traumatic stress disorder for the past two decades. She has incorporated separation anxiety constructs into her approach to mechanisms of psychotherapy research across these disorders, and in affect-focused psychotherapies. The book consists of 10 chapters organized into two sections: a General Principles Section and Diagnosis and Treatment Section. The first section focuses on the biological underpinnings of separation anxiety and on the historical pathways that led to its DSM-5 categorization; the second elaborates on clinical topics, preventive strategies and treatments. This book will help the reader to understand and diagnose separation anxiety disorder and to bear it in mind during the differential diagnosis of patients of all ages presenting not only with anxiety but also with a variety of psychiatric and behavioral disorders.

这本书通过展示许多国家中成人发病的普遍性，以及成年期分离焦虑障碍与儿童及青少年期发病形式同样持久且具有破坏性的事实，挑战了长期以来将分离焦虑障碍仅限于儿童和青少年诊断的观点。成人期分离焦虑障碍与高水平的功能障碍有关。研究和临床数据表明，忽视对成人期分离焦虑障碍的诊断会导致巨大的经济损失，表现为功能障碍和痛苦。 多年来，比萨精神病学学校在吉安诺·B.卡斯纳博士（M.D.）和斯特法诺·皮尼博士（M.D.）的带领下，在这一领域进行了开创性研究，并将研究数据带入了临床实践。与此同时，比萨学校还为DSM-5成人期分离焦虑障碍的重新分类做出了决定性的贡献，该版本已转移到焦虑症章节。 芭芭拉·米罗德博士是一位非同寻常的临床研究员。她过去二十年里一直在进行分离焦虑、恐慌障碍和创伤后应激障碍的临床研究，并将分离焦虑的概念融入了对这些疾病机制的心理疗法研究方法中，以及在情绪聚焦心理治疗领域。 本书由10章组成，分为两部分：基本原则部分和诊断与治疗部分。第一部分关注分离焦虑的生物基础及其导致其DSM-5分类的历史路径；第二部分详述临床话题、预防策略及治疗方法。 这本书将帮助读者理解并诊断分离焦虑障碍，并在对所有年龄段患者进行差异诊断时将其放在心间，这些患者不仅表现出焦虑，还伴有各种精神和行为障碍。

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