Adults who feared school: is early separation anxiety specific to the pathogenesis of panic disorder?

Adults who feared school: is early separation anxiety specific to the pathogenesis of panic disorder?
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害怕上学的成年人:早期分离焦虑是恐慌症发病机制所特有的吗?

DOI:
10.1111/j.1600-0447.1993.tb03478.x
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发表时间:
1993
影响因子:
6.7
通讯作者:
V. Manicavasagar
V. Manicavasagar
中科院分区:
医学1区
文献类型:
--
作者:
D. Silove;V. Manicavasagar

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虽然青少年分离焦虑症在DSM-III-R中被认为是成人惊恐障碍的诱发因素,但过去的研究未能澄清(a)分离焦虑本身或拒绝上学是否是致病的风险因素,以及(B)受影响的青少年是否特别有患惊恐障碍的风险,而不是在以后的生活中出现一般性焦虑或恐惧症的症状。目前对74名回应媒体宣传的成年人进行的研究发现,根据DSM-III-R标准,早期分离焦虑的测量而不是拒绝上学的历史与成人惊恐障碍的风险相关。相比之下,分离焦虑评分与成年后是否存在一般性焦虑症状或恐惧回避无关。分离焦虑得分较高的受试者更有可能有兄弟姐妹或孩子拒绝上学。虽然目前的研究是有限的,在其方法,以邮寄的调查答复,并在一定程度上,回顾性数据,结果提供了额外的支持克莱因的影响分离焦虑理论的恐慌症。
Although juvenile separation anxiety disorder is maintained to be a predisposing factor to adult panic disorder in DSM‐III‐R, past research has failed to clarify (a) whether it is separation anxiety per se or school refusal that is the pathogenic risk factor and (b) whether affected youngsters are specifically at risk of developing panic disorder rather than symptoms of general anxiety or phobias in later life. The present study of 74 adults who responded to media publicity found that a measure of early separation anxiety but not a history of school refusal was associated with risk of adult panic disorder according to DSM‐III‐R criteria. In contrast, separation anxiety scores were not associated with the presence or absence of general anxiety symptoms or phobic‐avoidance in adulthood. Subjects with higher separation anxiety scores were more likely to have either a sibling or child with school refusal. Although the present study is limited in its method to mailed survey responses and, in part, to retrospective data, the results do provide additional support for Klein's influential separation anxiety theory of panic disorder.
分离焦虑和学校恐惧症:使用 DSM-III 标准的比较。
DOI: 10.1176/ajp.144.5.653
发表时间: 1987
期刊: The American journal of psychiatry
影响因子: --
作者:
Last,CG;Francis,G;Hersen,M;Kazdin,AE;Strauss,CC
通讯作者: Strauss,CC
DOI: --
发表时间: 1987
期刊: Modern problems of pharmacopsychiatry
影响因子: --
作者:
Klein,DF
通讯作者: Klein,DF