Phobic Disorders in the Elderly
Phobic Disorders in the Elderly
复制标题
老年人的恐惧症
DOI：
10.1192/bjp.159.4.531
复制
发表时间：
1991
影响因子：
10.5
通讯作者：
J. Lindesay
中科院分区：
文献类型：
--
作者：
J. Lindesay
在城市老年社区样本中发现的60例确诊的恐惧症病例与60例年龄和性别两两匹配的对照进行了比较。病例报告特异性和非特异性神经症状的发生率较高，所有病例都被分配到一个诊断类别，而对照组中只有7例。除恐惧症外，既往有慢性精神疾病史的病例更为常见。大多数案例都有不止一种恐惧；广场恐惧症主要恐惧主要是晚发性的，并与中度至重度的社交障碍相关，而特定主要恐惧与早发性和轻度社交障碍相关。在大多数情况下，老年广场恐惧症的发作归因于身体疾病或其他创伤性事件。在这些病例中，心悸、呼吸困难、头晕和耳鸣的发生率增加，与焦虑无关。在社会经济地位、当前亲密信任关系的数量或质量方面，这些病例与对照组没有什么不同，但在18岁之前失去父母的病例中，他们报告的比例高于对照组。病例报告与全科医生接触的比例较高，但在采访时只有一人与精神科服务接触。病例还报告说，他们从家庭成员那里得到了更多的个人护理帮助。
Sixty confirmed cases of phobic disorder identified in an urban elderly community sample were compared with 60 controls matched pairwise for age and sex. Cases reported higher rates of specific and non-specific neurotic symptoms, and all were assigned to a diagnostic catego class, compared with seven of the controls. A past history of chronic psychiatric disorder other than phobia was commoner in the cases. Most cases had more than one fear; agoraphobic main fears were predominantly of late onset and associated with moderate to severe social impairment, whereas specific main fears were associated with early onset and minimal social impairment. The onset of agoraphobic fears in old age was attributed by most cases to an episode of physical illness or other traumatic event. Increased rates of palpitations, dyspnoea, giddiness and tinnitus not attributable to anxiety were identified in the cases. Cases did not differ from the controls in socio-economic status, or in the number or quality of current intimate confiding relationships, but they reported higher rates than controls of parental loss before the age of 18 years. Cases reported higher rates of contact with general practitioners, but only one was in contact with psychiatric services at the time of interview. Cases also reported receiving more help in personal care from family members.
焦虑和恐慌症的流行病学：更新。
DOI：
--
发表时间：
1986
期刊：
The Journal of clinical psychiatry
影响因子：
--
作者：
Weissman,MM;Merikangas,KR
通讯作者：
Merikangas,KR
患有焦虑、情感和药物滥用障碍的普通人群样本中的慢性疾病。
DOI：
10.1176/ajp.146.11.1440
发表时间：
1989
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Wells,KB;Golding,JM;Burnam,MA
通讯作者：
Burnam,MA