Panic disorder and agoraphobia with panic attacks: covariation along the dimensions of panic and agoraphobic fear.
Panic disorder and agoraphobia with panic attacks: covariation along the dimensions of panic and agoraphobic fear.
复制标题
惊恐障碍和广场恐惧症伴惊恐发作：恐慌和广场恐惧症的共变。
DOI：
10.1037//0021-843x.95.4.384
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发表时间：
1986
影响因子：
4.6
通讯作者：
Mezzich,JE
中科院分区：
文献类型：
--
作者：
Turner,SM;Williams,SL;Beidel,DC;Mezzich,JE
本研究通过检查一组以惊恐发作为突出症状的个体的惊恐症状和广场恐惧症之间的协变模式，检验了《精神障碍诊断与统计手册》（第三版）中对“惊恐障碍”和“伴有惊恐发作的广场恐惧症”诊断的区分的有效性。受试者是 72 名患者，他们之前被专家诊断医生诊断为患有惊恐障碍或伴有惊恐发作的广场恐惧症，并且在诊断时已完成恐惧调查表和症状检查表 90-R。对这两个量表的恐慌相关项目和广场恐惧症相关项目的分析表明，无论诊断如何，恐慌程度与广场恐惧症程度高度相关。尽管恐慌症患者往往比广场恐惧症患者经历更严重的恐慌和更轻微的广场恐惧症，但两组症状在这两种症状上都有重叠。研究结果讨论了惊恐障碍和广场恐惧症是否应被归类为性质不同的疾病。
This study tested the validity of the distinction made in the Diagnostic and Statistical Manual of Mental Disorders (third edition) between the diagnoses of “panic disorder” and “agoraphobia with panic attacks” by examining the pattern of covariation between panic symptoms and agoraphobic fear in a group of individuals presenting with panic attacks as a prominent symptom. Subjects were 72 patients who had previously been diagnosed by expert diagnosticians as having either panic disorder or agoraphobia with panic attacks and who had completed at the time of diagnosis both the Fear Survey Schedule and the Symptom Checklist 90-R. Analyses of the panic-related items and the agoraphobia-related items of these two inventories revealed that irrespective of diagnosis, the degree of panic was highly correlated with the degree of agoraphobic fear. Although panic patients tended to experience more severe panic and milder agoraphobic fear than agoraphobics, the groups overlapped with respect to both kinds of symptoms. The findings are discussed in terms of whether panic disorder and agoraphobia should be classified as qualitatively distinct conditions.