Il disturbo d’ansia generalizzato è caratterizzato da un’ansia persistente, non legata alla presenza di particolari circostanze ambientali. I sintomi possono essere i seguenti: preoccupazioni, apprensione, tensione, cefalea, facile faticabilità, irrequietezza, incapacità a rilassarsi, difficoltà di concentrazione, insonnia, manifestazioni neurovegetative (palpitazioni, sudorazione, tremore, bocca secca). L’ansia è solitamente più accentuata rispetto alle circostanze e il soggetto manifesta difficoltà a controllarla. Le preoccupazioni riguardano generalmente la famiglia, il lavoro o la scuola, i problemi economici e la salute. L’ esordio psicopatologico avviene tra i 20 ed i 40 anni. Il decorso è cronico episodico (secondo il DSM-5, manuale diagnostico statistico dei disturbi mentali, la sintomatologia deve essere presente per la maggior parte dei giorni per almeno 6 mesi).

Video intitolato “GAD Symptoms: 6 Generalized Anxiety Disorder Symptoms”, caricato su youtube da Beating Anxiety il 01/03/2015

I disturbi del sonno sono estremamente comuni nei soggetti affetti da disturbo d’ansia generalizzato. Ciò fa ipotizzare la presenza di meccanismi fisiopatologici condivisi dai due disturbi. In uno studio individui affetti da insonnia primaria (ovvero non associata ad altri disturbi) sono stati messi a confronto con soggetti affetti da disturbo d’ansia generalizzato e con soggetti sani. Tutti i partecipanti alla ricerca sono stati valutati tramite risonanza magnetica funzionale a 3 tesla (fMRI a 3-T). Nei soggetti affetti da insonnia primaria e nei controlli è stato registrato il sonno per 2 settimane utilizzando diari e actigrafia. Grazie a questa ricerca è stato possibile valutare il ruolo della corteccia cingolata anteriore rostrale la quale, esercitando un controllo superiore dell’attività dell’amigdala, svolgerebbe un ruolo essenziale nel circuito regolatore delle emozioni. La connettività tra le aree della corteccia cingolata anteriore rostrale e l’amigdala sembrerebbe significativamente maggiore nei soggetti sani mentre negli individui con insonnia primaria sarebbe intermedia tra quella dei soggetti sani e quella degli individui con disturbo d’ansia generalizzato. Se presente insonnia primaria la connettività media sembrerebbe diminuita con un sonno peggiore (Pace-Schott et al., 2017).

La terapia del disturbo d’ansia generalizzato, se la diagnosi viene posta tardivamente o il decorso della patologia è cronico, è generalmente farmacologica (a base di farmaci serotoninergici, triciclici e/o benzodiazepine). In caso di diagnosi precoce utile sembra intraprendere un percorso di psicoterapia (come la terapia cognitivo-comportamentale) che nei casi gravi può essere associato ad un trattamento farmacologico.

Riferimenti:

American Psychiatric Association (2014). Mini DSM-5, criteri diagnostici, edizione italiana, Raffaello Cortina Editore.

Pace-Schott EF et al (2017). Resting state functional connectivity in primary insomnia, generalized anxiety disorder and controls. Psychiatry Res. 265: 26-34.

Avatar photo

Di Tiziana Corteccioni

Dott.ssa Tiziana Corteccioni
Medico chirurgo, Specialista in Psichiatria, Psicoterapeuta   

Medico Psichiatra e Psicoterapeuta ad orientamento clinico cognitivo-comportamentale.
Da Ottobre 2010 collabora con il Centro Ricerche Musicali di Roma nel progetto “Musica Emozioni” rivolto a soggetti con difficoltà sul piano emotivo. E' coautrice di pubblicazioni scientifiche.
Da Novembre 2013 collabora con l'Associazione di Clinica Cognitiva del Lazio.
Esercita attività come psichiatra e psicoterapeuta presso vari centri clinici a Roma ed a Perugia nei quali si occupa prevalentemente del trattamento farmacologico e psicoterapeutico di disturbi del sonno, depressione, disturbo bipolare, attacchi di panico, fobie, disturbo ossessivo-compulsivo, disturbi alimentari, disturbi di personalità, dipendenze e schizofrenia.

Un pensiero su “Disturbo d’ansia generalizzato: sintomi e cure”

Lascia un commento

Il tuo indirizzo email non sarà pubblicato. I campi obbligatori sono contrassegnati *

Questo sito usa Akismet per ridurre lo spam. Scopri come i tuoi dati vengono elaborati.

Rome Central Italy in the World
WP2Social Auto Publish Powered By : XYZScripts.com
We use cookies to personalise content and ads, to provide social media features and to analyse our traffic. We also share information about your use of our site with our social media, advertising and analytics partners. View more
Cookies settings
Accept
Decline
Privacy & Cookie policy
Privacy & Cookies policy
Cookie name Active

Privacy Policy

What information do we collect?

We collect information from you when you register on our site or place an order. When ordering or registering on our site, as appropriate, you may be asked to enter your: name, e-mail address or mailing address.

What do we use your information for?

Any of the information we collect from you may be used in one of the following ways: To personalize your experience (your information helps us to better respond to your individual needs) To improve our website (we continually strive to improve our website offerings based on the information and feedback we receive from you) To improve customer service (your information helps us to more effectively respond to your customer service requests and support needs) To process transactions Your information, whether public or private, will not be sold, exchanged, transferred, or given to any other company for any reason whatsoever, without your consent, other than for the express purpose of delivering the purchased product or service requested. To administer a contest, promotion, survey or other site feature To send periodic emails The email address you provide for order processing, will only be used to send you information and updates pertaining to your order.

How do we protect your information?

We implement a variety of security measures to maintain the safety of your personal information when you place an order or enter, submit, or access your personal information. We offer the use of a secure server. All supplied sensitive/credit information is transmitted via Secure Socket Layer (SSL) technology and then encrypted into our Payment gateway providers database only to be accessible by those authorized with special access rights to such systems, and are required to?keep the information confidential. After a transaction, your private information (credit cards, social security numbers, financials, etc.) will not be kept on file for more than 60 days.

Do we use cookies?

Yes (Cookies are small files that a site or its service provider transfers to your computers hard drive through your Web browser (if you allow) that enables the sites or service providers systems to recognize your browser and capture and remember certain information We use cookies to help us remember and process the items in your shopping cart, understand and save your preferences for future visits, keep track of advertisements and compile aggregate data about site traffic and site interaction so that we can offer better site experiences and tools in the future. We may contract with third-party service providers to assist us in better understanding our site visitors. These service providers are not permitted to use the information collected on our behalf except to help us conduct and improve our business. If you prefer, you can choose to have your computer warn you each time a cookie is being sent, or you can choose to turn off all cookies via your browser settings. Like most websites, if you turn your cookies off, some of our services may not function properly. However, you can still place orders by contacting customer service. Google Analytics We use Google Analytics on our sites for anonymous reporting of site usage and for advertising on the site. If you would like to opt-out of Google Analytics monitoring your behaviour on our sites please use this link (https://tools.google.com/dlpage/gaoptout/)

Do we disclose any information to outside parties?

We do not sell, trade, or otherwise transfer to outside parties your personally identifiable information. This does not include trusted third parties who assist us in operating our website, conducting our business, or servicing you, so long as those parties agree to keep this information confidential. We may also release your information when we believe release is appropriate to comply with the law, enforce our site policies, or protect ours or others rights, property, or safety. However, non-personally identifiable visitor information may be provided to other parties for marketing, advertising, or other uses.

Registration

The minimum information we need to register you is your name, email address and a password. We will ask you more questions for different services, including sales promotions. Unless we say otherwise, you have to answer all the registration questions. We may also ask some other, voluntary questions during registration for certain services (for example, professional networks) so we can gain a clearer understanding of who you are. This also allows us to personalise services for you. To assist us in our marketing, in addition to the data that you provide to us if you register, we may also obtain data from trusted third parties to help us understand what you might be interested in. This ‘profiling’ information is produced from a variety of sources, including publicly available data (such as the electoral roll) or from sources such as surveys and polls where you have given your permission for your data to be shared. You can choose not to have such data shared with the Guardian from these sources by logging into your account and changing the settings in the privacy section. After you have registered, and with your permission, we may send you emails we think may interest you. Newsletters may be personalised based on what you have been reading on theguardian.com. At any time you can decide not to receive these emails and will be able to ‘unsubscribe’. Logging in using social networking credentials If you log-in to our sites using a Facebook log-in, you are granting permission to Facebook to share your user details with us. This will include your name, email address, date of birth and location which will then be used to form a Guardian identity. You can also use your picture from Facebook as part of your profile. This will also allow us and Facebook to share your, networks, user ID and any other information you choose to share according to your Facebook account settings. If you remove the Guardian app from your Facebook settings, we will no longer have access to this information. If you log-in to our sites using a Google log-in, you grant permission to Google to share your user details with us. This will include your name, email address, date of birth, sex and location which we will then use to form a Guardian identity. You may use your picture from Google as part of your profile. This also allows us to share your networks, user ID and any other information you choose to share according to your Google account settings. If you remove the Guardian from your Google settings, we will no longer have access to this information. If you log-in to our sites using a twitter log-in, we receive your avatar (the small picture that appears next to your tweets) and twitter username.

Children’s Online Privacy Protection Act Compliance

We are in compliance with the requirements of COPPA (Childrens Online Privacy Protection Act), we do not collect any information from anyone under 13 years of age. Our website, products and services are all directed to people who are at least 13 years old or older.

Updating your personal information

We offer a ‘My details’ page (also known as Dashboard), where you can update your personal information at any time, and change your marketing preferences. You can get to this page from most pages on the site – simply click on the ‘My details’ link at the top of the screen when you are signed in.

Online Privacy Policy Only

This online privacy policy applies only to information collected through our website and not to information collected offline.

Your Consent

By using our site, you consent to our privacy policy.

Changes to our Privacy Policy

If we decide to change our privacy policy, we will post those changes on this page.
Save settings
Cookies settings