Specificity of autonomic arousal to DSM-IV panic disorder and posttraumatic stress disorder.
Specificity of autonomic arousal to DSM-IV panic disorder and posttraumatic stress disorder.
复制标题
自主神经唤醒对 DSM-IV 恐慌症和创伤后应激障碍的特异性。
DOI：
10.1016/j.brat.2009.02.016
复制
发表时间：
2009-06
影响因子：
4.1
通讯作者：
McNiff J
中科院分区：
文献类型：
--
作者：
Brown TA;McNiff J
尽管对焦虑和抑郁的分层模型的研究已经证实，自主神经唤醒能力(AA)与有或没有广场恐怖症(PD/A)的惊恐障碍(PD/A)比其他DSM-IV焦虑和情绪障碍更密切相关，但研究尚未评估AA与创伤后应激障碍(PTSD)的不同相关性。这个问题在295名患有焦虑和情绪障碍的门诊患者的多变量分析模型中得到了解决。与预测一致的是，即使在其他形式的焦虑症共病保持不变的情况下，当前DSM-IV创伤后应激障碍和PD/A的存在也对再障有显著的预测作用。此外，潜在结构分析表明，创伤后应激障碍和PD/A是DSM-IV中唯一对AA有显著直接影响的结构(与先前的研究结果一致，DSM-IV中的广泛性焦虑症、社交恐惧症和强迫症与AA没有显著的结构关系)。目前的发现证明了AA对PTSD和PD/A的特异性，并结合这些疾病的其他临床显著共同特征及其与治疗和诊断分类的相关性进行了讨论。
Although research on the hierarchical model of anxiety and depression has confirmed that autonomic arousability (AA) is more germane to panic disorder with or without agoraphobia (PD/A) than other DSM-IV anxiety and mood disorders, studies have not evaluated the differential relevance of AA to posttraumatic stress disorder (PTSD). This issue was addressed in multivariate analytic models using 295 outpatients with anxiety and mood disorders. Consistent with prediction, the presence of current DSM-IV PTSD and PD/A was significantly predictive of AA, even when other forms of anxiety disorder comorbidity were held constant. Moreover, latent structural analyses indicated that PTSD and PD/A were the only DSM-IV anxiety disorder constructs to have significant direct effects on AA (in accord with previous findings, the DSM-IV constructs of generalized anxiety disorder, social phobia, and obsessive-compulsive disorder did not have significant structural relationships with AA). The current findings, which attest to the specificity of AA to PTSD and PD/A, are discussed in context of other clinically salient shared features of these disorders and their relevance to treatment and diagnostic classification.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
4.1
作者：
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通讯作者：
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影响因子：
4.1
作者：
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通讯作者：
Panasetis, P
影响因子：
4.6
作者：
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通讯作者：
Barlow, DH
影响因子：
4.6
作者：
Brown, TA;Di Nardo, PA;Campbell, LA
通讯作者：
Campbell, LA