当我们经历或某人关心的时候正在经历Gad,或118bet金博宝 ,慢性和无法控制的担忧可能会接管。关于各种主题的担忧范围,从家庭和个人健康和个人健康和财务状况的大部分令人担忧,更加令人轻松的时间,以便约会或保持清洁和组织的事情1

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诊断出GAD的人也可能会遇到疲劳,肌肉紧张,烦躁,睡眠困难,以及其他身体健康问题1。Gad经常有慢性课程,它影响了美国成年人人口的4%至7%2-4。它与较高的发展抑郁症风险有关,118bet金博宝app , and other mental health problems.3.

GAD症状可以对个人产生重大影响,因此研究也不令人意外地突出了他们对关系的影响 - 亲密的夫妻,职业同事,友谊和家庭的影响。关系是对Gad的担忧的重要焦点,并且担心自己对关系来造成损害,这使得它们更加困难。

What Kinds of Relationship Problems?

When someone is diagnosed with GAD, if they are in a relationship, it likely has higher marital conflict4.。被诊断为GAD的人可能会感知他人的行为和意图,这些行为和想要警惕的人比那些不经历过的人的警惕焦虑症状r5.。体验Gad的人也可能更有可能被别人伤害,而且他们与被动,侵略性或侵入性的互动风格有关6,7.

In addition, people with this diagnosis have reported that their patterns of communication tend to be either overly critical or overly passive and that these patterns can happen automatically without awareness8.。此外,他们报告希望避​​免重要的关系 - 加强活动,因为有许多担忧或在情感上存在和心理上存在,但感觉如此令人担忧地分散注意力,因为他们发现很难在他们的关系或这些活动中欣赏联系8.

If you are in a relationship with someone with GAD, you may be struggling to understand their irritability, worries, or communication style. Or maybe you feel hurt by some of the passive or aggressive and critical interactions that have occurred.

4提示加强你的关系

无论您是体验GAD的人还是与具有GAD症状的人的关系,遵循这四项基于证据的提示,以加强您的关系。

1。Tune into the present moment through mindfulness.

So often our worries take us completely out of the present and into the future or past. Tune into what your relational needs are in this moment: What are you feeling? What thoughts are coming up? What do you want or need from your partner or friend in this moment? Is it someone to listen? Someone to help solve a problem?

You may want to consider some formalmindfulnesspractices to help gain a deeper awareness of your thoughts and feelings, and to learn to relate to them with compassion instead of judgment or reactivity. There are many ways to practice mindfulness. For a link to free evidence-based mindfulness practices, visit mindfulwaythroughanxiety.com, and go to the "Mindfulness Exercises" tab.

2.练习活跃,谨慎的听力。

This is a practice of focusing first on really understanding what others have to say and clarifying with them that you understand it correctly before sharing your perspective. This strategy may help with working through unhelpful patterns of overly passive or aggressive communication habits in your relationships.

It can help to check in at the beginning of a conversation and clarify: Do you need someone to listen and support you, or are you looking for someone to help with problem-solving? Sometimes when our partners want someone just to listen and we step in to problem-solve, it can lead to more conflict. This strategy can help make sure you are both on the same page with the communication goals in that moment.

3.。Take time to reflect mindfully on positive things that people in your relationships do.

这有助于提请注意关系的积极方面。通常,当我们的思想被忧虑和恐惧消耗时,它可能很容易忽视进展的事情。反思这一点,感谢那个人的行为,甚至是小的那些,感谢他们拿出垃圾或在你下班回家时给予热烈的欢迎,以及规划一个漂亮的郊游烹饪一顿美餐。

4.反思你的关系价值。

What kind of spouse, partner, sibling, parent, or coworker do you want to be? What are the characteristics or traits you want to embody in these relationships? What are some small ways you can engage with those values today?

这些可以小行动,如承诺listen actively to your spouse when they come home from work or taking a time-out when you feel your irritability is increasing so a conflict does not escalate. It could also mean engaging in more self-care to recharge yourself, such as taking five minutes tobreathe deeplyso you can be more present with your family when you come home from work.

By strengthening relationships and social support networks, you can enhance the resilience of your relationships. Research suggests that stronger, healthier relationships may also sustain increased improvement from GAD symptoms9, 10

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来源

1。American Psychiatric Association. (2013).Diagnostic and statistical manual of mental disorders: DSM-5。华盛顿,D.C:美国精神病协会。

2。Roy-Byrne, P. P., Davidson, K. W., Kessler, R. C., Asmundson, G. G., Goodwin, R. D., Kubzansky, L., & Stein, M. B. (2008). Anxiety disorders and comorbid medical illness.一般医院精神病学,30(3),208-225。DOI:10.1016 / J.GENHOSPPSYCH.2007.12.006

3.。Ruscio, A., Chiu, W., Roy-Byrne, P., Stang, P. E., Stein, D. J., Wittchen, H., & Kessler, R. C. (2007). Broadening the definition of generalized anxiety disorder: Effects on prevalence and associations with other disorders in the National Comorbidity Survey Replication.Journal of Anxiety Disorders, 21(5), 662-676. doi:10.1016/j.janxdis.2006.10.004

4.。Kessler, R. C. (2000). The epidemiology of pure and comorbid generalized anxiety disorder: A review and evaluation of recent research.Acta Psychiatrica Scandinavica, 1027-13. doi:10.1111/j.0065-1591.2000.acp29-02.x

5.。Whisman, M. A. (2007). Marital distress andDSM-IV.基于人口的国家调查中的精神疾病。Journal of Abnormal Psychology, 116(3),638-643。DOI:10.1037 / 0021-843x.116.3.638

6. Gasperini,M.,Battaglia,M.,尿布,G.,&Bellodi,L.(1990)。与广泛性焦虑症相关的人格特征。188比分直播吧篮球综合精神病学,31(4), 363-368. doi:10.1016/0010-440X(90)90044-S

7. Salzer, S., Pincus, A. L., Hoyer, J., Kreische, R., Leichsenring, F., & Leibing, E. (2008). Interpersonal subtypes within generalized anxiety disorder.Journal of Personality Assessment, 90(3),292-299。DOI:10.1080 / 00223890701885076

8. Williston,S.K.,摩根,L.,Graham,J.R,Eustis,E.,Roemer,L.&Orsillo,S。(正在审查)。焦虑如何妨碍你想要的生活方式?从治疗样本中的现象学视角探索广泛性焦虑症的生活体验。188比分直播吧篮球

9. Durham,R.C.,Allan,T.,&Hackett,C. A.(1997)。论心理治疗后广义焦虑症的改善和复发。188比分直播吧篮球British Journal of Clinical Psychology, 36(1),101-119。DOI:10.1111 / J.2044-8260.1997.tb01234.x

10. Millstein,D.J.,Orsillo,S. M.,Hayes-Skelton,S. A.,&Roemer,L.(2015)。基于验收的行为治疗的人际关系,谨慎和治疗结果,用于广义焦虑症。188比分直播吧篮球认知行为治疗,44,4.91-501.

原始出版日期:

Updated: January 13, 2020