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与成人分离焦虑和惊恐障碍(广场恐惧症)相关的父母表征。

Parental representations associated with adult separation anxiety and panic disorder--agoraphobia.

作者信息

Manicavasagar V, Silove D, Wagner R, Hadzi-Pavlovic D

机构信息

Psychiatry Research and Teaching Unit, Liverpool Hospital, New South Wales, Australia.

出版信息

Aust N Z J Psychiatry. 1999 Jun;33(3):422-8. doi: 10.1046/j.1440-1614.1999.00566.x.

Abstract

OBJECTIVE

Early bonding abnormalities have been associated with a range of anxiety and depressive disorders in adulthood, but no specific parental patterns have emerged for particular disorders. The present study investigated the possibility that parental overprotectiveness may be linked to a risk of separation anxiety (SA) in adulthood.

METHOD

Two samples were recruited: volunteers (n = 34) whose major anxieties focused on separation concerns, and adult anxiety clinic patients (n = 37) who were diagnosed with panic disorder. Parental characteristics and early SA were assessed by dichotomising the combined sample first according to adult SA categorisation and then by panic disorder status.

RESULTS

Subjects assigned to the adult SA category reported high levels of juvenile SA and exposure to maternal overprotectiveness, whereas patients diagnosed with panic disorder reported few differences in their bonding histories compared to residual anxious patients.

CONCLUSIONS

The findings of this study suggest that early SA and parental overprotectiveness may not be associated with panic disorder per se, but rather with persisting SA symptoms in adulthood. The overlapping samples and retrospectivity of some measures are important limitations of the study.

摘要

目的

早期依恋异常与成年期一系列焦虑和抑郁障碍有关,但尚未出现特定障碍的特定父母模式。本研究调查了父母过度保护可能与成年期分离焦虑(SA)风险相关的可能性。

方法

招募了两个样本:主要焦虑集中在分离问题上的志愿者(n = 34),以及被诊断患有惊恐障碍的成年焦虑症门诊患者(n = 37)。首先根据成年期SA分类,然后根据惊恐障碍状态,将合并样本二分法来评估父母特征和早期SA。

结果

被归为成年期SA类别的受试者报告有高水平的青少年SA和母亲过度保护的经历,而被诊断患有惊恐障碍的患者与残留焦虑患者相比,其依恋史几乎没有差异。

结论

本研究结果表明,早期SA和父母过度保护可能本身与惊恐障碍无关,而是与成年期持续的SA症状有关。样本重叠和一些测量的回顾性是本研究的重要局限性。

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