Relationship between separation anxiety and panic and agoraphobic disorders.
Relationship between separation anxiety and panic and agoraphobic disorders.
复制标题
分离焦虑与恐慌和广场恐惧症之间的关系。
DOI：
10.1159/000284078
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发表时间：
1984
期刊：
影响因子：
3.6
通讯作者：
Klein,DF
中科院分区：
文献类型：
--
作者：
Gittelman,R;Klein,DF
本文讨论了与儿童和成人分离焦虑的特点和治疗有关的几个问题。将分离焦虑与其他儿童焦虑状况分开的基本原理取决于其与惊恐障碍的关系及其对药物治疗的反应的临床观察。精神药理学治疗分离焦虑症的审查，特别强调使用三环类抗抑郁药。分离焦虑和成人惊恐障碍之间可能存在关联的相关文献。分离焦虑障碍的患病率在成人门诊惊恐障碍进行了讨论。本文提供的数据是为了解决成人惊恐障碍伴和不伴分离焦虑的治疗反应问题。对惊恐障碍和广场恐怖症的科学调查是最近的起源。尽管这些病症，像其他精神障碍一样，仅根据显著的病理学来鉴定，但粗略的表型相似性可能代表不同病理过程的共同表型表达。因此，由于可能合并混合临床组，因此在总体患者群体中缺乏细化可能会阻碍消除疾病的前因或生理伴随因素的努力。
The paper addresses several issues pertinent to the characteristics and treatment of separation anxiety in children and adults. The rationale for separating separation anxiety from other childhood anxiety conditions rests on clinical observations of its relationship to panic disorder and its response to drug treatment. The psychopharmacological treatment of separation anxiety is reviewed, with special emphasis on the use of tricyclic antidepressants. The literature relevant to a possible association between separation anxiety and adult panic disorder is presented. The prevalence of separation anxiety disorder in adult outpatients with panic disorder is discussed. Data are presented to address the issue of treatment response in adult panic disorders with and without separation anxiety.The scientific investigation of panic disor der and agoraphobia is of recent origin. Al though these conditions, like other psychiat ric disorders, are identified solely on the basis of salient symptomatology, coarse phenome nological similarities may represent common phenotypic expressions of different patho logic processes. Consequently, efforts to elu cidate antecedents, or physiological concom itants of the disorder, may be impeded by the lack of refinement in the overall patient pop ulation as mixed clinical groups may be merged.