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Komorbiditätsstrukturen bei Angststörungen Häufigkeit und mögliche Implikationen

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Zusammenfassung

Allgemein beschreibt der Begriff Komorbidität den Umstand, daß viele Patienten mehr als eine Diagnose aufweisen. Akiskal (1990) wies kürzlich darauf hin, daß dieses Phänomen bereits seit der Antike gut bekannt ist (»Patients with anxiety of long standing are subject to melancholia«, Aristoteles, Epidemics III). Auch im klinischen Alltag finden wir in ausführlicheren Krankengeschichten und Verhaltensanalysen oft Hinweise wieder, die unter dem Phänomen der Komorbidität zusammengefaßt werden können, wie Angaben zu Haupt- und Nebendiagnosen, zu Persönlichkeitsstörungen sowie zu körperlichen Erkrankungen. Der Begriff Komorbidität wurde allerdings im englischen Sprachraum erst durch Feinstein (1970) populär, der Komorbidität definierte als »any distinct additional clinical entity that has existed and that may occur during the clinical course of a patient who has the index disease under study« (S. 456–457).

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Weiterführende Literatur

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Wittchen, HU., Vossen, A. (1996). Komorbiditätsstrukturen bei Angststörungen Häufigkeit und mögliche Implikationen. In: Margraf, J. (eds) Lehrbuch der Verhaltenstherapie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-08350-5_14

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