J A Deltito, G Perugi, I Maremmani, V Mignani, G B Cassano
{"title":"The importance of separation anxiety in the differentiation of panic disorder from agoraphobia.","authors":"J A Deltito, G Perugi, I Maremmani, V Mignani, G B Cassano","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":77773,"journal":{"name":"Psychiatric developments","volume":"4 3","pages":"227-36"},"PeriodicalIF":0.0000,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychiatric developments","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
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.