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Angststörungen

Anxiety disorders

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Zusammenfassung

Angsterkrankungen gehören mit einer Lebenszeitprävalenz von etwa 17% zu den häufigsten psychischen Störungen weltweit. Sie können chronisch verlaufen und führen zu einer erheblichen Beeinträchtigung des Betroffenen. Dabei differenziert das aktuelle Klassifikationssystem der Weltgesundheitsorganisation (ICD-10) zwischen Agoraphobie, sozialer Phobie, spezifischer Phobie, Panikstörung und generalisierter Angststörung. Die Ätiologie ist multikausal. Es wird von einer Wechselwirkung zwischen genetischen und psychosozialen Faktoren ausgegangen. Als Behandlungsverfahren eignen sich die Psychotherapie, die Psychopharmakotherapie und eine Kombination beider Ansätze. Angststörungen treten häufig in Verbindung mit körperlichen Erkrankungen auf, sowohl als prädisponierender Faktor als auch als Folgeerkrankung. Insbesondere für kardiovaskuläre Erkrankungen ist Angst ein eigenständiger Risikofaktor. Da eine Angststörung bei körperlichen Erkrankungen nicht selten unerkannt bleibt, bedarf es einer Optimierung der Diagnose- und Behandlungsstrategien.

Abstract

With a lifetime prevalence of approximately 17% anxiety disorders are among the most common mental disorders worldwide. The disease progression can take a chronic course leading to a considerable impairment of the affected person. The current medical classification list (ICD-10) by the World Health Organization differentiates between agoraphobia, social phobia, specific phobia, panic disorder and generalized anxiety disorder. The etiology is multicausal comprising an interaction of genetic and psychosocial factors. For treatment, psychotherapy, psychopharmacological treatment and a combination of both methods are eligible. Anxiety disorders are often associated with physical illness either as the causative factor or the consequence. In particular, anxiety has been identified as an independent risk factor for cardiovascular disease. Anxiety disorders associated with somatic diseases are often unrecognized, therefore an optimization of diagnostic and treatment strategies is necessary.

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Authors and Affiliations

  1. Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Universität Bonn, Sigmund-Freud-Str. 25, 53105, Bonn, Deutschland

    F. Geiser, A. Kleiman & R. Conrad

  2. Klinik und Poliklinik für Psychosomatik und Psychotherapie, Universität Köln, Köln, Deutschland

    C. Albus

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  1. F. Geiser
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  2. A. Kleiman
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  3. C. Albus
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  4. R. Conrad
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Correspondence to F. Geiser.

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Geiser, F., Kleiman, A., Albus, C. et al. Angststörungen. Internist 53, 1289–1295 (2012). https://doi.org/10.1007/s00108-012-3069-7

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