The importance of separation anxiety in the differentiation of panic disorder from agoraphobia.

Psychiatric developments Pub Date : 1986-01-01
J A Deltito, G Perugi, I Maremmani, V Mignani, G B Cassano
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Abstract

When patients with panic disorders are divided into two groups, those that are without any signs of phobic avoidance and those that are frankly agoraphobic, we see a differential premorbid history of separation anxiety in childhood with school phobia. The former group we found to be without these problems, while the latter demonstrated a history of school phobia in the majority of cases (60 per cent). This may indicate that uncomplicated panic disorder and agoraphobia with panic attacks are not always differential cross-sections of the same disease process, or different levels of severity of the same psychopathological entity, but may represent illnesses best not conceptualized as lying on a continuum. Further research will be served by separating panic disorder (DSM-III 300.01) into two groups: uncomplicated panic disorder, and panic disorder with limited phobic avoidance, which will exist along with the present agoraphobia with panic attacks, perhaps best renamed panic disorder with extensive phobic avoidance.

分离焦虑在区分惊恐障碍与广场恐惧症中的重要性。
当恐慌症患者被分为两组时,一组没有任何恐惧回避的迹象,另一组明显是广场恐惧症,我们看到了儿童时期的分离焦虑和学校恐惧症的不同发病前历史。我们发现前一组没有这些问题,而后一组在大多数情况下(60%)表现出学校恐惧症的历史。这可能表明,单纯的惊恐障碍和广场恐怖症伴惊恐发作并不总是同一疾病过程的不同横截面,或同一精神病理实体的不同严重程度,但可能代表的疾病最好不要概念化为一个连续体。进一步的研究将通过将惊恐障碍(DSM-III 300.01)分为两组:简单的惊恐障碍和有限恐惧回避的惊恐障碍,这将与现在的广场恐怖症伴惊恐发作一起存在,也许最好改名为伴广泛恐惧回避的惊恐障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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