THE EPIDEMIOLOGY OF PANIC SYMPTOMATOLOGY AND AGORAPHOBIC AVOIDANCE
THE EPIDEMIOLOGY OF PANIC SYMPTOMATOLOGY AND AGORAPHOBIC AVOIDANCE
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DOI：
10.1016/0010-440x(89)90054-0
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发表时间：
1989-07-01
影响因子：
7.3
通讯作者：
HORNBLOW, AR
中科院分区：
文献类型：
--
作者：
JOYCE, PR;BUSHNELL, JA;HORNBLOW, AR
在一项对1,498名年龄在18岁至64岁之间的城市成年人进行的随机社区调查中，使用诊断访谈计划（DIS）进行了访谈，惊恐障碍的终生患病率为2.2%。百分之零点四。这一比例在妇女中很高（3.4%+-）。0.7%）比男性（0.9%+-. 0.6%），以及45岁以下的人。惊恐发作的终生患病率为7.8%。百分之零点七。惊恐发作和惊恐障碍在年龄和性别上的分布相似，女性的发病率高于男性，而且在45岁以下的年龄组中也是如此。惊恐发作受试者报告的惊恐障碍与符合惊恐障碍完整标准的受试者描述的惊恐障碍相似。恐惧症的终生患病率为10.7%。0.9%，在女性中更常见（14.6% ± 1.0%）。1.35）比男性（6.8% .+-. 1.3%）。广场恐怖症的终生患病率为3.8%。百分之零点五惊恐发作和恐惧症的发生经常相关，在广场恐惧症的受试者中，那些更严重的广场恐惧症回避报告更多的惊恐症状。事实上，在广场恐惧症的受试者中，至少有中度广场恐惧回避，几乎所有人都有惊恐发作或重度抑郁症。在15岁之前患有惊恐发作和中度广场恐惧回避的受试者更有可能在父母冲突的家庭中长大，更有可能在更年轻的时候离开学校，没有学校考试，并且可能有更多的儿童行为障碍症状。
In a random community survey of 1,498 urban adults aged 18 to 64 years who were interviewed using the Diagnostic Interview Schedule (DIS), the lifetime prevalence of panic disorder was 2.2% .+-. 0.4%. This was high in women (3.4% .+-. 0.7%) than in men (0.9% .+-. 0.6%), and in those under the age of 45 years. Lifetime prevalence for panic attacks was 7.8% .+-. 0.7%. Panic attacks and panic disorder had a similar distribution by age and sex, with higher rates in women than men, and also in the under 45 age groups. The panic symptomatology reported by those subjects with panic attacks was similar to that described by subjects meeting full criteria for panic disorder. The lifetime prevalence of phobic disorders was 10.7% .+-. 0.9% and was more common in women (14.6% .+-. 1.35) than in men (6.8% .+-. 1.3%). The lifetime prevalence of agoraphobia was 3.8% .+-. 0.5%. The occurrence of panic attacks and phobic disorders were frequently related, and in agoraphobic subjects those with more severe agoraphobic avoidance reported more panic symptoms. Indeed, among agoraphobic subjects with at least moderate agoraphobic avoidance, nearly all had either panic attacks or major depression. Subjects with panic attacks and moderate agoraphobic avoidance before the age of 15, are more likely to have grown up in a family where there was parental conflict, are more likely to have left school at a younger age and without school exams, and are likely to have had more symptoms of a childhood conduct disorder.