Agorafobinin eslik ettigi ve etmedigi panik bozukluk ile agorafobinin bilissel ozellikler acisindan karsilastirilmasi

R. Akçakaya, Bengü Yücens
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Abstract

Panic disorder (PD) and Agoraphobia (AG) exhibit both similar and distinct cognitive features. The aim of this study was to compare patients with PD, AG and panic disorder with agoraphobia (PBA) in terms of agoraphobic cognitions, body sensations, catastrophic cognitions, and meta-cognitions. 64 PDA, 52 AG, and 36 PD patients were included in the study. The Structural Clinical Interview for Axis-I (SCID-I), Agoraphobic Cognitions Questionnaire (ACQ), Body Sensations Questionnaire (BSQ), Catastrophic Cognitions Questionnaire (CCQ), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI) and Meta-Cognitions Questionnaire (MCQ) were administered to the participants. Chi-square test and Kruskal Wallis analysis were used to compare sociodemographic data and scale scores between the three groups. The results showed that ACQ total scores of the PDA group were significantly higher compared to the other groups. There were no statistically significant differences between PD, AG and PDA groups in terms of BSQ, CCQ, and MCQ total scores. BDI total scores of PD group were significantly lower than AG and PDA groups. BAI total scores of PDA group were significantly higher compared to the other groups. Studies on cognitive features among patients with PD, AG or PDA will contribute to cognitive behavioral models and treatment process of these disorders.
惊恐障碍(PD)和广场恐惧症(AG)表现出相似和不同的认知特征。本研究的目的是比较PD、AG和惊恐障碍合并广场恐怖症(PBA)患者在广场恐怖认知、身体感觉、灾难性认知和元认知方面的差异。PDA患者64例,AG患者52例,PD患者36例。采用轴- i型结构临床访谈(SCID-I)、广场恐惧认知问卷(ACQ)、身体感觉问卷(BSQ)、灾难性认知问卷(CCQ)、贝克抑郁问卷(BDI)、贝克焦虑问卷(BAI)和元认知问卷(MCQ)。采用卡方检验和Kruskal Wallis分析比较三组间的社会人口学数据和量表得分。结果显示,PDA组ACQ总分明显高于其他组。PD组、AG组和PDA组在BSQ、CCQ、MCQ总分方面差异无统计学意义。PD组BDI总分显著低于AG组和PDA组。PDA组患者BAI总分显著高于其他各组。研究PD、AG或PDA患者的认知特征将有助于这些疾病的认知行为模型和治疗过程。
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