SOMATIC SYMPTOMS AND PANIC ATTACKS - A RETROSPECTIVE STUDY OF LEARNING-EXPERIENCES
SOMATIC SYMPTOMS AND PANIC ATTACKS - A RETROSPECTIVE STUDY OF LEARNING-EXPERIENCES
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DOI：
10.1016/0005-7967(93)90025-p
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发表时间：
1993-03-01
影响因子：
4.1
通讯作者：
EHLERS, A
中科院分区：
文献类型：
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作者：
EHLERS, A
患有恐慌症的人认为身体焦虑症状是危险的，并倾向于用恐惧来回应它们。在一项回顾性问卷调查研究中，我们探讨了儿童和青少年学习经验方面的躯体症状的恐慌。与正常对照组（N = 61）相比，惊恐障碍患者（N = 121）、罕见惊恐障碍患者（N = 86）和其他焦虑障碍患者（N = 38）在18岁之前报告的头晕、呼吸急促、心悸或恶心等症状发生频率更高，伴随着父母的特别关注和限制剧烈或社会活动的指示。这种差异是由于焦虑组的症状频率较高。所有的焦虑组报告更频繁的不受控制的行为，他们的父母比控制。与其他焦虑症患者或正常对照组相比，恐慌症患者和罕见恐慌者报告说，他们的父母更频繁地遭受焦虑的典型身体症状。恐慌症患者，而不是其他焦虑症患者，在他们的父母中观察到与恐慌症状相关的病态角色行为比对照组更频繁。与对照组和其他焦虑症患者相比，恐慌症患者中患有慢性疾病的家庭成员数量更高。当学生感冒时，父母报告的行为没有组间差异。总体而言，结果表明，在患有恐慌症的学生的历史中，严重疾病和焦虑症典型的身体症状在重要他人中的作用。这些在童年和青春期的经历可能使他们相信身体症状是危险的。ID相反，有没有特异性的恐慌方面的SS自己的身体症状或感冒相关的症状。
Individuals with panic attacks evaluate physical anxiety symptoms as dangerous and tend to respond to them with fear. In a retrospective questionnaire study, we explored childhood and adolescent learning experiences with respect to somatic symptoms of panickers. Compared to normal controls (N = 61), patients with panic disorder (N = 121), infrequent panickers (N = 86) and patients with other anxiety disorders (N = 38) reported more frequent instances prior to age 18 when they had experienced symptoms like dizziness, shortness of breath, palpitations or nausea, accompanied by special attention from their parents and instructions to restrain from strenuous or social activities. The differences were due to higher symptom frequencies in the anxiety groups. All anxiety groups reported more frequent uncontrolled behavior of their parents than controls. Patients with panic disorder and infrequent panickers reported that their parents had suffered more frequently from physical symptoms typical of anxiety than patients with other anxiety disorders or normal controls. Panickers, but not patients with other anxiety disorders, had observed sick-role behavior related to panic symptoms in their parents more often than controls. Panic attack Ss reported a higher number of household members suffering from chronic illnesses than controls and patients with other anxiety disorders. No group differences were found in the reported behavior of parents when Ss had colds. Overall, the results point to the role of severe illnesses and physical symptoms typical of anxiety in significant others in the history of Ss with panic attacks. These experiences during childhood and adolescence may contribute to their belief that physical symptoms are dangerous. ID contrast, there was no specificity for panic with respect to the Ss' own physical symptoms or cold-related symptoms.