Ambulatory Assessment in Panic Disorder and Specific Phobia
Ambulatory Assessment in Panic Disorder and Specific Phobia
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DOI：
10.1037/a0017489
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发表时间：
2009-12-01
影响因子：
3.6
通讯作者：
Alpers, Georg W.
中科院分区：
文献类型：
--
作者：
Alpers, Georg W.
焦虑症是最常见的精神疾病之一。在惊恐障碍中，惊恐发作通常发生在不可预测的时间，这使得在实验室中研究这些事件变得困难。在特定的恐惧症中，症状发生在非常有限的情况下，特定的触发因素有时很难在实验室中重现。动态评估，或生态瞬时评估，可以进一步了解在生态有效的情况下，症状的自然过程和范围。由于身体症状是焦虑症诊断的组成部分，因此对患者自然环境中生理反应的客观评估尤为重要。一方面，研究强调了恐慌发作期间症状和生理体验之间的有趣差异。另一方面，它验证了症状报告治疗暴露于恐惧的情况。因此，门诊评估可以产生有用的信息，焦虑症的精神病理学，它可以用来监测临床干预过程中的变化。
Anxiety disorders are among the most prevalent mental disorders. In panic disorder, panic attacks often occur at unpredictable times, making it difficult to study these episodes in the laboratory. In specific phobias, symptoms occur in very circumscribed situations and specific triggers are sometimes difficult to reproduce in the laboratory. Ambulatory assessment, or ecological momentary assessment, can further the understanding of the natural course and scope of symptoms under ecologically valid circumstances. Because bodily symptoms are integral to the diagnosis of anxiety disorders, the objective assessment of physiological responses in the patients' natural environment is particularly important. On the one hand, research has highlighted intriguing discrepancies between the experience of symptoms and physiology during panic attacks. On the other hand, it has validated symptom reporting during therapeutic exposure to phobic situations. Therefore, ambulatory assessment can yield useful information about the psychopathology of anxiety disorders, and it can be used to monitor change during clinical interventions.