预期焦虑在焦虑障碍诊疗中的作用研究进展  

Advances in the role of anticipatory anxiety in the diagnosis and treatment of anxiety disorders

作　　者：秦雪梅 舒苏 张倩倩[1] 赵小天 曾伶思 马墨涵 欧雯雯 吕冠仪 郑琪[1] 徐抒音 王汨 廖梅[1] 张丽[1] 鞠玉朦 柳进 刘帮杉 张燕[1] Qin Xuemei;Shu Su;Zhang Qianqian;Zhao Xiaotian;Zeng Lingsi;Ma Mohan;Ou Wenwen;Lyu Guanyi;Zheng Qi;Xu Shuyin;Wang Mi;Liao Mei;Zhang Li;Ju Yumeng;Liu Jin;Liu Bangshan;Zhang Yan(Department of Psychiatry,National Clinical Research Center for Mental Disorders,National Center for Mental Disorders,the Second Xiangya Hospital of Central South University,Changsha 410011,China;Department of Clinical Psychology Center,Xiangya Hospital of Central South University,Changsha 410008,China)

机构地区：[1]中南大学湘雅二医院精神病学科、国家精神心理疾病临床医学研究中心、国家精神疾病医学中心,长沙410011 [2]中南大学湘雅医院临床心理中心,长沙410008

出　　处：《中华精神科杂志》2025年第4期292-296,共5页Chinese Journal of Psychiatry

基　　金：科技创新2030-“脑科学与类脑研究”重大项目(2021ZD0202000);国家自然科学基金区域创新发展联合基金(U23A20434);国家自然科学基金(面上项目82371535);中南大学中央高校基本科研业务费专项资金资助(2023ZZTS0838)。

摘　　要：预期焦虑是个体在面对未来可能发生的潜在威胁或不确定性时,产生的忧虑性负面情绪,是各种类型焦虑障碍的核心症状,与焦虑障碍的发生、严重程度、治疗结局及预后转归等密切相关,在临床诊疗中越来越受关注。然而,目前预期焦虑的科学研究仍然面临病理机制不明、缺乏简便一致的自我评估工具和有效的干预措施等挑战。本文通过回顾既往国内外相关文献,简要介绍预期焦虑的概念、评估和测量、激活范式、病理机制及干预方法,以期加强对焦虑障碍诊疗中预期焦虑作用的理解,为促进预期焦虑的临床诊疗提供参考。Anticipatory anxiety is a negative emotion that arises when individuals encounter potential threats or uncertainties in the future.It is the core symptom of a variety of anxiety disorders,and is closely associated with the occurrence,severity,treatment outcome,and prognosis of anxiety disorders,which has garnered a growing amount of focus in clinical practice.Nevertheless,scientific research on anticipatory anxiety continues to face obstacles such as unclear pathological mechanisms,the absence of simple and consistent self-assessment tools,and effective interventions.To improve understanding of the role of anticipatory anxiety in the diagnosis and treatment of anxiety disorders,this study reviews pertinent domestic and international literature,and briefly introduces the concept,assessment and measurement,activation paradigm,pathological mechanisms,and interventions of anticipatory anxiety.

关 键 词：焦虑症 预期焦虑 核心症状 机制 评估 干预 

分 类 号：R749.7[医药卫生—神经病学与精神病学]